Violência simbólica no acesso das pessoas com deficiência às unidades básicas de saúde

Abstract

A descriptive study which aimed to characterize the conditions of people with disabilities (PD) in the Basic Health Units-UBS. Data were collected in January 2009 in 20 UBSF. It was used digital camera and check list based on the 9050-NBR ABNT. The results showed: Access town - no traffic lights (100%) of lanes for pedestrians (100%), bumpy sidewalks (90%); Access in UBS: non-standard ports (30%) staircases without banisters (20%); floor outside the standard (75%), in disagreement with standard mobile (20%), drinking at odds with standard (55%), making it difficult to people with disabilities to use a filter (30%), has no drinking or filters (15%); telephones installed inadequately (55%); inaccessible restrooms (96%). Access to UBS of PD is permeated by the symbolic violence.

Pessoas com deficiências e tipos de barreiras de acessibilidade aos serviços de saúde - revisão integrativa / Disabled people and types of barriers to the accessibility of health services – integrative review

“…In this sense, studies based on characterizing the access conditions of people with disabilities in the Basic Health Units, verified the presence of barriers such as absence of sidewalks, service counters below or above the height recommended by Brazilian Standard (NBR) 9050 of ABNT, absence of horizontal support bars, non-standard doors, internal space precluding the necessary maneuvers to PwD and impaired physical mobility. 19 In this way, it is perceived the need to adapt the environments to ensure that PwD have the right to move, these barriers would be mitigated by complying with the Brazilian legislation that governs the necessary conditions to guarantee the accessibility of these people to services in general, including health services. In this context, the following architectural barriers are presented in the research on the physical barriers encountered by PwD in internal areas of four hospitals in Sobral-Ceará: stairways with handrails outside the standards specified by ABNT standards, absence of non-slippery flooring, swinging doors without wicket and drinking fountains out of the recommended standards.…”

Removing the blindfolds: knowledge of blind women about breast cancer

“…8,12 If women clairvoyants present difficulties to join the early detection, when it comes to blind women the problem is accentuated, in view of the difficulty of access to information to this population while respecting the limitations imposed by the blindness. 6,13 Another aspect to be considered in this knowledge deficit is related to the accessibility of these subjects to the health system and the professional-patient relationship. Studies show that there are weaknesses in this relationship, since the professionals although meet the principles of the SUS, you can't assure them, evidencing attitudinal barriers in serving the population in question, making it impossible for a fair, comprehensive and universal assistance.…”

“…4,5 In the case of the object of this study, the blind women have difficulty in accessing health services due to architectural and attitudinal barriers, making it necessary for the survey of the beliefs, habits and attitudes of these women about breast health. 6 Considering the Unified Health System (SUS) as the main framework of care to women in Brazil, reinforces the need for completeness and strengthens the equity in assistance to the population. However, perceive themselves in the Organization and implementation weaknesses of the health care of persons with disabilities (PcD).…”

Competência para prestar cuidado de enfermagem transcultural à pessoa com deficiência: instrumento de autoavaliação

“…Como referido, a deficiência é um conceito histórico e culturalmente elaborado. Nesse caso, as tipificações, que estabelecem estereótipos às pessoas com deficiência, são estabelecidas pelos grupos sociais e introjetadas para si e para os outros (10) . A inclusão da pessoa com deficiência exige adaptação e apoio das instituições e espaços públicos e privados em face das diferenças e das necessidades individuais dos sujeitos com deficiência ou necessidades especiais, bem como, o desenvolvimento de competências profissionais podem ser considerado o principal limite à prestação do cuidado inclusivo.…”