Brazilian Nursing Challenges for Equity and Sustainability

The 71st Brazilian Congress of Nursing, based in the city of Manaus, state of Amazonas, addressed topics related to the central purpose - Nursing and the meanings of equity - since the Conferencia Magna de Abertura (Magna Opening Conference). The illustrious Professor Jaime Breilh spoke at the Congress, a world reference in the field of critical epidemiology, including several round tables, symposia, seminars, lectures and free topics.All over the world, there is a growing interest in adopting practices capable of innovating and reforming health systems to meet the health needs of social groups in the territories, which have been changing due to demographic, epidemiological and ecological-environmental changes. Efforts by different countries to improve health systems have very expressive results for those who have adopted Primary Health Care (PHC) as a concept and practice for the inclusion of almost the entire population.We understand that the less disparities between social groups, societies, the greater the response to health actions. However, the greater the gap in the population's daily living conditions, the greater the challenges for formulators and executors of public health policies. This is because the response to health interventions depends primarily on understanding or, to use the word currently in vogue, adherence to care or therapeutic proposals(1).Therefore, in our understanding, health is totally dependent on the quality of life, which, in turn, is dependent on the production and social reproduction of the social groups in our territory(1).