Health practices of domination and exclusion: views of activists, professionals and researchers on the situation of forced sterilization of women and girls with disabilities in Spain
This study analyzed the situation of this practice in Spain, from the perspective of activists, professionals and researchers with experiences related to this group. The methodology used was qualitative, based on Constructivist Grounded Theory. Semi-structured in-depth interviews were applied to 22 informants, representing 6 autonomous communities of the country. The participants identified a model of health practices of domination and exclusion, where the sexuality and reproduction of women with disabilities has been the object of expropriation, alienation and contempt by systems, structures and differentiated policies, w...
Source: Saude e Sociedade - May 19, 2021 Category: International Medicine & Public Health Source Type: research

Erratum: Content validity of the scale Perceptions on Interpersonal Racial Discrimination in Brazilian Healthcare Facilities (Driss)
The objective is to expand the space for reflections on heteronomous care as a hegemonic event in contemporary culture, as well as to expand the debates on the possibilities of building care practices that privilege people ’ s autonomy and point to their emancipation. It is concluded that the concept of emancipating care can advance a second epistemological rupture with the development of emancipating practices in the health-disease-care process. (Source: Saude e Sociedade)
Source: Saude e Sociedade - May 12, 2021 Category: International Medicine & Public Health Source Type: research

Emancipating care
The objective is to expand the space for reflections on heteronomous care as a hegemonic event in contemporary culture, as well as to expand the debates on the possibilities of building care practices that privilege people ’ s autonomy and point to their emancipation. It is concluded that the concept of emancipating care can advance a second epistemological rupture with the development of emancipating practices in the health-disease-care process. (Source: Saude e Sociedade)
Source: Saude e Sociedade - May 12, 2021 Category: International Medicine & Public Health Source Type: research

Sensitive modes of child rearing: an inflection in the process of medicalization of childcare
In conclusion, we propose that sensitive modes of child rearing, rather than representing a return to the “ natural ” or a de-medicalization, constitutes a contemporary inflection in the process of the medicalization of childcare. (Source: Saude e Sociedade)
Source: Saude e Sociedade - May 12, 2021 Category: International Medicine & Public Health Source Type: research

Health policies in Brazil: an analysis of projects financed by the World Bank during the Lula and Dilma governments
This study analyzed the projects funded by the World Bank for the health sector in Brazil between 2003 and 2014. A documentary analysis was conducted on projects financed by the World Bank for the Brazilian health sector in the three government spheres, categorized according to content analysis. Of the 174 projects financed in the country, 31 contemplated the health sector in their composition, with 64.53% of these being signed with the state governments. Most of the health projects were signed in the second Lula government and the main structuring themes were: Human Development and Gender, Public Sector Management and Pri...
Source: Saude e Sociedade - May 12, 2021 Category: International Medicine & Public Health Source Type: research

The common and the unfolding in the solidarity economy from ecological sanitation
Resumo Como as condi ções de saneamento no Brasil são precárias nas áreas rurais, é importante construir ações territorializadas que valorizem a cultura e fortaleçam o bem viver, baseadas na economia solidária para alcançar soluções sustentáveis ​ . Dardot e Laval veem o comum como um contraponto ao atual contexto pol ítico e econômico, em que os indivíduos assumem o papel de protagonistas em suas vidas e gerenciam os “ comuns ” para a comunidade da qual fazem parte. Partindo dessa abordagem, a Funda ção Osvaldo Cruz (Fiocruz), por meio do Observatório dos Territórios Saudáveis e Sustentáveis ...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Food prescriptions and limits of medicalization: polyphony and use of the media in an urban population of Mexico
Resumen La l ínea argumental del presente trabajo sostiene que la polifonía discursiva contenida en la información relacionada con prescripciones alimentarias, que reproducen diversos sujetos discursivos, contribuye a generar resignificaciones en la población sobre las prescripciones propuestas que se traduc en en prácticas alimentarias de refracción, las mismas que pudieran explicar el impacto limitado que han tenido las intervenciones educativas para la promoción de “ estilos de vida saludables ” . El objetivo fue estudiar el proceso de refracci ón de la información prescriptiva sobre alimentación e identif...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Protocols for preventing and tackling sexual violence in the university context: an analysis of the Latin American scenario
This study systematized information found in 34 protocols for preventing and tackling sexual violence in Latin American universities. The following aspects were examined: year of publication; terms selected by protocols to designate goals and guidelines, as well as the references used to frame the concepts; social markers; the scope of application; and support network provided by universities. From the overall number, 75% were created between 2015-2018, showcasing recent development. As for terminology, the notion of sexual violence allows for a wider and more objective account of diverse ways of violence, presenting a mor...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Characteristics of adolescent sexual offenders and their victims: a study of judicial processes
This article presents characteristics of adolescent sexual offenders, as well as their victims and the context of the offense. To this, 254 lawsuits were analyzed, between 2013 and 2016, in Federal District, involving 285 offenders and 291 victims. From the information collected, a descriptive table was elaborated, whose analysis was carried out in a contextualized manner and with reference to other important studies in the area. The results pointed to the diversity of adolescent sexual offenders, but information about families were scarce in the lawsuits. Most of them committed the offense with 16/17 years old (41.4%) and...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Experiences of gynecological care by lesbian and bisexual women: (in)visibility and barriers to the exercise of the right to health
Resumo Embora l ésbicas e mulheres bissexuais tenham sido incluídas nas políticas de saúde, na busca por uma atenção integral e que inclua o reconhecimento da diversidade sexual, a discriminação persiste nos espaços de atenção à saúde, especialmente nas consultas clínicas. Este trabalho, de vertente q ualitativa, teve por objetivo discutir, a partir das percepções e vivências dessas mulheres, as relações estabelecidas nas consultas ginecológicas, abordando especificamente a (não) revelação da condição de lésbica/bissexual, as experiências com exames e orientações pertinentes à sex ualidade e a...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Covid-19 pandemic: a geopolitical analysis
Resumo A partir de uma reelabora ção crítica das categorias analíticas gramscianas de guerra de posição e de guerra de movimento, em uma perspectiva interescalar, analisam-se as diversas estruturas de poder e como elas se posicionam diante da crise mundial e busca de hegemonia. Tais perspectivas apontam a crise sanitária com o uma questão geopolítica e evidenciam as estratégias de instâncias supraestatais (como a Organização Mundial do Comércio, a Organização Mundial da Saúde e a Organização Internacional do Trabalho), de Estados e de grupos econômicos setoriais que expressam as relações de poder, ass...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Subjectivity modes in psychiatric speech: implications and impact of psychiatric diagnosis on the subject of identity construction
This article aims at presenting the results of a study that approached the impact of the psychiatric diagnosis on the modes of subjectivity. It also proposed to demonstrate the relation of the diagnosis and the medicalization process with the repercussion on the individuals ’ social relationships. Thus, an exploratory qualitative research was conducted, using data from medical records and semi-directed interviews with ten users of a Basic Health Unit with Family Health Strategy in a city of the state of Rio Grande do Sul, Brazil. The main findings were expressed in three axes: subjectivity by the disease, in which the s...
Source: Saude e Sociedade - May 6, 2021 Category: International Medicine & Public Health Source Type: research

Urban resilience and social services of general interest: who loses accessibility to health systems during crisis?
Resumo Os Servi ços de Interesse Geral (SeIG) operacionalizam um tipo de modelo de sociedade, posicionando-se entre as leis de mercado e os mecanismos que atenuam as suas falhas. O planejamento dos Serviços Sociais de Interesse Geral (SeSIG) assume um papel relevante para a (sobre)vivência digna de todos os cida dãos, conferindo-lhes pertença e cidadania através de princípios de acessibilidade e coesão territorial. A primeira parte deste artigo posiciona-se na discussão do conceito de SeIG atendendo às especificidades dos modelos sociais a que respondem e às lógicas de acessibilidade a serviços de saúde que ...
Source: Saude e Sociedade - April 27, 2021 Category: International Medicine & Public Health Source Type: research

Intellectual property in the judicialization of pharmaceutical assistance: a structural demand in defense of the Brazilian National Health System
Resumo Este trabalho investiga a participa ção do Sistema de Justiça no processo de efetivação do direito à saúde por meio do confronto de dois caminhos para a atuação judicial. De um lado, a forma predominante, marcada pela individualização das demandas, pela incapacidade de alcançar as falhas políticas que determinam a extensã o da oferta de prestações em saúde e pelo potencial de desorganizar o Sistema Único de Saúde (SUS). De outro, uma perspectiva estrutural de atuação que aproxima a intervenção judicial dos conflitos determinantes para a consolidação e sustentabilidade do sistema público de ...
Source: Saude e Sociedade - April 27, 2021 Category: International Medicine & Public Health Source Type: research

Positioning of user representatives in the State Health Council of Bahia in view of the worsening of SUS sub-financing in 2016-2018
The objective of this study is to analyze the orientation of user representatives in the Health Council of the Bahia (CES-BA) in face of the decisions of the Federal Government finance the Unified Health System (SUS) in the period 2016-2018. The theoretical reference is based on the notion of participation incorporated in the SUS legal code, which instituted Health Councils and the holding of Health Conferences as spaces for formulating, supervising and evaluating health policies at the various organizational levels of the system. Data were collected via document review and interviews with representatives of the segment ...
Source: Saude e Sociedade - April 27, 2021 Category: International Medicine & Public Health Source Type: research