ABSTRACT: Objective: To understand from the framework of social determination of health the role of general, particular and singular processes in the realization of the right to oral health for women in the postpartum period and their newborn children during the first year of life, in Santiago de Chile. Materials and Methods: Exploratory qualitative design with FONASA beneficiary women and newborn children. A social classification survey, semi-structured interviews and focus groups were applied to primiparous or multiparous women of childbearing age in the first postpartum trimester, beneficiaries of the Intersectoral Program ÒChile Crece ContigoÓ. Discussion: For the general level, extensive reference information was analyzed. Results: Some general processes favor the realization of the right to oral health, such as comprehensive protection policies for children, the dynamics of the health care system, and the existence of acquired rights for pregnant women, such as pre and post-natal, and maternity leave. The processes that disfavor its realization are the neoliberal development model, the conditions of poverty, gender inequity (income, employment/unemployment) and cultural factors such as the emphasis on female responsibility for care. Conclusions: The critical processes for the realization of the right to oral health act at the three levels of the theoretical model. There is an advance in public policies at the individual level. However, this does not result in an effective realization of the right at a singular level since it confronts structural elements of the general level, especially in the work and cultural field.

RESUMEN: Comprender desde la determinación social de la salud el papel de los procesos generales, particulares y singulares sobre la realización del derecho a salud bucal de mujeres en periodo de post-parto en Santiago de Chile. Diseño cualitativo exploratorio con mujeres primíparas o multíparas en primer trimestre postparto, beneficiarias FONASA usuarias de Chile Crece Contigo. Se aplicó encuesta de clasificación social, exámenes clínicos, entrevistas semiestructuradas o grupos de discusión. Para el nivel general se analizó profusa información referencial. Existen procesos generales que favorecen la realización del derecho a salud bucal como las políticas de protección integral a la infancia, la priorización de la atención en salud en gestantes; la existencia de derechos adquiridos para la embarazada: permiso pre y post natal y fuero maternal. Desfavorece el modelo de desarrollo neoliberal y consecuentes condiciones de pobreza, la inequidad de género y el énfasis cultural en la responsabilidad femenina sobre el cuidado. Los procesos críticos actúan en los tres niveles del modelo teórico. Si bien en el nivel particular se identifica un avance en las políticas públicas, este no redunda en una efectiva realización del derecho a nivel singular pues enfrenta elementos estructurales del nivel general, sobre todo en el ámbito laboral y cultural.

O artigo analisa a dinâmica da Região Metropolitana de Salvador (RMS) a partir da implantação da Ford, discutindo a perspectiva do 'lugar' (a periferia metropolitana), dentro de uma relação assimétrica com os negócios globais na era da flexibilidade. O texto caracteriza o complexo Ford de Camaçari a partir da reestruturação produtiva e das mudanças na organização e funcionamento dos territórios e, na segunda parte, seus impactos sobre a periferia metropolitana de Salvador. Na conclusão demonstra que as mesmas circunstâncias que permitiram a vinda da montadora para Camaçari constrangem as ambições originais de melhor equacionamento entre crescimento econômico e progresso social: a flexibilidade dos novos arranjos, que tornam os espaços periféricos estratégicos, compromete o "enraizamento" do investimento; a "produção enxuta", exígua de emprego e diligente na sua precarização, inibe os benefícios sociais.

This paper makes an analysis of the dynamics of the Metropolitan Area of Salvador (in Portuguese, RMS) starting from the implantation of Ford, discussing the perspective of the 'local' (the metropolitan periphery), inside of an asymmetrical relationship with global businesses in the age of flexibility. The Ford Automotive Compound is caracterized in the first part of the paper from its productive reestructuring and changes in the organization and work of territories, and, in the second part, from its impact on the the metropolitan periphery from Salvador. In its conclusion it demonstrates that the same circumstances that allowed the arrival of the automotive maker in Camaçari constrain the original ambitions of better ratio between economical growth and social progress: the flexibility of the new automotive production methods, making peripheric spaces strategic, compromises on the permanence of the investments; and the "streamlined production", easy on job production and hard on job flexibilization inhibit social benefits.

Cet article traite de l'analyse de la dynamique de la Région Métropolitaine de Salvador (RMS), à partir de l'implantation de l'usine Ford. On y discute de la perspective du "lieu" (la périphérie métropolitaine), dans une relation asymétrique avec les affaires globales à une époque de flexibilité. On y caractérise le complexe Ford de Camaçari à partir de la restructuration productive et des changements dans l'organisation et le fonctionnement des territoires. Ses impacts sur la périphérie métropolitaine de Salvador sont présentés dans la deuxième partie. En conclusion, on y démontre que ce sont les mêmes circonstances qui ont permis l'arrivée de l'usine de montage à Camaçari qui représentent une contrainte pour les ambitions qui, à l'origine, voulaient atteindre une meilleure équation entre la croissance économique et le progrès social. La flexibilité de ces nouveaux arrangements, qui rendent les espaces périphériques stratégiques, compromet "l'enracinement" des investissements, la "production exiguë", l'exiguïté des emplois et la diligence dans leur précarisation, elle inhibe les avantages sociaux.