Adriana Miranda de Castro

@iff.fiocruz.br

Pós-graduação em Saúde da Criança e da Mulher (Public Health Program - Msc and PhD, focus on Childhood and Women Health)
Fundação Oswaldo Cruz

Adriana Miranda de Castro


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https://researchid.co/drikamcastro
She worked as a technical consultant for the Ministry of Health from 2003 to 2009 for the National Health Promotion Policy and was in Federal Hospitals in Rio de Janeiro and in the Hospital Management Department/Ministry of Health between 2009-2012. Currently, she is an employee of the Oswaldo Cruz Foundation. From 2021 to 2025, she was the Health Promotion Coordinator for the Vice-Presidency of Environment, Care and Health Promotion (VPAAPS/Fiocruz). Since 2023, she has coordinated the Multiprofessional Specialization iin Health Promotion. In January 2025, she assumed the Coordination of the Postgraduate Program in Child and Women's Health (Public Health) at IFF/Fiocruz and, from September onwards, the Coordination of the Institute's Education Area. She is a member of the Social Sciences and Humanities in Health Commission of Abrasco, representing the PPGSCM/IFF/Fiocruz, the Collaborative Network of Healthy and Sustainable Municipalities, Cities, Communities and Territories (RCMCCTSS)

EDUCATION

Doctor of Public Health (IFF/Fiocruz), Master in Psychology (UFF), specialist in Clinical-Institutional Psychology (HUPE/UERJ) and psychologist (UERJ). She develops her professional career in the field of Public Health, with an emphasis on Public Health Policies, Processes of Care Production in Health, Management and Education at Work. Her main thematic and analytical areas of interest are: production of subjectivities, technologies of power, gender relations, racism and whiteness, aging, medicalization of life, health promotion and institutional analysis.

RESEARCH, TEACHING, or OTHER INTERESTS

Health Policy, Social Psychology, Health (social science)
6

Scopus Publications

Scopus Publications

  • Convergences between promotion of health, public health education, educommunication and health literacy
    Marco Akerman, Adriana Miranda de Castro, Cristina Almeida Santos, Pedro José Santos Carneiro Cruz, Noelia Rodrigues Pereira Rego, et al.
    Ciencia E Saude Coletiva, 2025
    In Brazil, studies and practices around the concept of health literacy are recent and linked to the application of internationally validated instruments. From this perspective, a more conservative emphasis on the adoption of health literacy practices can be observed. This article explores possibilities for a Brazilian model of health literacy, considering the marked presence of the Brazilian community in public health in the promotion of health, popular education and educommunication, by linking timelines of these four areas of knowledge and practices. Having established these timelines, it seeks to highlight the main national and international historical, academic and political milestones, of each of these areas, over a specific period (1970-2023), against the backdrop of four political scenarios: "military governments," "redemocratization and neoliberalism," "progressive governments" and "conservatism." Based on the identification of significant national and international milestones and the confluence between the fields of health promotion, popular health education, and educommunication, the possibility of a Brazilian model is postulated for promoting health literacy.
  • Acknowledging racism to build comprehensive, equitable and universal care effectively
    Paula Gaudenzi, Adriana Miranda de Castro, Andrea Chagas
    Ciencia E Saude Coletiva, 2023
    Acknowledging racism to build comprehensive, equitable and universal care effectivelyThis thematic issue is based on the understanding that it is imperative to resolutely incorporate the analysis about racism in the field of Public Health -strongly imbued with the notion of health as a social right, with citizenship and dignity of the human individual -since racism is an important factor in the violation of rights and the production of inequities.Considering racialized subjectivity and health care for black people is the core issue of the thematic issue presented here, based on the understanding that care is not restricted to formal healthcare practices, but also incorporates all the creative ways of being in the world that result in a well-lived existence.In recent decades, the ideas of universality, comprehensiveness and equity have become more complex to be closer to the reality and the needs of people in the various territories where life exists.Thus, universality does not dispense with a singular look at social and regional inequalities.Comprehensiveness is increasingly linked to analyses of the meaning of care, seeking to defragment health practices and place the person back at the center.Equity ratifies that lifestyles and access to citizenship rights are built upon the processes of social determination.According to the Atlas of Violence (2021) 1 , in 2019, black people accounted for 77% of homicide victims and the chance of a black person being murdered is 2.6 times higher than that of a non-black person.These and other data expose the features of racism in Brazil and allow us to understand it as a health problem.In Brazilian culture, racism is structural, institutional and intersubjective, affecting access to health services and comprehensive care, as well as producing negative symbolic dimensions of the black body that inflict harm upon the mental health of black people.The processes -both of institutionalization of the SUS and of the theoretical-political deepening of its foundations -were not/are not without tensions and disputes.Despite the contributions of the Black and Black Women's Movement to the conception of the SUS, the mobilizations for the institutionalization and implementation of the National Comprehensive Health Policy for the Black Population (PNSIPN) and the effective presence of the black population as users and workers in the system, the racism that is present in its modus operandi and establishes numerous barriers to access to health for black women and men in the country has not been sufficiently recognized or addressed 2 .Despite the increase in the production of evidence regarding the relationship between race/ethnicity and gender markers in the quality of health care received, or otherwise, and in negative outcomes in cases of illness and/or in situations of disasters and health emergencies, it is understood that there is still much to be done.Acknowledging that racism impacts access to public policies, the processes of subjectivation, illness and death, the therapeutic itineraries and care relationships, to name a few aspects, is fundamental for the improvement of health production in Brazil, so that the SUS ideology is experienced in the daily lives of its users and workers, such that Public Health is more plural in its references, methodologies and reflections.Recognizing that racism is present in the relationships that are established in Public Health and in the SUS is to glimpse the possibility of deconstructing it in a consistent and sustainable way, since anti-racism is a path to be taken, not a place to be reached 3 .This Thematic Issue is a small contribution to the various processes of mobilization, construction, and uncompromising defense of anti-racist public health.
  • Subjective effects of racism and care: lives and memories of black women
    Paula Gaudenzi, Andrea Chagas, Adriana Miranda de Castro
    Ciencia E Saude Coletiva, 2023
    Understanding racism as an integral part of Brazilian reality, constituting a social determinant of the health-disease process, this article seeks to reflect on the impacts of racism on subjectivity and contemplate the health care offered to black women. The reflections derive from a qualitative study using the biographical method, in which black women provided a narrative of their lives and experiences with racism. The narratives give visibility to the negative effects of living systematically under structural racism in the self-images of the interviewed women, as well as the lack of and/or poor effectiveness of public policies of integral health care to transform the status quo.
  • TALKING TO JOVELINAS, IVONES AND BETHS: HEALTH AND AGING IN SAMBA'S WORLD
    Adriana Miranda de Castro, Claúdia Bonan, Paula Gaudenzi
    Psicologia E Sociedade, 2021
    Resumo Partindo das análises foucaultianas quanto à relação de imanência em que se constituem capitalismo, biopoder e medicalização da vida, analisamos as modulações neoliberais das relações de poder-saber e a produção de um sujeito empresário de si, que trabalha por um desempenho ótimo em todos os campos da existência. Interessa-nos problematizar as repercussões dessa lógica econômica no campo da saúde na medida em que engendra subjetividades previdentes, que devem seguir as prescrições do aparato biomedicina, epidemiologia e promoção da saúde para assegurar longevidade e vitalidade, assim como seu investimento na construção da velhice como um Universal, cuja experiência oscila entre fragilidade/envelhecimento ativo. Nossas reflexões se fazem numa incursão etnográfica à Ala dos Cabelos Brancos, velha guarda do GRES Império Serrano, onde cartografamos os modos de produção de si e de realidade que acionam como universo de referência o mundo do samba e estabelecem sentidos singulares para saúde e velhice.
  • National Health Promotion Policy (PNPS): Chapters of a journey still under construction
    Deborah Carvalho Malta, Otaliba Libanio Morais Neto, Marta Maria Alves da Silva, Dais Rocha, Adriana Miranda de Castro, Ademar Arthur Chioro dos Reis, Marco Akerman
    Ciencia E Saude Coletiva, 2016
    Resumo A saúde faz-se um bem público produzido pelas e nas redes de relação e disputas de sujeitos que almejam colocar determinados interesses e necessidades na agenda das políticas públicas. A Promoção da Saúde, como conjunto de estratégias e formas de produzir saúde, no âmbito individual e coletivo, visando atender às necessidades sociais de saúde e garantir a melhoria da qualidade de vida da população, emerge marcada pelas tensões próprias à defesa do direito à saúde. O artigo pretende explicitar certo percurso da Promoção da Saúde no SUS, contando a história de sua afirmação como Política Nacional e as possibilidades que aí se produziram para ampliar a integralidade do cuidado em saúde. Os autores, totalmente implicados na formulação, implementação e revisão da Política Nacional de Promoção da Saúde (PNPS), sistematizam a caminhada em três capítulos: 1998/2004 – Embrião de uma PNPS; 2005/2013 – Nasce, cresce e se desenvolve uma PNPS; 2013-2015 – Revisando, ampliando e divulgando a PNPS. Para além da narrativa de uma história, análise de ciclo de uma política, ou balanço de avanços tenta-se resgatar contextos, textos, discursos, tensões na trajetória da PNPS. Os próximos capítulos são uma obra em aberto e anunciam caminhos.
  • Description of the countrywide physical activity network coordinated by the Brazilian ministry of health: 2005-2008
    Alan G. Knuth, Deborah C. Malta, Danielle K. Cruz, Adriana M. Castro, Janaína Fagundes, Luciana M. Sardinha, Cristiane Scolari Gosch, Eduardo J. Simões, Pedro C. Hallal
    Journal of Physical Activity and Health, 2010
    Background:Based on the Brazilian National Health Promotion Policy (PNPS), the Ministry of Health (MoH) started stimulating and funding physical activity interventions in 2005, leading to the establishment of a countrywide network. The aim of the present article is to geographically describe this network (2005−2008) and to present structure and process evaluation indicators of interventions funded in 2006 and 2007.Methods:In 2005, the 27 state capitals received funding for carrying out physical activity-related interventions. From 2006 onwards, public calls for proposals were announced, and cities were selected through a competitive basis. Coordinators of interventions in cities who got funding in 2006 and 2007 answered to survey questions on structure and process aspects of the interventions.Results:The network currently comprises 469 projects, out of which over 60% are carried out in small cities (<30,000 inhabitants). The most frequently used public spaces for the interventions are squares and indoor sports courts. The main physical activity-related topic of the PNPS prioritized in the projects is healthy diet. The main partnerships developed are between City's Health and Education Secretariats.Conclusion:Expanding the network to 1000 cities by 2010 and continuing the evaluation efforts are the next goals of the Brazilian MoH.