Formação, Governança e Implementação dos ODS: Contribuições para o Enfrentamento das DANT em Municípios Maranhenses

Abstract

The 2030 Agenda, established by the United Nations in 2015, set the Sustainable Development Goals as a global reference for tackling social, environmental, and economic inequalities. In the health sector, Target 3.4 stands out, aimed at reducing premature mortality from Non Communicable Diseases, which reinforces the need for public policies that are articulated and integrated into different territories. The Legal Amazon, characterized by socioeconomic inequalities and structural difficulties, presents itself as a strategic scenario for the implementation of evidence-based health policies. In this context, the Course on the Internalization of the Sustainable Development Goals was developed, aiming to strengthen the capacity of managers, professionals, and researchers in integrating the 2030 Agenda and the Strategic Action Plan for Tackling Chronic Non-Communicable Diseases. The methodology followed a quantitative-qualitative, descriptive, and exploratory approach, based on the data triangulation technique across three axes: the real (analysis of mortality indicators in Paço do Lumiar and São José de Ribamar), the normative (documentary analysis of the Municipal Health Plan, Previous Four-Month Report, and Annual Management Report), and the understood (semi-structured interviews with graduates). The results reveal a structural discrepancy between planning and local execution, where municipal management operates in an "emergency mode," prioritizing immediate demands to the detriment of the 2030 Agenda's long-term goals. It was evidenced that the low state capacity of the municipalities and the high staff turnover impact the longitudinality of care, preventing the effective control of Non Communicable Diseases. On the other hand, Continuing Health Education emerged as the main mitigation strategy, empowering graduates to act as agents of change able to territorialize global goals and articulate intersectoral solutions, even in the face of fragile institutional contexts.