Una vista crítica a las acciones diplomáticas en Salud Global : análisis histórico comparativo de las agendas internacionales en el sector salud y las reformas sanitarias con Colombia y Brasil, desde 1950 hasta la actualidad

Abstract

This thesis is part of the research line of Social Health Studies of the Master of Public Health, within the Program of Comparative Health Studies of the Research Group of Sciences, Technologies and Health Professions (GESCTP) of the Universidad del Rosario; Its fundamental purpose is to carry out a historical-comparative and transnational study of international agendas and reforms health services in Colombia and Brazil. The identification and critique of historical events related to the establishment and organization of health services in populations allows the understanding of the routes established by each country; therefore, the analysis focuses on the international agendas and the particularities of the health reform processes implemented in Colombia and Brazil from 1950 to the present in the framework of the construction of States.The aim is to characterize, understand and explain, from a transnational comparative perspective, the existing relationships between social actors and international agendas in the construction and institutionalization of health services. It is not a secret that the dynamics among the political, economic, social and military processes have an impact on the health sector; Therefore, for this investigation it is important to emphasize that the State is not only analyzed as a mechanism for organizing countries, but as a socio-political actor and as a powerhouse that is governed by control mechanisms. By virtue of this, the investigation is divided into four chapters: the first one corresponds to the explanation about the generalities and transformations around social protection, the welfare state and the regimes of accumulation; the second chapter, presents the historical analysis of the particular conditions of Colombia and Brazil in the organization race of these countries to become developed states and their subsequent transformation towards neoliberal states; the third chapter, aims to characterize socio-political actors and analyze the "social field" intrinsic to each nation emphasizing in the particularities, to finish in a fourth chapter that contrasts the current organization in each country with the proposal of the author and the conclusions.