02532nas a2200313 4500000000100000008004100001260004900042653001100091653003300102653002100135653002100156653001100177653001200188653002500200653002900225653001400254653002500268653001800293653002500311100001400336700001600350700001500366245015700381856005100538300001000589490000700599520159800606022001402204 2012 d c2012 MarbLEPRA Health in ActionaColchester10aBrazil10aCommunicable Disease Control10aHealth Education10aHealth Promotion10aHumans10aleprosy10aMycobacterium leprae10aNational Health Programs10aPrejudice10aQualitative Research10aSocial stigma10aTerminology as Topic1 aSantos AK1 aRibeiro APG1 aMonteiro S00aThe production of social discourse on Hansen' disease and health education materials in Brazil: a skin patch as something harmless or a serious disease? uhttps://leprosyreview.org/article/83/1/02-4033 a24-330 v833 a
AIMS: Hansen's disease is endemic in Brazil and government control programmes promote publicity campaigns to increase the detection of new cases through the production and distribution of educative material.
OBJECTIVES: This study analyses a set of 276 educational materials produced by governmental and non-governmental organisations that work to control Hansen's disease in Brazil. It describes the content of the materials and the way the issues were approached.
DESIGN: It is a qualitative study that adopts the theoretical and methodological framework of the semiology of social discourse.
RESULTS: Analysis reveals that the relations between the enunciator and recipient of the materials are asymmetrical as a result of the technical and educational language employed. Biomedical information forms the basis for social representations an practices of Hansen's disease, as opposed to historical collective knowledge of 'leprosy'. The prioritised topics are: signs and symptoms of the disease, treatment stigma, cure and surveillance.
CONCLUSIONS: The institutionalisation of public education on Hansen's disease in Brazil was not limited simply to the change of terminology from 'leprosy' to 'Hansen's disease,' but was shaped also by new educational practices. It is recommended that the evaluation and production of new materials be incorporated into the set of activities already carried out in health centres so as to expand the discussion on content, language and the best way to address the disease in the materials.
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