Addressing the Social Determinants of Health: The Experience of a Municipal School in Rio de Janeiro
  • Sergio Meresman
  • Avamar Pantoja
  • Carlos da Silva


This essay documents an experience of the ABC & Art Project, a participative school management and health promotion initiative in the Municipal School Alexandre de Gusmão, located at the Columbia Park-Acari Housing in Rio de Janeiro (Brazil).

The Alexandre de Gusmão school team is composed of a majority of teachers who live in the community and work full time. With most schools in deprived areas in Brazil as well as in other Latin American countries, teachers tend to have at least two different jobs in different places. They sometimes live in yet a third neighborhood. The different roles and locations of teachers influence their understanding of the community, Alexandre de Gusmão, the neighborhood, its dynamics, and the people who live there. These multiple roles of teachers affect their commitment to the community and vice-versa.


Oral Health Latin American Country Health Post Work Full Time Neighbor Association 
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  1. Freire, P. Retrieved from
  2. Instituto Brasileiro de Geografia e Estatística (IGBE) [Brazilian Institute on Geography and Statistics]. (2000). Brazilian human development index 2000. Retrieved March 2008, from
  3. Meresman, S. (2007). Health and education in the labyrinth. Technical paper prepared for the Pan American Health Organization and the Education Development Center, Inc.Google Scholar
  4. Morin, E., & Coppay, F. (1983). Beyond determinism: The dialogue of order and disorder. Substance, 12(3), 22–35.CrossRefGoogle Scholar
  5. Pantoja, A. Unpublished documents and reports.Google Scholar
  6. Silva, C. (1999). Programa de Saúde Escolar numa Perspectiva Crítica (3ª edição). Rio de Janeiro, Brazil: Secretaria Municipal de Saúde.Google Scholar

Copyright information

© Springer Science + Business Media, LLC 2009

Authors and Affiliations

  • Sergio Meresman
    • 1
  • Avamar Pantoja
    • 1
  • Carlos da Silva
    • 1
  1. 1.CLAEH (Latin American Centre for Humane Economy)UNER (University of Entre Rios)MontevideoUruguay

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