Violence in long-term care facilities for the elderly in Rio de Janeiro, Brazil: perceptions of managers and professionals
This study sought to analyze the perceptions of care managers and professionals who work in eight ILPI in different regions of Rio de Janeiro state regarding the institutionalization, difficulties of performing recommended care and how to improve these. A qualitative study was carried out that analyzed 38 semi-structured interviews: nine with care managers and 29 with care professionals. A thematic content analysis technique was used in trying to understand in the reports what the main challenges are to guarantee attentive and dignified care in these institutions. Violence has been found to be a major obstacle, which acts ...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Conflicts and negotiations: an ethnography in the Specialized Police Station for Women
This study aimed to approximate to the reality of a Deam, with women suffering violence and police officers who worked at the unit. Its method is qualitative, consisting of an ethnographic research in a police station in the countryside of S ão Paulo. The contact between users and police officers showed the women opposed violence, even if, at times, their relationships were antagonistic or troubled. In the different languages between the indispensabilities of victims and officers, while the officers conformed the reports to the law and justice provisions, the users sought integral care regarding public security and healt...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Sexual and reproductive rights of women in a sexual violence situation: what do the managers, professionals and users of reference services say?
This study aimed to analyze the access to care and the guarantee of sexual and reproductive rights of women in a sexual violence situation, from October to November 2016. from the perspective of managers, professionals and users of reference services. The participants of this study were managers, professionals and women in a VS assisted at a reference center for women ’ s care and at the Women Police Station. Social constructionism and organization based on thematic analysis were used in the analysis. Three categories emerged: (1) barriers to access to services and to consolidation of public policies; (2) institutional v...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Conversations between women during cytopathological exam
This article is about conversations between nurses and women, during gynecological consultations for cytopathological examination. This is a qualitative study that analyzed the conversations made during consultations carried out in three primary health care services of a municipality in the southern Brazil. The analysis of the conversations between nurses and women users of services was based on the theoretical-methodological perspective of speech in interaction, an approach in which the categories are not defined a priori, but they emerge from the interactions among the speakers. The interactional phenomena of interest ar...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Rituals of initiation into pain between men in bodybuilding: ethnography of a fitness center
Resumo Compreender determinados grupos sociais por meio da l ógica dos rituais revela, em parte, o pensar, o agir e o sentir dos sujeitos em dado contexto socioeconômico e cultural. Assim, objetiva-se analisar e discutir de que formas as masculinidades são exercidas na musculação, considerando os rituais de iniciação à dor nas práticas corporais. Pau tado pela perspectiva antropológica do interacionismo simbólico, este trabalho etnográfico realizou-se numa academia de pequeno porte localizada num bairro de baixo poder aquisitivo da zona oeste do Rio de Janeiro durante um ano. Os dados indicaram que a pluralidad...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

“The problem is the vast production of sperm”: conceptions of body in the field of male contraception
Resumo Desde o final dos anos 1960, h á tentativas de produção de um contraceptivo masculino reversível com eficácia equivalente à da pílula anticoncepcional. Até hoje, esse produto não foi lançado, e as justificativas para tal baseiam-se em entraves de ordem política, econômica, cultural e biológica. O argumento do obstác ulo fisiológico tem bastante proeminência nessas explicações e será o nosso foco neste artigo. Com base nos estudos de gênero e ciência, buscamos compreender como esse raciocínio aparece no trabalho de viabilização dessa tecnologia por um ator de destaque no campo, a organização...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

PNAISH: an analysis of its educative dimension from the gender perspective
This study stemmed from a documental research in the fields of Gender Studies and Cultural Studies, and discusses some of the ways that gender is regarded in the propositions of the PNAISH. To do so, it considers a discursive context in which words such as integrality and equality are repeatedly presented and used to launch educative and care proposals intended for adult men ’ s health and education. We argue that, at the same time that such amplitude puts certain ways of experiencing masculinity under suspicion, it does not deviates the focus on the healing processes and seems to contribute to impregnate the policy with...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Comprehensiveness and universality of the pharmaceutical assistance in times of judicialization of health care
This study aims to analyze the effects of the universal access to the comprehensive pharmaceutical assistance established by these legislations considering the judicialization of medicines in the state of Minas Gerais from 1999 to 2009. This is a retrospective study that analyzes the legal disputes deferred against Minas Gerais during the period. If the criteria established in 2011 were normalized and respected by the Judiciary in this interval, between 68.84% and 85.77% of the medicines judicialized in Minas Gerais would have been rejected. However, despite having the potential to streamline the judicialization, the legis...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Public Prosecutor’s Office, Municipal Health Councils and practices of interinstitutional dialogue
This study aims to analyze the relationship between the Public Prosecutor ’ s Office and the Municipal Health Councils (CMS), reflecting on how that institution can contribute to the effectiveness of the social control exercised in the Brazilian Brazilian National Health System (SUS) in the state of Maranh ão, Brazil. A qualitative method, divided into documentary research and semi-structured interviews, was used. Prosecutors and health counselors working directly with the CMS of a health region in that state participated in this study. Results showed the SUS institutional control carried out by the Public Prosecutor â€...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

The evaluation of primary health care in Brazil: an analysis of the scientific production between 2007 and 2017
Resumo Este estudo bibliogr áfico tem o objetivo de examinar estudos de avaliação da atenção primária à saúde (APS) no Brasil, enfatizando principalmente o desenho metodológico adotado e características-chave de avaliação. Foram consultadas as bases Scientific Electronic Library Online, Portal de Periódicos da Coo rdenação de Aperfeiçoamento de Pessoal de Nível Superior, Literatura Latino-Americana e do Caribe em Ciências da Saúde e Medical Literature Analysis and Retrieval System Online, utilizando-se a combinação de vocabulários estruturados para indexação e buscando-se artigos publicados entre 2 ...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Bureaucratic state and health management training from a historical perspective: similarities and differences between Brazil and Spain
Resumo Este artigo descreveu o contexto hist órico da formação em gestão em saúde oferecida no Brasil e buscou identificar suas semelhanças e diferenças com aquela oferecida na Espanha. Adotou-se uma abordagem qualitativa da realidade e o método comparado foi empregado. Como fonte de dados, utilizaram-se a bibliografia científica, os documentos oficiais, que orientam as intervenções no campo da formação em gestão em saúde nos dois países, e a entrevista semiestruturada. As entrevistas foram realizadas com gestores selecionados pelo fato de estarem ocupando ou de terem ocupado cargos de gestão e que tenham ...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

The importance of teaching gender theory in undergraduate Public Health education: a necessary intersection
The objective of this study is to reflect, based on our experience as teachers of the undergraduate course in Public Health of the Federal University of Rio de Janeiro, on the teaching of gender issues for students under professional training in the health field. By accepting the challenge proposed in this dossier, we sought to analyze how this bachelor ’ s degree-interdisciplinary by nature-has been explored daily and in a practical manner by social sciences, particularly by theories that approach the genre as an analytical category and an important conceptual tool for a critical and political understanding of social re...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

What can the supervised internships in/on collective health tell us?
Resumo Finalizados, em 2018, 10 anos do in ício dos cursos de graduação em saúde coletiva no Brasil, muito se tem discutido sobre a atuação do sanitarista no mundo do trabalho e seu papel entre as diversas profissões da saúde historicamente reconhecidas. Muitas das possibilidades de atuação estão em construção nos espaços de es tágio obrigatório nos currículos das universidades. Partindo desse solo, entendemos que os campos de estágio podem ser vistos como espaços propícios para a análise do perfil dos sanitaristas que estão sendo formados e a maneira como as diferentes áreas que fazem parte da saúd...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Culture and care: challenges of teaching Anthropology in Public Health undergraduate studies
Resumo Ap ós 10 anos de atividades na graduação em Saúde Coletiva, da mudança do perfil dos estudantes nas universidades públicas e da aprovação recente das Diretrizes Curriculares Nacionais (DCN), cabe refletir sobre o modo como o ensino das ciências sociais e humanas em saúde (CSHS) tem sido reali zado e quais são os desafios, dilemas e possibilidades existentes. Este ensaio apresenta reflexões sobre os desafios do ensino da antropologia no bacharelado em Saúde Coletiva da Universidade Federal do Rio Grande do Sul e levanta questões sobre as DCN, apenas com a pretensão de colocar em deba te o cotidiano e a...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research

Current dilemmas of Brazilian society through the lenses of anthropology: an experience report in a discipline from the UFRJ Collective Health Graduation Course
This article deals with a report taken from two semesters teaching experience of the Integrated Activities of Collective Health II discipline for second period bachelor ’ s degree students of the graduate course in collective health of Universidade Federal do Rio de Janeiro. The discipline aims at discussing emerging social problems in Brazilian society such as racism, religious intolerance, health of the transsexual population and domestic violence. Through conversations with activists and meetings in militance sites, students engage in participant observation and know their struggles and demands. Introducing important ...
Source: Saude e Sociedade - July 1, 2019 Category: International Medicine & Public Health Source Type: research