Education, with an emphasis on prison health, has acted as a policy inducing changes in work processes, which the Brazilian National Health System (SUS) has used, and which is present in permanent health education, which promotes health care for people deprived of liberty. This article aims to present an analysis of the impacts of the strategy of massive education on prison health in Brazil from the perspective of health professionals and other actors operating in the Brazilian prison system. The data used in the study come from a questionnaire consisting of 37 questions applied nationwide between March and June 2022. Responses were collected from students who completed the course “Health Care for People Deprived of Freedom” of the learning pathway “Prison System”, available in the Virtual Learning Environment of the Brazilian Health System (AVASUS). This course was offered nationally, whose adhesion (enrollment) occurred spontaneously, i.e., the course was not a mandatory. The data collected allowed us to analyze the impacts of massive education on prison health. The study also shows that the search for the course is made by several areas of knowledge, with a higher incidence in the health area, but also in other areas, such as humanities, which also work directly with the guarantee of the rights of people deprived of liberty, which are professionals in the areas of social work, psychology, and education. The analysis based on the data suggests that the massive education mediated by technology through the courses of the learning pathway, besides disseminating knowledge–following the action plan of the 2030 Agenda of the United Nations Educational, Scientific and Cultural Organization (UNESCO)–, are an effective tool to promote resilience in response to prison health and care demands of people deprived of liberty.

Introduction: Syphilis is a problem for the Brazilian Public Health. Therefore, the Brazilian Ministry of Health has been promoting actions to fight this disease; among them, the “No Syphilis Project” stands out, and develops open educational resources (OER), among several activities. Objective: To analyze the open educational resources available in the SUS (the Brazilian Unified Health System) Virtual Learning Environment, focused on syphilis. Methods: This qualitative study, based on epistemology in the field of phenomenology, is a content analysis operated with the meanings constructed to parts of a set of texts and the objects of its analysis were the teaching plans of 19 educational resources available at AVASUS, which dealt with the theme “Syphilis”. The analysis was organized into two unitss: The main purpose of the educational resource and Thematic focus of the educational resource. Results: The overlapping of clinical aspects of the disease to the detriment of socio-environmental aspects and the prevalence of informational objectives can be observed, with the exception of one resource that presented an objective that sought a more active action by the course participant. In the analysis unit 1 it was possible to identify the prevalence of objectives such as 'presenting' or 'conveying' content/information related to the disease. In the analysis unit 2 it was possible to identify the “classic” biomedical cycle of approaching a disease, focusing on diagnosis. Conclusion: The study contributed to the identification of gaps from the thematic and methodological point of view that can guide the planning for the construction of new educational resources.

Data Report: “Health care of Persons Deprived of Liberty” Course From Brazil's Unified Health System Virtual Learning Environment

Virtual Learning Environments have become innovative tools in health professionals education. Through Massive Open Online Courses, they enable different ways of connecting with knowledge, facilitating study autonomy, interaction, and closer alignment with professional practices and the context of course participants. MOOCs comprise an educational strategy for many fields, including health. As they educate health professionals about a variety of practices, MOOCs play a crucial role in interculturality by enabling professionals to approach cultural diversity in work settings. This study provides a review of the literature investigating the element of interculturality in the production of healthcare-related MOOCs intended for a variety of audiences, including practicing healthcare professionals, healthcare professional trainees, and the general public. Based on a systematic review protocol, we searched for peer-reviewed studies published between 2016 and 2023 in Science Direct, PubMed, ERIC, and Scopus. Fifteen studies were selected for final analysis, which highlighted MOOC development, its underlying processes, and its importance in promoting health and social well-being. MOOCs have (1) provided new approaches to technology-mediated learning in distance health education, (2) aided training, (3) disseminated knowledge, and (4) promoted interculturality. Continuous collaboration and innovation in MOOC development are essential to ensure their effectiveness and relevance in the contemporary educational scenario.

Equal access to health initiatives and services under the principles of universal and comprehensive care remains a challenge in Brazil. The realization of public health policies is further intricate when one examines the health situation of people deprived of liberty. This study showcases the “Prison System: Beyond the Walls” educational pathway, available on the Virtual Learning Environment of the Brazilian National Health System (AVASUS). The action research methodological strategy guided the pathway development, emphasizing dialogic learning. The goal was to address the need for massive training on the topic of prison health, with the model focusing on engagement through spontaneous, non-mandatory participation in the pathway courses. The pathway comprised four modules, whose educational offerings were based on the self-learning model. Students were free to choose which courses to take and in what order, as there was no prerequisite for participating in modules. Hence, students could either take all the courses or only those with which they identify their learning needs, regardless of work demands or personal interests. Structuring the pathway through action research facilitated a massive, cohesive, and continuous training process. This approach expanded knowledge and established meaningful relationships among the related topics and the key players involved: health professionals, prison officers, and people deprived of liberty. Notably, the pathway courses have surpassed the 50,000-enrollment mark, spanning all five regions of Brazil. In this context, this article presents and discusses the development of the “Prison System: Beyond the Walls” pathway, emphasizing the massive improvement of health within Brazil’s prison system and highlighting the results achieved.

O que fazer quando as políticas públicas de saúde não atendem de maneira satisfatória às necessidades do cidadão? Seria a judicialização a alternativa? O objetivo deste estudo é analisar o direito à saúde à luz da legislação vigente, com foco na judicialização da saúde no âmbito do Sistema Único de Saúde (SUS), com ênfase nos processos relacionados a regulação assistencial e Órteses, Próteses e Materiais Especiais (OPME). Trata-se de uma pesquisa de revisão bibliográfica narrativa, com abordagem qualitativa. A ferramenta de busca utilizada foi o Google Acadêmico, sendo selecionados artigos nacionais disponíveis na íntegra e publicados no período de 2010 a 2025, complementados por documentos institucionais relevantes à contextualização do tema. A escolha por essa ferramenta justifica-se porque o Google Acadêmico possibilita identificar trabalhos publicados que estão indexados em diversos repositórios, o que abrange um espectro mais amplo de fontes, como artigos de acesso aberto, teses, dissertações e publicações em periódicos não indexados. A questão norteadora consiste em indagar se a judicialização da saúde representa um mecanismo de efetivação da justiça social ou se configura como fator de desequilíbrio para o SUS. A análise identificou catorze artigos relevantes: onze centrados na regulação assistencial e três voltados à temática de OPME, com especial atenção à atuação institucional do Conselho Nacional de Justiça (CNJ), do Tribunal de Contas da União (TCU) e do Supremo Tribunal Federal (STF). Conclui-se que, embora a judicialização represente uma via legítima para garantia de direitos, sua utilização excessiva tem ocasionado impactos negativos, como desequilíbrios orçamentários, desorganização do SUS e aumento das desigualdades. Além disso, ela não deve ser interpretada de forma simplista, como uma solução ou um problema isolado, mas sim como expressão da necessidade de aprimoramento institucional. Como medida estratégica, propõe-se a criação de um Sistema Nacional da Judicialização da Saúde, com o objetivo de promover a transparência, fortalecer o controle social e subsidiar a formulação de políticas públicas mais justas e baseadas em evidências. Palavras-chave: Judicialização da saúde; Direito à saúde; Sistema Único de Saúde; OPME; Regulação.