Saúde e cárcere: estruturação da atenção básica à saúde no sistema prisional do Rio Grande do Sul

Ornell, Felipe; Panichi, Renata Maria Dotta; Scherer, Juliana Nichterwitz; Modena, Sonia Lucinda; Cin, Vanessa Dal; Zaninif, Adriana Mokwa; Halpern, Silvia Chwartzmann

doi:10.15448/2177-6784.2016.1.22542

Cited by 5 publications

(9 citation statements)

References 3 publications

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“…These results are in line with international evidence suggesting that drug trafficking is one of the leading causes of incarceration worldwide, and that there has been a large increase in female incarceration due to drug-related crimes in the last decade. 8,12 The Brazilian judicial system has historically been based strictly on punitive strategies, focusing primarily on the fulfillment of punishment, with poor articulation with health and social networks. 12 In this sense, Law 11343/2006 brought important improvements, e.g., by avoiding incarceration for drug possession, acknowledging drug addiction as a public health problem, and proposing treatments to be performed by health services.…”

Section: Discussionmentioning

confidence: 99%

“…The first of these policies was inspired by the experience of the department of health of the state of Rio Grande do Sul. 8 However, the work of health professionals in these settings faces a series of challenges, especially considering the increase in prison population and the need to take gender issues into account. In this sense, the increase in prison population is worrying, since it worsens indicators of physical and mental insalubrity, 3,4 due to the poor living conditions to which prisoners are exposed -especially women, given the expressive increase in their incarceration and the lack of investment in physical accommodation.…”

Section: Discussionmentioning

confidence: 99%

“…These issues need to be considered during the development of collaborative, effective and humanized health practices. 8 Therefore, this study aimed to analyze the growth in the inmate population in the state of Rio Grande do Sul during the last 10 years (from 2006 to 2015), emphasizing the incidence of drug-related incarcerations and gender differences.…”

Section: Introductionmentioning

confidence: 99%

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High rates of incarceration due to drug trafficking in the last decade in southern Brazil

Ornell

Stock

Scherer

et al. 2020

Trends Psychiatry Psychother.

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Introduction: Drug-related crimes, especially drug trafficking, account for a large part of incarcerations not only in Brazil, but also worldwide. It is not clear whether the change in the drug law has contributed to the increase in the number of drug trafficking prisoners. Few studies have investigated gender differences and the growth of drug trafficking offenses in the Brazilian southern state of Rio Grande do Sul. Objective: To investigate the growth of the prison population in the state of Rio Grande do Sul, emphasizing incarcerations for drug trafficking and gender differences. Method: This was an ecological study using secondary data collected from official databases of the Brazilian National Penitentiary Department (Departamento Penitenciário [DEPEN]), affiliated with the Brazilian Ministry of Justice. Results: Between 2006 and 2015, incarcerations increased by 27% (25% men, 83% women). Incarcerations for drug trafficking accounted for 11% of total arrests in 2006 (11% men, 20% women) and 45% in 2015 (47% men, 91% women), corresponding to an increase of 427% (415% among men, 723% among women). Conclusions: Imprisonment for drug trafficking has increased considerably, especially among women. This may be due to factors such as: increase of drug trafficking, increase in the numbers of gangs in the state, and changes in the Brazilian drug law. These results highlight an emerging challenge in public health from the perspective of human rights and gender.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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High rates of incarceration due to drug trafficking in the last decade in southern Brazil

Ornell

Stock

Scherer

et al. 2020

Trends Psychiatry Psychother.

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“…The main objective of these teams is to operate in the rationale of primary health care, with health promotion, disease prevention and harm reduction, and special attention to the most prevalent infectious and contagious diseases. This policy is one of the most significant experiences of humanization in the country's criminal justice system, with coverage of approximately 30% of the country's PDLs 21,24 .…”

Section: History Of Implementation Of Prison Primary Care Teams In Ri...mentioning

confidence: 99%

Primary Prison Care Teams and tuberculosis notification in Rio Grande do Sul/Brazil

Dotta¹,

Ely

Schultz

et al. 2022

Ciênc. saúde coletiva

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This paper aims to describe the implementation process of the Prison Primary Care Teams in Rio Grande do Sul, the frequency of tuberculosis notifications in people deprived of liberty, and their chronological relationship. This documentary research is nested in a descriptive cross-sectional study of historical series. We analyzed the decrees on the qualification of Prison Primary Care Teams, the number, and the year of notification of tuberculosis cases from the National System of Notifiable Diseases from 2014 to 2020. The state of Rio Grande do Sul pioneered prison health municipalization and shared financing, which resulted in the implementation of 45 teams, covering approximately 54.5% of people deprived of liberty a closed regime. The teams notified 5,175 cases of tuberculosis from 2014 to 2020, with a progressive increase in the notification of cases and the implementation of new teams. The strategy of implementing Prison Primary Care Teams driven by the National Comprehensive Health Care Policy for People Deprived of Liberty in the Prison System was crucial for increasing TB diagnosis, notification, and control in Rio Grande do Sul.

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“…9 The National Policy for Comprehensive Health Care in the Prison System (PNAISP) was developed in response to this population adverse conditions to healthcare access within the scope of the Brazilian Unified Health System (such as increased spread of diseases, scarcity of health services and lack of health professionals, limited infrastructure, and low-quality healthcare). The PNAISP aims to effectively ensure prisoners' constitutional right to health based on the principles of integrality and intersectoriality 16 through primary health care and human rights strategies that implement preventive measures and provide hospital support. Logistical processes may represent a challenge for referring prisoners to medium and high-complexity hospitals, possibly delaying the diagnosis and treatment of infected patients due to security protocols and consequently increasing death risk.…”

Section: Introductionmentioning

confidence: 99%

Covid-19 and prisons: Reflection on human rights and public health

Ornell

Halpern

Scherer

et al. 2021

RECI

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Background: The epidemic of coronavirus disease 2019 (COVID-19) is a challenging public health problem. The identification of risk groups is essential for the establishment of prevention, screening, containment and treatment strategies. In Brazil, overcrowding and unsanitary conditions in prisons have been a problem for a long time that facilitates infection diseases. Objective: To reflect on the vulnerability of the prison population to COVID-19 and the implications of possible outbreaks in public health Method: Theoretical-reflective study. Results: The prison population has a high clinical vulnerability to contamination by COVID-19. This is aggravated by the structural conditions of prisons, which increases the spread of diseases, especially respiratory conditions, and hinders the establishment of preventive measures. The health care strategies of this population are still insufficient. Conclusion: Outbreaks of COVID-19 in prisons affect prisoners, staff and family members, and could lead the health system to an unprecedented collapse. Strategies to reduce the impact of COVID-19 in prisons and its impact on public health are urgent. Priority health measures, contingency protocols and coordinated actions between the health and justice sectors must be implemented in order to minimize the spread of the virus in this vulnerable and invisible population.

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Saúde e cárcere: estruturação da atenção básica à saúde no sistema prisional do Rio Grande do Sul

Abstract: Violência, crime e Segurança Pública Saúde e cárcereEstruturação da atenção básica à saúde no sistema prisional do Rio Grande do Sul Health and prisonPrimary health care system structure in prisons of Rio Grande do Sul

Cited by 5 publications

References 3 publications

High rates of incarceration due to drug trafficking in the last decade in southern Brazil

High rates of incarceration due to drug trafficking in the last decade in southern Brazil

Primary Prison Care Teams and tuberculosis notification in Rio Grande do Sul/Brazil

Covid-19 and prisons: Reflection on human rights and public health

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