CHALLENGES OF INTERSECTORIALITY IN THE IMPLEMENTATION OF HEALTH PROMOTION POLICIES: AN ANALYSIS OF COLLECTIVE HEALTH

Abstract

This study analyzes the challenges faced in the implementation of intersectoriality in public health promotion policies in Brazil, considering the multiple dimensions that make up collective health and the social determinants that cross it. The research is based on a qualitative approach, based on a narrative review of the literature published between 2022 and 2024, based on the selection of ten studies and institutional documents. Previously defined inclusion and exclusion criteria and Boolean operators were used to structure the search in databases such as SciELO, LILACS and Google Scholar. The results show that intersectoriality, despite being widely provided for in the normative frameworks, has concrete institutional, formative, political and cultural limitations, making it difficult to put it into practice. However, specific experiences are identified that point to possibilities of overcoming these obstacles, especially when supported by collaborative governance strategies, critical training, multiprofessional practices and territorialized actions. It is concluded that the effectiveness of intersectoriality requires structural changes and the strengthening of institutional arrangements capable of articulating public policies in an integrated, participatory and equitable manner.