A (In)visibilidade da violência institucional no âmbito do Sistema Único de Saúde (SUS): um estudo sobre casos de mulheres vítimas de crime sexual ocorridos em Parnamirim/RN, nos anos de 2010 a 2018
This study sought to capture and map the main manifestations of institutional violence practiced against women victims of sexual violence within the scope of Brazil’s Public Health Care System as known as SUS, in Parnamirim/RN between 2010 and 2018. Understood the Institutional Violence, such as...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/55606 |
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| Resumo: | This study sought to capture and map the main manifestations of institutional violence
practiced against women victims of sexual violence within the scope of Brazil’s Public
Health Care System as known as SUS, in Parnamirim/RN between 2010 and 2018.
Understood the Institutional Violence, such as that practiced by State, within the
framework of institutions responsible for providing public services to the population, such
as: hospitals, basic health care, schools, police stations, etc. The purpose of this research
was to characterize and classify the way institutional violence has been presented in the
health services of the municipality of Parnamirim/RN, distinguishing it from other forms
of violence which, in general, comes along with institutional violence. And so, to map the
types of institutional violence against women victims of sexual crimes, whose
prosecutions for sexual offenses proceeded in Parnamirim/RN, seeking to understand
possible relations with factors related to precariousness and structural inadequacies of
services, and with sociocultural issues, as well as offering subsidies for coping with this
violence in SUS health services. From the methodological point of view, we seek to
problematize the determinants of institutional violence in the current context of the SUS,
to elucidate and make this phenomenon visible as a public health problem. For this, we
conduct a qualitative research that combines bibliographical and documentary research,
and was preceded by the bibliographic research which permeated the whole process of
approach and analysis of the object. The documentary research was carried out by means
of a study of 11 (eleven) cases of sexual violence, which became processes in the 2nd
Criminal Court of Parnamirim/RN in the years 2010 to 2018, verifying if there was any
evidence of institutional violence, the result of which generally reveals that the main
evidence of institutional violence against women victims of sexual violence is: the
provision of misinformation to victims and even the non-availability of information; the
non-compliance with the protocols envisaged by Law 12.845/2013, which deals with the
care of victims of sexual violence, covers all agencies involved in the care of women
(from police stations to public and private health services). Particularly noteworthy are
the negligence related to insufficient registration of the basic information necessary to
elucidate the facts that occurred in the course of the service performed, often ignored by
the justice system itself. Being negligence, omission, malice and imprudence that
contribute to the delay in access to prophylactic treatment and reiterates the resignation
of the victim. In the scope of SUS, the delay for access to essential care recommended in
the policy of comprehensive care for victims of sexual violence, which occurs both
because of problems related to the precarious objective material structure (lack of
medication, insufficient personnel), as well as for reasons related to the lack of knowledge
and unpreparedness of the health team, especially physicians about the rights, norms and
protocols of adequate care. And, also by behaviors that blame the victim, reproducing
hegemonic prejudices and male chauvinist conceptions in brazilian society. It is
concluded that part of such forms of institutional violence can be reduced through
effective policies of continuing education of professionals who are part of the social
protection system. |
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