Acessibilidade à atenção básica a famílias negras em bairro popular de Salvador, Brasil

Abstract

OBJECTIVE:To analyse the accessibility of primary health care for black families from a poor neighbourhood. METHODS:Ethnographic study with an interpretative anthropological approach, carried out with 18 families selected from a poor neighbourhood of Salvador, Northeastern Brazil, over a period of two years. Criteria for inclusion included being resident in the neighbourhood and classifying themselves as black. The analysis was based on interpretative anthropology and encompassed the following categories: ethnic and racial self-reference; experience of discrimination from public services; perception of accessibility to primary health care and barriers to accessibility. RESULTS AND DISCUSSION:We identifi ed the following aspects: a) ethnic and racial identity and health: the users' perception that organizational barriers and barriers to access are due to the wider social context which produces "fi rst class" and "second class" citizens, rather than due to institutional racism; b) the accessibility of the Brazilian National Health System (Sistema Único de Saúde, SUS): diffi cult access, delays in being seen, lack of commitment on the part of health professionals, no management action taken to manage or improve these situations; c) accessibility of primary health care; overall vision of the context of the SUS and support in the interviewees descriptions of access to primary health care. CONCLUSIONS:There are economic, organizational and cultural barriers to access which come between the service provided and effective care for the needs of the population of this study.

Factors related to quilombola attendance to child follow-up appointments

“…It is observed that, when the access is made difficult, appointments become less frequent. In this sense, when accessibility is crossed by an insufficient number of spots, it leads to long waiting lines, making it harder to perform periodical follow-ups for quilombola children, an evidence also observed in a study with a similar population (28) .…”

Serviços de saúde para lésbicas, gays, bissexuais e travestis/transexuais

“…14 It is important to mention that, in order to guarantee the proposal of access in the spaces of the Basic Family Health Unit, it is essential to identify barriers related to the characteristics and needs of the population in general and, later, the promotion of equity in groups socially defined, such as the LGBT. 15 It is therefore essential for the family health team to approach what is recommended by the NPIHLGBT for a better understanding of the assistance that should be provided to individuals whose sexual practices are not heterosexual, but what these workers are to get closer to this group, once this understanding has been obtained?…”

“…practiced in a harmonious way, will aid in the effective development of the work process in order to direct and welcome LGBT people so that they are assisted with quality while maintaining the right to full access within the Basic Health Unit, as a human being, regardless of gender identity, social behavior or sexual orientation. 2,15,25 It is pertinent to reflect the professionals of the family health team on the advances on the rights to health of LGBT people, in the spaces of basic health units, where they usually suffer different technical and assistance inequalities, because, from these reflections, the professionals will be able to see beyond these achievements weaving strategies with truly integral health care offerings and equanimous.…”

O peso do corpo negro feminino no mercado da saúde: mulheres, profissionais e feministas em suas perspectivas

“…Não são poucos os autores que têm pesquisado e escrito sobre os recentes "tempos de racialização" na sociedade brasileira (MAIO e MONTEIRO, 2005MAIO e SANTOS, 2010;Trad et. al, 2012;Santos et.…”