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According to Meis Meis C. Cien Saude Colet ; 16 Supl. The emancipatory view of empowerment, previously presented, is our focus by developing with women submitted to mastectomy their role in caring for their health and pursuing their autonomy while socially productive subjects. Empowerment becomes the ideal strategy as an element to enable these women to become active subjects in the conquest of their autonomy and of their repositioning as productive beings, because it refers to development of potentialities, increase in information and perception, with the objective of boosting social participation Baquero M.
In Brazil, social inequality led part of the economically active population out of the formal work market to retrieve differentiated forms of work organization, production and income generation to lessen unemployment, poverty and exclusion, in the pursuit for social emancipation. Among the new work alternatives are experiences related to Popular Solidary Economy, whose protagonists are the popular classes Nascimento AF.
The experience is developed with low financial resources and uses the workforce of its members as a production fact or to satisfy basic needs and improve quality of life. Associative and solidary forms of community work are a privileged approach for social players to participate. These group actions strengthen the feeling of belonging, enhance community links, and reveal themselves as very rich elements to build citizenship, rescue self-esteem and create awareness of the role that each actor plays in the social world Unlike welfarist proposals regarded as affective and emotional assistance to sustain a relationship of domination that prevents subjects from becoming social players of their reality The objective of the initiative executed by NUSP was to create affirmative and evaluative mechanisms to improve the individual and collective potential of populations toward social transformation Universidade Federal de Pernambuco [Internet] The Bambu Method, which encourages social inclusion and strengthening local potentialities to improve quality of life of the population, was developed based on the Project mentioned above.
The fundamental concepts of this method are in consonance with the objective of providing opportunity for work and income generation initiatives for women submitted to mastectomy, bearing in mind that a healthy environment can strengthen the link among social players, working as a trigger and support for them to reach their rights.
Of the total, fifty were selected to take part in the project, given they adjusted to the profile defined, that is, they were submitted to radical or conservative mastectomy, were not on chemotherapy, were being followed by an oncologist at the hospital where they underwent surgery, and did not have monthly income.
The age group was 37 to 70 years, distributed as follows: 3between 30 and 40; 29 between 40 and 50; 14 between 50 and 60 and 4 between 60 and Of the 50 women, 49 lived in the Baixada Fluminense and 1 in the city of Rio de Janeiro.
All were literate; 42 had high-school level schooling and none had university education. Data are recent, ,andwere extracted from the physical therapy outpatient evaluation forms.
After overcoming all stages of oncology treatment, women seen at the breast oncology physical therapy outpatient clinic were observed to have difficulties, such as gaining access to resources of the National Social Security Institute INSS , of being readapted to their old job or even getting a new job.
After evaluation, they began rehabilitation in order to return to daily life activities more functionally and improve quality of life. During rehabilitation they were asked about the importance of work as an economic and social function and the desire to work in a job adapted to their new condition after mastectomy.
When they wanted to resume work, the proposal to build actions aimed at work and income generation began, as a means to strengthen the link between women and workers, enabling the development of a support network for a new inclusion into the job market.
These actions were built collectively with women directly involved, using Bambu Method workshops Workshops were oriented by a social constructionist framework that considers knowledge as being prepared along with individuals, that is, always as a result of group action Rueda LI.
In: Rueda LI. Manual para las ciencias sociales.
Barcelona: Editorial UOC; Some essential concepts need to be developed at workshops to build along with women the feeling of autonomy and desire to participate so they can become active subjects in the pursuit of their rights and to attain their economic independence, strengthening their struggle for social protagonism V Encontro de Pesquisadores Latino-americanos de Cooperativismo.
These features approach health action and Health Promotion because they are based on actions that boost empowerment initiatives to increase individual and group skills. It was important to establish a partnership with city hall, at the breast oncology physical therapy outpatient clinic in order to carry out the health action.
However, despite the partnership, it still was not possible to implement the action entirely, due to political and economic limitations, such as changes in the municipal government and, more specifically, in health services management, in addition to lack of material resources and inputs. Although changes in service practices can already be observed, due to training workers in Health Promotion and Social Development, and due to the involvement of women in building actions, work and income generation workshops have not been implemented yet due to the limitations mentioned.
In order to strengthen the initiative, in addition to the partnership with City Hall, other partnerships must be sought with local companies to supply raw material to manufacture the product to be marketed.
Training women requires partnerships with teaching institutions oriented to the goods and services business and services that support micro and small companies, for technical and financial support of the project, like in a company incubator. Regular evaluation, aimed at providing improvements in the actions of the Project such as the workshops will be held based on the Bambu Method that proposes participative evaluation, giving voice to women and to all social actors involved so they can perceive progress made and the power of continuing to execute and improve actions together.
This leads to decision making on what was executed, whose function and value are also strengthening autonomy, and thus contributing to overcoming adversities and favoring co-responsibility in the construction of the project.
Moreover, it is essential to commit public authorities and the partners mentioned above for sustainability, strengthening the support network for participating women.