Professional practices of primary health care for Brazilian health and gender inequality

European Sting IFMSA Gender Inequality

(IFMSA, 2017)

This article was exclusively written for the Sting by Ms Milena Takamiya Sugahara, currently a medical student at the Federal University of the Recôncavo da Bahia (UFRB), Santo Antônio de Jesus, Bahia, Brazil. Ms Sugahara is affiliated to the International Federation of Medical Students Associations (IFMSA). The opinions expressed in this piece belong strictly to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.

The mere naturalization of biological differences between men and women in the routine of health professionals is still a persistent practice, although there are significant advances in studies that transcend such perspective. In Brazil, some policies emphasize approaches that consider gender and other intersectionalities, but health care neglects the diverse inequities and professional practices in most public primary care services further underline gender inequality.

It is observed that in the work process of the health teams of local units, there is a programmed and oriented logic for the care of women focused on the collection of preventive cervical screening, family planning, prenatal and puerperium. Even if local health facilities meet other demands, such as those related to violence, it noticeably focuses on the roles that most women assume to be historically constructed.

Obviously, the health of women in the current mold is also of paramount importance. It is necessary the assistance during pregnancy, the cytological examination which is one of the diagnostic tools for the reduction of mortality of cervical cancer and others. Furthermore, it is very important the reflection that woman experiences daily imposed violence, in subaltern roles, reproductive and sexual imposed, which are determinants of the health-disease process. When entering the Unified Health System women experience the naturalization of such violence much beyond the speech and the health practice continues to treat them with the same reproductive and sexual roles, previously socially given.

It is noteworthy that with the feminism of the 60s and 70s, studies on the subject have made important advances, such as denouncing the invisibility of women and violence, especially domestic violence. It is possible to see targeted campaigns, and some networks of health care, a few of them structured. However, few municipalities and services have a network of clear attention and knowledge of the public. Moreover, it is possible to incur reductionism considering only the approach against violence, enough to transcend the naturalization of the differences between men and women.

For gender equality, silent and almost imperceptible naturalizations for many, such as those occurring in health care practices in most Brazilian public services, should be dismantled and structured assists that consider the integrality of the subjects. Therefore, health care should provide the possibility of promoting service users to reflect on their condition, which is the fundamental core in determining the health-disease process. Thus, the woman is able to understand the roles imposed and how they determined her health, to make conscious choices and to participate in the construction of her therapeutic project.

About the author

Ms Milena Takamiya Sugahara is currently a medical student at the Federal University of the Recôncavo da Bahia (UFRB), Santo Antônio de Jesus, Bahia, Brazil. She has a background in nursing and specialization in family health at the Medical School of Marília (FAMEMA), master in Community Health from the Department of Social Medicine of the University of São Paulo at Ribeirão Preto Medical School (USP). She studies and researches in the areas of institutional racism and therapeutic itineraries.

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Advertising

Featured Stings

A new European banking space is born this year

COP21 Breaking News_12 December: Another sleepless night for the negotiators before Indaba meeting

Refugee crisis update: Commission still in panic while Turkey is to be added in the equation

Draghi’s ‘quasi’ announcement of a new era of more and cheaper money

When is Berlin telling the truth about the EU banking union?

Will ECB win against low inflation by not following Quantitave Easing?

Does the EU want GMOs and meat with hormones from the US?

European Union: More taxes out of less income

Is there a chance for the West to win the war on terror?

European Youth Forum welcomes establishment of new Youth Intergroup in the European Parliament

Press coverage of migration crisis in Europe: a call for collaborative action

Convincing the Germans to pay also for the unification of Eurozone

Scotland and First Minister Salmond enter the most challenging battlefield for independence: Europe

Refugee crisis update: Commission is struggling alone with little help from EU or G7 leaders

New skills needed for medical students in Industry 4.0

JADE May Meeting last call for participants – join us in Zagreb

Who really cares for the environment?

Yes, together we can make a change! YO!Fest and EYE 2016

“The winner is who can accelerate the transition to a new digital era”. The Sting reports live from EBS 2015: a Digital Europe 4.0

Eurozone: Retail sales betray economic frailty

Britain in and out of the EU

Does the Greek deal strengthen the Eurozone? Markets react cautiously

JADE visits Lithuanian Junior Initiatives

Greferendum: the biggest political gaffe in western modern history to tear Europe apart? #Grexit #Graccident

Why the ECB suddenly decided to flood banks with money?

European Sting Cookie Policy

JADE Spring Meeting 2015: a step forward for Youth Entrepreneurship

Draghi left alone with no hope of boosting EU growth as Merkel just focuses on next elections

More state aid to big firms, no special provisions for the SMEs

Germany and France only care about keeping their borrowing cheap

The refugee crisis brings to light EU’s most horrible flaws and nightmares

Youth unemployment: No light at the end of the tunnel

The EU slowly exits from “Excessive Deficit Procedure” and hopefully from ‘Excessive Austerity Procedure’ too

Access to ‘affordable’ medicines in India: challenges & solutions

Arlington, USA: kick-off of the fifth round of the EU-US boxing match

We are close yet so far…

Cloud computing under scrutiny in the EU?

YO!Fest back in Strasbourg for the 2nd edition of the European Youth Event – 20-21 May 2016

Neelie Kroes at the European Young Innovators Forum: Unconvention 2014

The 28 EU leaders show contempt for the European Elections results

Will Europe be a different place this Monday?

EU is now giving Google new monopolies to the detriment of European citizens and Internet companies

We’ll succeed together

Will Merkel ever steer the EU migration Titanic and restore her power in Germany?

SCADA Security Conference 2017 in Prague, Czech Republic

MWC 2016 LIVE: Telenor CEO calls on operators to embrace Mobile Connect initiative

China’s stock markets show recovery signs while EU is closely watching in anticipation of the €10bn investment

IMF’s Lagarde indirectly cautioned Eurozone on deflation

Who is to lose from the 6-month extension of the EU economic sanctions against Russia?

Counting unemployment in the EU: The real rate comes to anything between 16.1% and 20.6%

G20 LIVE: G20 leaders reaffirm OECD’s role in ensuring strong, sustainable and inclusive growth

Maros Sefcovic Canete European Commission Energy

Better late than never? Commission runs now to fight energy dependency on Russia with the sustainable energy security package

US, Russia oblige each other in Syria and Ukraine selling off allies

The historic accomplishment of a seamless EU patent and intellectual property space

Greece did it again

The European Parliament wants to stay in one place

How to test if Kiev’s ‘Maidan’ was an authentic revolt or a well-planned operation

A Sting Exclusive: why the environment is important to your health, by UNEP’s Head for Europe

Tsipras imposes more austerity on insolvent Greece; plans to win new early election soon

The Europe we want: Just, Sustainable, Democratic and Inclusive

More Stings?

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s