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Journal ArticleDOI

Políticas de saúde para lésbicas, gays, bissexuais, travestis e transexuais no Brasil: em busca de universalidade, integralidade e equidade

02 Dec 2011-Sexualidad, Salud y Sociedad: Revista Latinoamericana (Centro Latino-Americano em Sexualidade e Direitos Humanos (CLAM/IMS/UERJ))-Iss: 9, pp 7-28
TL;DR: In this paper, the authors analyze health policies targeting the Brazilian LGBT population (lesbian, gay, bisexual, travesti, and transexual) based on interviews with government civil society actors, and a critical reading of programmatic documents and other sources.
Abstract: Resumo: Neste artigo sao analisadas as politicas publicas de saude voltadas a populacao LGBT (lesbicas, gays, bissexuais, travestis e transexuais) no Brasil, a partir de entrevistas com gestoras governamentais e com integrantes da sociedade civil organizada, alem da analise critica de planos, programas e outros documentos de referencia. Destacamos acoes no âmbito do Poder Executivo Federal, concebidas e executadas por parcerias intragovernamentais e com a sociedade civil, tendo LGBT como publico-alvo. Identificamos, por fim, que tais acoes, quando comparadas as de outras areas, caracterizam-se como mais consolidadas, transversalizadas, intersetorializadas e pioneiras, embora ainda nao plenamente estruturadas segundo os principios de universalidade, integralidade e equidade. Palavras-chave: politicas publicas; saude; sexualidade; genero; LGBT Politicas de salud para lesbianas, gays, bisexuales, travestis y transexuales en el Brasil: en busca de la universalidad, integralidad y equidad Resumen . En este articulo se analizan politicas publicas de salud dirigidas a la poblacion LGBT (lesbianas, gays, bisexuales, travestis y transexuales) en el Brasil, a partir de entrevistas con gestoras gubernamentales e integrantes de la sociedad civil organizada, y de una critica de planes, programas y otros documentos de referencia. Se destacan acciones orientadas al publico LGBT desde el ambito del Poder Ejecutivo nacional, concebidas y ejecutadas por instancias gubernamentales asi como otras realizadas conjuntamente con la sociedad civil. Por ultimo, se plantea que tales acciones, en comparacion a las de otras areas, pueden caracterizarse como mas consolidadas, transversalizadas, intersectorializadas y pioneras, aunque no plenamente estructuradas todavia segun los principios de universalidad, integralidad y equidad. Palabras clave: politicas publicas; salud; sexualidad; genero; LGBT; Brasil Health policies for lesbians, gays, bisexuals, transsexuals and travestis in Brazil: the pursuit of universality, integrality and equity Abstract. In this article we analyze health policies targeting the Brazilian LGBT population (lesbian, gay, bisexual, travesti, and transexual), based on interviews with government civil society actors, and a critical reading of programmatic documents and other sources. We highlight courses of action by the Federal Executive branch of government, conceived and carried out by means on intra-governmental and civil society partnership. In conclusion, we find that, when compared with with actions in other areas, LGBT health policies seem more consolidated, transversalized, intersectorialized, therefore pioneering, although not yet fully structured on the principles of universality, integrality and equity. Keywords: public policy; health; sexuality; gender; LGBT; Brazil

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Journal ArticleDOI
TL;DR: It is concluded that it is necessary to review the issue of diagnosis, given that the existence of a prior pathology is not required to access the SUS and it is important to develop educational programmes and permanent campaigns concerning the right toAccess the healthcare system free from discrimination and to use the adopted name.
Abstract: The objective of this study was to discuss the difficulties of trans people living in the metropolitan region of Greater Vitoria, Espirito Santo, Brazil, in accessing the health services of the Unified Health System (Sistema Unico de Saude - SUS). We used a qualitative approach through semi-structured interviews with 15 trans people. The results point to disrespect toward the adopted name, discrimination, and the diagnosis required for the gender reassignment process as major limitations to accessing the healthcare system. The diagnosis helps hide the responsibility of heteronormativity and gender binarism in the social marginalization of trans people. It is concluded that it is necessary to review the issue of diagnosis, given that the existence of a prior pathology is not required to access the SUS. It is important to develop educational programmes and permanent campaigns concerning the right to access the healthcare system free from discrimination and to use the adopted name.

85 citations

Journal ArticleDOI
TL;DR: The urgent necessity for adequate health policies and for the training of professionals regarding the needs of transgender and gender diverse people in Brazil is discussed.
Abstract: Transgender and gender diverse people (TGD) have specific healthcare needs and struggles with access barriers that should be addressed by public health systems. Our study aimed to address this topic in the Brazilian context. A hospital and web-based cross-sectional survey built with input from the medical and transgender communities was developed to assess TGD healthcare needs of and access barriers in two Brazilian states. Although services that assist this population have existed in Brazil since the 1990s, TGD have difficulty accessing these services due to discrimination, lack of information and a policy design that does not meet the needs of TGD. A history of discrimination was associated with a 6.72-fold increase in the frequency of health service avoidance [95% CI (4.5, 10.1)]. This article discusses the urgent necessity for adequate health policies and for the training of professionals regarding the needs of Brazilian TGD.

69 citations

Journal ArticleDOI
01 Sep 2013
TL;DR: Uma revisao integrativa da literatura, realizada na Scientific Eletronic Library Online (SciELO) e na Literatura Latino-Americana e do Caribe em Ciencias da Saude (Lilacs), utilizando os Decs: politicas publicas, assistencia integral a saude e homossexualidade.
Abstract: Objetivou-se evidenciar a atuacao das politicas publicas direcionadas a saude da populacao homossexual brasileira. Trata-se de uma revisao integrativa da literatura, realizada na Scientific Eletronic Library Online (SciELO) e na Literatura Latino-Americana e do Caribe em Ciencias da Saude (Lilacs), utilizando os Decs: politicas publicas, assistencia integral a saude e homossexualidade. A saude LGBT e apontada como vulneravel mesmo apos a publicacao de importantes documentos que garantem o acesso e a inclusao do grupo na saude. A fragilidade na efetivacao das propostas preconizadas vao ao encontro ao atendimento discriminatorio e heteronormativo prestado pelos profissionais de saude.

34 citations

Journal ArticleDOI
29 May 2020
TL;DR: In this paper, an abordagem qualitativa for implementacao da Politica Nacional de Saude Integral de Lesbicas, Gays, Bissexuais, Travestis, Travestis, and Transexuis (PNSI LGBT) no Parana, a partir de quatro grupos focais com 48 participantes.
Abstract: O artigo trata de tema urgente e relevante referente aos desafios e as potencialidades para implementacao de politicas publicas de saude destinadas a populacao de lesbicas, gays, bissexuais, travestis e transexuais (LGBT). Investigou-se a implementacao da Politica Nacional de Saude Integral de Lesbicas, Gays, Bissexuais, Travestis e Transexuais (PNSI LGBT) no Parana, a partir de quatro grupos focais com 48 participantes, em uma abordagem qualitativa. Participaram dos grupos profissionais e gestores (as)do Sistema Unico de Saude (SUS), da Secretaria da Saude do Estado do Parana, profissionais da rede intersetorial e representantes de movimentos sociais LGBT. Foram definidos quatro eixos de analise: acesso da populacao LGBT a atencao integral a saude; acoes de promocao e vigilância em saude; educacao permanente e educacao popular em saude; e monitoramento e avaliacao das acoes de saude. Concluiu-se que ha lacunas na implementacao da politica, nos tres niveis de atencao a saude da populacao LGBT.

34 citations

Journal ArticleDOI
TL;DR: Improve in healthcare for the trans/travestite population requires a debate on structural problems in the SUS, the defense of its expanded view of care, and investments in professional training.
Abstract: Frente as mudancas e permanencias nos costumes, normas e politicas sexuais no Brasil, o artigo analisa as experiencias de acesso de mulheres trans/travestis aos servicos de saude e discute a discriminacao sexual/de genero e as suas demandas aos servicos de transicao de genero e prevencao da aids. O estudo envolveu entrevistas com nove mulheres trans/travestis, de 23-45 anos, das camadas populares da Baixada Fluminense, Rio de Janeiro, Brasil, realizadas em 2016, e observacoes de contextos de prostituicao e sociabilidade. Comparando com as agressoes vividas anos atras, as narrativas das mulheres trans/travestis destacam avancos sociais. Relatam que os profissionais nao as discriminam por sua condicao, embora haja resistencia ao uso do nome social. Esse constrangimento, somado aos problemas estruturais do Sistema Unico de Saude (SUS), sao minimizados devido a agencia das trans/travestis para obter atendimento, seja pelo recurso as redes de contatos, seja por sua consciencia de direitos de cidadania. As narrativas sobre a busca por mudancas corporais para a transicao de genero revelam uma conjugacao, por vezes tensa, entre as tecnologias oferecidas nos servicos de saude e aquelas manejadas pelas travestis. Embora as politicas de aids focalizem acoes para trans/travestis, a prevencao do HIV nao esta entre as suas principais demandas aos servicos. Ha obstaculos de ordem subjetiva para acessar os servicos, decorrentes do estigma internalizado e da associacao da infeccao pelo HIV com suas condicoes de vida. A melhoria da atencao em saude da populacao trans/travesti requer um debate sobre os problemas estruturais do SUS, a defesa da visao ampliada de cuidado do sistema e investimentos na capacitacao profissional.

33 citations

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128 citations