O novo federalismo social e o Rio: desenho de programas complementares de transfer��ncia de renda condicionada

Brazilian public policy entered in the so-called new social federalism through its conditional cash transfers. States and municipalities can operate together through the nationwide platform of the Bolsa Familia Program (BFP), complementing federal actions with local innovations. The state and the city of Rio de Janeiro have created programs named, respectively, Renda Melhor (RM) and Fam��lia Carioca (FC). These programs make use of the operational structure of the BFP, which facilitates locating beneficiaries, issuing cards, synchronizing payment dates and access passwords and introducing new conditionalities. The payment system of the two programs complements the estimated permanent household income up to the poverty line established, giving more to those who have less. Similar income complementation system was subsequently adopted in the BFP and the Chilean Ingreso ��tico Familiar, which also follow the principle of estimation of income used in the FC and in the RM. Instead of using the declared income, the value of the Rio cash transfers are set using the extensive collection of information obtained from the Single Registry of Social Programs (Cadastro ��nico): physical configuration of housing, access to public services, education and work conditions for all family members, presence of vulnerable groups, disabilities, pregnant or lactating women, children and benefits from other official transfers such as the BFP. With this multitude of assets and limitations, the permanent income of each individual is estimated. The basic benefit is defined by the poverty gap and priority is given to the poorest. These subnational programs use international benchmarks as a neutral ground between different government levels and mandates. Their poverty line is the highest of the first millennium goal of the United Nations (UN): US$ 2 per person per day adjusted for the cost of living. The other poverty line of the UN, US$ 1.25, was implicitly adopted as the national extreme poverty line in 2011. The exchange of methodologies between federal entities has happened both ways. The FC began with the 575,000 individuals living in the city of Rio de Janeiro who were on the payroll of the BFP. Its system of impact evaluation benefited from bi-monthly standardized examinations. In the educational conditionalities, the two programs reward students' progress, a potential advantage for those who most need to advance. The municipal program requires greater school attendance than that of the BFP and the presence of students��� parents at the bimonthly meetings held on Saturdays. Students must achieve a grade of 8 or improve at least 20% in each exam to receive a bi-monthly premium of R$50. In early childhood, priority is given to the poor children in the program Single Administrative Register (Cad��nico) to enroll in kindergarten, preschools and complementary activities. The state program reaches more than one million people with a payment system similar to the municipal one. Moreover, it innovates in that it transfers awards given to high school students to savings accounts. The prize increases and is paid to the student, who can withdraw up to 30% annually. The total can reach R$3,800 per low-income student. The State and the city rewarded already education professionals according to student performance, now completing the chain of demand incentives on poor students and their parents. Increased performance is higher among beneficiaries and the presence of their guardians at meetings is twice compared to non beneficiaries; The Houston program, also focuses on aligning the incentives to teachers, parents and students. In general, the plan is to explore strategic complementarities, where the whole is greater than the sum of its parts. The objective is to stimulate, through targets and incentives, synergies between social actors (teachers, parents, students), between areas (education, assistance, work) and different levels of government. The cited programs sum their efforts and divide labor so as to multiply interactions and make a difference in the lives of the poor.

Os ciclos de confer��ncias da defensoria p��blica do Estado de S��o Paulo: controle e participa����o social

O objetivo desta disserta����o �� estudar os Ciclos de Confer��ncias da Defensoria P��blica do Estado de S��o Paulo para entender qual papel eles desempenham em rela����o a participa����o popular na gest��o da Defensoria P��blica. O problema de pesquisa consiste em verificar se e como elas contribuem para garantir a participa����o social dentro da gest��o da Defensoria, levando em considera����o o estudo sobre a implementa����o ou n��o das diretrizes elaboradas pela popula����o durante a realiza����o dos I, II e III Ciclos de Confer��ncias e a compreens��o das diferentes falas que os atores tem em rela����o aos Ciclos de Confer��ncias. A conclus��o �� a de que os Ciclos de Confer��ncias n��o foram absorvidos de forma homog��nea pela institui����o como um importante mecanismo orientador das prioridades institucionais, capaz de vocalizar os anseios da popula����o, arejando a institui����o, e colaborando com a constru����o de pol��ticas p��blicas alinhadas ��s demandas da popula����o. �� necess��rio que seja pactuado e esclarecido o car��ter das propostas elaboradas nas Confer��ncias (car��ter deliberativo ou consultivo) sob pena do mecanismo participativo em quest��o perder ader��ncia popular.

Estudo de caso: uma reflex��o sobre as estruturas internas da Secretaria de Estado de Sa��de do Rio de Janeiro para acompanhamento e controle de contratos firmados com a iniciativa privada para gest��o de unidades de sa��de

Este estudo objetiva comparar as estruturas internas da Secretaria de Estado de Sa��de do Rio de Janeiro (SES/RJ) organizadas para a execu����o do acompanhamento e controle de contratos de gest��o firmados com parceiros privados para presta����o de servi��os de sa��de no estado. As modalidades de contrata����o abordadas foram: ���Gest��o Compartilhada���, contrata����o entre a SES/RJ e empresa privada com base na Lei N�� 8.666 de 21 de junho de 1993 e ���Gest��o por Organiza����o Social de Sa��de (OSS)���, contrata����o entre a SES/RJ e OSS com base na Lei N�� 6.043 de 19 de setembro de 2011. Visando o cumprimento do marco legal no que tange ao controle dos contratos de gest��o, a SES/RJ reformulou estruturas internas, instituindo novas inst��ncias de acompanhamento de contratos. A prem��ncia na implanta����o dos novos mecanismos de gest��o assistencial para atendimento ��s necessidades de sa��de da popula����o fluminense prejudicou a avalia����o e poss��vel mensura����o de custos de transa����o. N��o obstante os contratos de gest��o produzam o bem p��blico maior, qual seja a oferta de servi��os de sa��de de qualidade �� popula����o fluminense, h�� que se considerar que a efici��ncia �� um princ��pio expresso na Emenda Constitucional n�� 19 de 1998 e deve ser perseguida pela Administra����o P��blica. �� luz da Teoria de Custos de Transa����o, a hip��tese deste trabalho �� que o Poder P��blico pode incorrer em perdas desconhecidas com a estrutura de governan��a de contratos com OSS, se custos de transa����o n��o forem mensurados. Para avaliar a pertin��ncia da suposi����o, �� proposta compara����o com a estrutura de governan��a de contratos de Gest��o Compartilhada.

As escolas comunit��rias da Rocinha: 1968/1986: um fator de conserva����o ou de transforma����o social?

O presente trabalho apresenta a experi��ncia das escolas comunit��rias da favela da Rocinha, durante o per��odo de 1968 a 1986, e a analisa a partir de duas vertentes: - a quest��o urbana - a escola comunit��ria enquanto uma forma de organiza����o popular, que aliada aos outros grupos comunit��rios da Rocinha, questiona a aloca����o desigual de recursos p��blicos e luta pela melhoria das condi����es de vida na favela. A quest��o educacional - a pr��tica pedag��gica dessas escolas junto ��s crian��as, jovens e adultos; a busca de uma metodologia e de conte��dos que partam da realidade dos alunos e dos objetivos do trabalho comunit��rio. O estudo de caso foi elaborado a partir de entrevistas (realizadas junto a lideran��as, educadores, pais, alunos, agentes externos e t��cnicos), de fontes documentais e da participa����o da autora no trabalho comunit��rio da favela, iniciada em 1976. Procurou-se apreender a origem dessa experi��ncia junto �� precariedade/inefic��cia do sistema oficial de ensino e ao processo de reorganiza����o das classes populares, e perceber tamb��m a rela����o entre as diferentes conjunturas e a configura����o que as escolas comunit��rias foram assumindo ao longo dessa trajet��ria.

A representa����o social do papel de gestores em organiza����es n��o governamentais

The discussions concerning the absence of a management model appropriate to the peculiarities of third sector organizations have not been impeditive to their emphasized expansion in the last decades. In the attempt of understanding this phenomenon from the perspective of those who manage social organizations, this work based on the theory of social representations to understand the notion that organization managers of the third sector - based in Fortaleza CE - have of the part that they play and how this notion influences the direction of their activities. Social representations of managers of four different categories of non-governmental organizations have been investigated, each category composed of two unities. The categories researched were: social integration through art and education, prevention and treatment of alcohol and drug abuse, children s health assistance and community action. By using Doise s Societal Approach, the role of social managers translated in intraindividual, interindividual and situational processes of their actions, has been analysed within the social representations, focusing on beliefs, values, symbols and stories that give meaning to the existence of non-governmental organizations. Analysis and discussion of data displayed the existence of diversity in the understanding of managers within their practice, in other words, the management profile is also its own manager s. The branch where an organization acts is also preponderant in the shaping of a management style. It could be deduced, from to the organizations researched, that professional formation and the manager s social insertion mainly, are determinative factors in the outlining of a management model of its own. It was concluded that, due to heterogeneity of interests and action segments, there is no systematic process for social management among organizations. Management styles are supported by their director s own perception of achievement, who model organizations according to their contingencies

A assistência t��cnica nos habitats do MST e o papel do arquiteto e urbanista

This dissertation is about Architect and town planner inserts in the technical support of the Rural establishment and of the possibilities of changes in their habitat. It also looks for its participation through the production of those spaces with or without its performance through two references cases, in Rio Grande do Norte , one called settlement Eldorado de Caraj��s and another one called Maria da Paz. At first the process represents the model that was adopted systematically by Incra until the middle of the year 2000 with the sub-contracting of their construction work through small companies. These standardized projects which are executed without registration in the system CONFEA/CREA without demand of professional authorship and of technical responsibility of the work. But the process taken place at Maria da Paz s area was configured as one of the first initiatives that stopped with those practices. Consolidated through a partnership among UFRN MST and INCRA/RN, the Architect s technical support and town planner brought new technician-scientific organization and execution of the soil parcels and its habitat. The participation of UFRN was done through a group of studies in land reform and Habitat (GERAH) being this author and coordinator of the methodological proposal, based on the regressive-progressive method and in the inclusion of the conflict as responsible of the ruptures and transductions both done by Henry L��f��bvre and in the research action approached by Carlos Brand��o. Therefore it included the process of social learning and collective production of new knowledge and attitudes in relation to the environment in the process called as attended self management in spite of the transformations happened with this new agent s participation. The people re-located to the new areas that got involved in the process and finished their constructions reelaborating the daily practice of the collective effort passed to the self management without technical support. Years later the implantation of those two experiences our research verified that there is a positive image concerning the Architect and town planner, related, most of all to the conception of the activities, orientation and execution of constructions projects and of acceptance of those professionals to the processes of implementation of the Habitats of the Rural establishments. This dissertation analyses this form of performance, from and beyond these images trying to find the professional, specificities or methodological in such a way to demonstrate the importance of its insertion in the formulation and attendance of the more of 100.000 habitats of Rural establishments of the land reform of the country that correspond to most of the housing social interest in the country side

Avalia����o da qualidade da assistência a pessoas com ��lceras venosas atendidas na estrat��gia sa��de da fam��lia

A ��lcera venosa constitui importante problema de sa��de p��blica, gera repercuss��o social, econ��mica e mudan��as nos h��bitos de vida, dor, sofrimento, acarretando diminui����o da qualidade de vida. O estudo objetivou avaliar a assistência prestada ��s pessoas com ��lceras venosas atendidas pela Estrat��gia Sa��de da Fam��lia. �� um estudo anal��tico, transversal e quantitativo, realizado com 59 pessoas com ��lceras venosas, atendidas em 36 unidades da Estrat��gia Sa��de da Fam��lia. O estudo obteve aprova����o do projeto de pesquisa pelo Comit�� de ��tica da Universidade Federal de Alagoas. Para a coleta dos dados utilizou-se instrumento testado, entrevista, exame f��sico e informa����es dos prontu��rios. Os dados foram organizados em planilha do Microsoft Excel 2007, exportados e analisados em software estat��stico por meio de estat��stica descritiva e inferencial, considerando n��vel de signific��ncia estat��stica de &#961;-valor < 0,05. As pessoas com ��lcera venosa eram do sexo feminino (71,2%), &#8805; 60 anos (67,8%) e estavam em tratamento > 1 ano (69,5%). Possu��am tempo de les��o > 6 meses (64,4%), dor na ��lcera/membro (86,4%) e leito com &#8804; 30% de granula����o/epiteliza����o (78,0%). A qualidade da assistência foi ruim (< 5 aspectos positivos) em 57,6% (&#961;=0,000) e os aspectos que mais interferiram foram as seguintes inadequa����es: profissional que acompanha/realiza curativo (&#961;=0,002, coeficiente de conting��ncia (CC) =0,458, raz��o de chance (RC) =13,9), produtos nos ��ltimos 30 dias (&#961;=0,038, cc=0,334, RC=7,3) e acesso a consulta com angiologista (&#961;=0,041, cc=0,305, RC=4,1). Os aspectos cl��nicos que contribu��ram para o aumento do tempo de assistência foram: tempo de les��o >6 meses (&#961;<0,001), dor (&#961;=0,043), recidiva (&#961;<0,001); nos aspectos assistenciais: inadequa����o dos produtos com 83,1% (&#961;=0,036). Essas caracter��sticas dificultaram a cicatriza����o tecidual, prolongando o tempo de tratamento das les��es,que podem ter contribu��do para a cronicidade das ��lceras

Assistência a mulher com c��ncer de mama em um cenro de refer��ncia no Estado da Para��ba

The assistance to women who have breast cancer is studied in a Reference Center in Paraiba and also the way this assistance is performed in a School Hospital maintained by SUS (Single Health System) is questioned. Breast cancer demands institutional organization, provision of financial, material and human resources, requiring, from the health system, effective assistance with new technologies which make it possible for the population their access to specialized medical services although it not always is able to guarantee those services nor the rights which the legislation granted them, inhibiting a proper relationship between the health professional and the patient. The theme is discussed through a transdisciplinary knowledge view and has as its theoretical referential the contribution of classical and contemporary authors from the human and social sciences and, as an empirical research strategy, the structured interview. The objectives of the research were: identify how the assistance to women with breast cancer is carried on at a Reference Center on Oncology in Campina Grande, Paraiba, identifying their difficulties and their satisfaction with the received assistance; draw up a profile of the women with breast cancer who were assisted in this Reference Center; understand their gynecological and obstetric antecedents, life styles, age group and stage of the disease when the treatment started; check their knowledge about their rights and which benefits they had received. Most women ranged between 40 and 59 years old (63%), which corresponds to the risk range of developing breast cancer. As to their occupations, 38.3% were housewives and 30.1% retired, whose family income was among those who received between less than a minimum salary and one minimum salary (58.2%). This population was mainly constituted of married women (60.2%), whose most frequent schooling was an incomplete elementary school (27.6%) and complete elementary school (24.1%), which added up to 51.6%. It was observed that the majority of the women seemed to be satisfied with the assistance received, noting that a minimum care was enough to define this satisfaction, although it is perceived that the access to the health system does not ensure the ideal attention conditions they need; it was verified that the availability of the services and the assistance itself are seen (in the local culture) as a favor and not as a right. It is also observed that only 30% of the women mentioned that they knew about their rights and the most mentioned ones were the disease assistance (13%), the medicines (13%) and the treatment (12%), which represent the most important triad to face the disease and around which the oncologic assistance most focus on. It is concluded that the condition of the users�� minimum existential of a public health unit and the condition of belonging to a lower social stratum were variables that influenced the respondents�� satisfaction in relation to the assistance received but the importance of the Reference Center for the women with breast cancer��s assistance for the whole region cannot be denied as well as the need to broaden the way the policy of the oncologic assistance in Brazil in the local realm is seen

O renascimento do parto e da (reinven����o da) emancipa����o social na blogosfera brasileira: contra o desperd��cio das experi��ncias

The birth models of care are discussed, in the light of classical and contemporary social science theoretical background, emphasizing the humanistic model. The double spiral of the sociology of absences and the sociology of emergences is detailed, being based, on one hand, on the translation of experiences of knowledge, and, on the other, on the translation of experiences of information and communication, by revealing the movement articulated by Brazilian women on blogs that defend and bring into light initiatives aiming to recover natural and humanized birth. A cartography of the thematic ideas in birth literature is produced, resulting in the elaboration of a synthetic map on obstetric models of care in contemporaneity, pointing out the consequences of the obstetric model that has become hegemonic in contemporary societies, and comparing that model to others that work more efficaciously to mothers and babies. A symbolic cartography of the activism for humanizing birth on the Brazilian blogosphere is configured by the elaboration of an analytical map synthetizing the main mottos defended by the movement: Normal humanized birth; Against obstetrical violence; and Planned home birth. The superposition of the obstetric models of care s map and the rebirth of birth s analytical map indicates it is necessary to reinforce three main measures in order to make a paradigmatic turn in contemporary birth models of care possible: pave the way for the humanistic care of assistance in normal birth, by defending and highlighting practices and professionals that act in compliance with evidence based medicine, respecting the physiology of birth; denaturalize obstetric violence, by showing how routine procedures and interventions can be means of aggression, jeopardizing the autonomy, the protagonism and the respect towards women; and motivate initiatives of planned home birth, the best place for the occurrence of holistic experiences of birth. It is concluded that Internet tools have allowed a pioneer mobilization in respecting women s reproductive rights in Brazil and that the potential of the crowd s biopower that resides on the blogosphere can turn blogs into a hegemonic alternative way to reach more democratic forms of social organization. In that condition of being virtually hegemonic in contesting the established power, these blogs can be understood, therefore, as potentially great contra-hegemonic channels for the rebirth of birth and for the reinvention of social emancipation, as their author s articulate and organize themselves to strive against the waste of experience, trying to create reciprocal intelligibility amongst different experiences of world

Representa����es sociais, rela����es de g��nero e programas de assistência e educa����o �� sa��de da mulher no climat��rio em Natal/RN

Climacteric is the name of the period of the human life that it is going from the 40 years old, approximately, until the 65 years old. Though, for besides a biological phase of the woman's life, the climacteric is an object of the social world that is rendered to different apprehensions and readings on the symbolic plan. In this study, it was looked for to know the social representations, that health' professionals acting in the programs of the climacteric and the users of those same services, build in respect of that purpose. Besides, it tried to be seen that the social hegemonic representation that guides the actions and the agents' attitudes in the practices of attendance and education for the woman's health in the climacteric in the extent of the investigated institutions. The data were collected through interviews, questionnaire, focal discussion group and direct observation. The observation field was constituted by the three institutions that develop the attendance and education for the woman's health in the climacteric phase, in the city of Natal. A gender perspective was also been adopted, sought to evidence as the cognitive structures that assure the masculine power reproduction, pronounce to the social representations to build a sense to the investigated purpose. It was verified that the social representations of the climacteric are built mainly around the semantic fields old age and disease. For the health professionals, the meaning of the simbol old age carries the marks of the indentified system of the middle class employed, but also, of the feminine habitus that guides them to have an ethical and aesthetic apprehension of their own body. The climacteric, in that way, is seen as a difficult phase , a painful event that scares . For the women attended by those professionals, the sign old age means feeling emphasis from the biological climacteric aspects, in other words, the sensations and signs that forbid the body to accomplish certain linked basic life functions. Along the whole course of this thesis, it was verified that the climacteric is a complex phenomenon that needs to be faced as such. While cultural phenomenon, it is urgent to look for means to help to combat the centrality of the professional representations that face the climacteric as old age and disease, particularly in the field of health

Praxiologia, representa����o social de menopausa e pr��ticas educativas de enfermeiras na estrat��gia sa��de da fam��lia

This research, whose theme is related to climacteric, aims to know the social representation of menopause developed by the nurses working for Estrat��gia Sa��de da Fam��lia (Family Health Strategy) in Jo��o Pessoa PB, as well as identifying its structure and verifying the way it interferes with the assistance and educational practices to the climacterial user. In the theoretical level, it is based on a model that articulates the social representations theory, the central nucleus complementary theory and the central concepts of Pierre Bourdieu s praxiology: habitus, cultural capital, social field and symbolic power. A hundred and forty-seven female nurses who work for Estrat��gia Sa��de da Fam��lia (Family Health Strategy) in Jo��o Pessoa (PB) took part in this research, and the data collection period was from February 2008 to March 2009. As to the methods and techniques, we used the method to determine the central nucleus based on the free association of words, a questionnaire to identify certain regularities that constitute the nurses habitus, and the semi-structured interview to explore opinions and attitudes when facing assistance situations and educational practices and to collect other relevant information. The data analysis was developed, when referring to the free associations, with the help of the EVOC software, which is a group of articulated programs which carry out the statistical analysis of the evocations and the identification of the possible elements of both the central nucleus and the peripheral system of the social representation. As to the questionnaire, we used the descriptive statistical analysis and the analysis of correlation between the variables. The interviews were submitted to a categorical analysis of the content. The EVOC result indicated that the cognition hormone was the only element of the central nucleus of the social representation of menopause. Due to its symbolic value and structuring power, this central nucleus ensures the strict and, at the same time, flexible character of the representational content. The analysis of the social advancement, of some fundamental features of the group habitus, as well as the analysis of its insertion in the health field and of the attitudinal opinions and dispositions concerning the assistance given to the climacterial user, and the analysis of the pedagogical dimension of this assistance, all these analyses lead to the conclusion that the nurses who took part in this research share a social representation of the menopause resulting from the association of different technical and scientific knowledge. These derive from the biomedical pattern as well as from hegemonic values which disqualify old age and overvalue youth, from pedagogical conceptions arising from patterns that are presently regarded as authoritative and old-fashioned and from cultural references (responsible for the semantic variations concerning the central nucleus) which are specific to the subgroups the nurses belong to. This research enables the creation of opportunities for discussion between active nurses working for Estrat��gia Sa��de da Fam��lia, and the nurses who are teachers at institutions of higher education, aiming at linking theory to practice, so that they can find ways of thinking about the climacteric and working, in a more comprehensive way, with users who are experiencing this stage of life

Representa����es Sociais do ser idoso e suas implica����es na assistência e nas pr��ticas educativas voltadas �� popula����o idosa residente em Natal/RN

Coordena����o de Aperfei��oamento de Pessoal de N��vel Superior

As a����es pol��tico-pedag��gicas do Servi��o de Assistência Rural-SAR

This program resumes the history of the political-pedagogic actions on the Servi��o de Assistência Rural SAR, of Natal archdiocese, and analyses the contributions of this actions on the process of rural workers organization in the social movements on the countryside. The educative actions of the RAS are happening in a permanent tension between the pedagogic project of a church in change and, a pedagogy of the groups, communities and social movements, that is centered in the cultural action, in the culture lived from its condition of citizens. This research reveals that this entity fulfilled a strategic attribution for the Natal s church on the formation of the community leaderships, at a first moment and leaderships for social movements. Before the military dictatorship, the work methodology of this entity had as priority, begin from the reality leaved by the rural workers in the expectation that these became to qualify themselves for a more citizen participation in the call development. During the military regime, the entity goes measuring theirs activities in the new context, until the moment that redefines the work line. Goes then defining regions and thematic of operation supporting the fights for land, salary campaigns, women agricultural workers organizations. The pedagogy of work has as one of its supporters the Paulo Freire s pedagogy, privileging the dialog as a source of production of knowledge from the reality leaved in a permanent transformation. The actions of this entity, with the groups and social movements, produces the necessary knowledge for the organization of the rural workers while individual and social subjects of a changing world. The process of action-reflection of the activities intended, by a creative form, a permanent production of strategies of fight of the workers. Research ever, not to make accommodate itself to the new knowledge acquired in the action-reflection it is part of the pedagogical idea of this Institution. One searched in this process of formation of the man and the woman to question the reality, to create actionreflection-action spaces on the fights for a possible transition of an ingenuous conscience for a critical conscience, in view of the transformation of the structures that oppresses them

A banaliza����o da injusti��a social no cotidiano de trabalho : a prop��sito da viol��ncia no trabalho e amea��a �� sa��de do trabalhador

Analyzes the factors that unleash violence by banalization of the problems and health questions of workers in a federal public institution, in Natal/RN. It analyzes transformations in the world of the work, with its politic, social and economic determinatives and its relation to the worker health. Boarding the violence in the work enviroment and its implications to the worker health, focusing on the banalization of problems faced by the workers as a kind of violence in and with the work. It was chosen an analitic methodology with qualitative approach, through the collection tecnic and information analyzes according to the thematic oral history, with recorders of authorized personal narratives, through individual interview with a semi-structured guide. In the analyzis of results it were made empiric cathegories: the daily work enviroment and its influence to the worker profession and life; the violence presents in the work enviroment and its consequences to the worker life and health; the banalization of the social injustice, due to violence against the worker that broked their dreams concerned to the nursing contribution. The results revealed the ordinary work of these workers showing enviromental and organizational unhealthy conditions, caracterized by physical and tecnical insecurity; absence and disqualification of instrumental and human supplies; overload and complexity service; bad distribution of the duties and pressure to the deadline and productivity, producing tension, conflict and anxiety related to the users, colleagues, superiors and to the duties. In the work enviroment, it were identified a external violence, caracterized by physical and verbal aggresion, psychic suffering, worker depreciation; and internal, caracterized by: moral and psychological molestations and accupational structural violence. These kinds of violence bring consequences to the life, that is, professional, economic and moral order of factors and to the health by biological, mental and emocional factors. The banalization of social injustice during the daily work was discussed in the aspects of banalization of problems and work conditions, the health, qualification banalizations and professional valorization. The workers expectatives pointed out to the necessity of: secure conditions of work; trainning and tecnical assistance; politics of attention to the physical, mental and social health to the workers and their family. We conclude the enviromental and organizational conditions of the workers interviewed do not offer physical and tecnical security that they need to the execution of their activities, neither offer comfort or physical and psychological satisfactions. The politic the instituition has used points out to the depreciation and inhumanization of them producing feelings as unsatisfaction, frustation and indignation related to the institution and the work, bringing suffering and physical and mental sicking. We noticed the most terrible violence found in the work enviroment is the banalization of social injustice related do the problems and health of these workers, producing a slowly debility and simbolic death of their lifes. Therefore, it is necessary the implementation of a politic that promotes assurance, health and integral education, valorization and humanization of these workers