Nursing, Health Policy, Multidisciplinary, Health (social science)
5
Scopus Publications
Scopus Publications
Indigenous masculinities and health: a qualitative analysis of traditional care in the context of the COVID-19 pandemic and post-pandemic period Julio Cezar Truká Ramos dos Anjos Damasceno, Edinaldo dos Santos Rodrigues, William Dias Borges, Climene Laura Camargo, Anderson Reis de Sousa Ciencia E Saude Coletiva, 2025 Resumo O objetivo do estudo é analisar construção das masculinidades e o cuidado tradicional da saúde de homens indígenas brasileiros na pandemia e pós-pandemia da COVID-19. Estudo qualitativo, longitudinal, realizado na web. Aplicou-se um formulário estruturado em 2020 e 2023 nas cinco regiões do Brasil, com 89 homens indígenas. Empregou-se a análise de conteúdo temática, o referencial da teoria transcultural e das epidemiologias indígenas. Cinco categorias analíticas foram geradas: 1) percebendo-se como homem - tensões do cotidiano pandêmico; 2) expressando as construções de masculinidades - entre encontros e desencontros; 3) vivenciando a pandemia - quando as masculinidades implicam o cuidado à saúde; 4) construindo trânsitos e itinerários terapêuticos de cuidado saúde - entre aplicar e preservar saberes tradicionais e aderir o conhecimento científico na busca por integralidade; e 5) exercitando o cuidado em saúde - do enfrentamento das iniquidades à promoção do cuidado tradicional indígena. A construção das masculinidades na relação com o cuidado tradicional de saúde tem sido ressignificada pelos homens indígenas, revendo atributos, comportamentos e práticas do que se espera por ser homem.
Ethnically distinct populations and coping with violence against children in the COVID-19 pandemic Ana Tereza Torquato de Morais Navarro, Lucimara Fabiana Fornari, Emiko Yoshikawa Egry, William Dias Borges, Rosemeire Natsuko Shoji Revista Brasileira De Enfermagem, 2024 Objective: To identify policies and programs adopted by a Brazilian municipality to address violence against children during the COVID-19 pandemic. Method: A qualitative documentary study. The study setting was the municipality of Ananindeua, Pará, Brazil. Data was collected from official websites between November 2021 and February 2022. Thematic content analysis was used with the support of webQDA software. Results: Three empirical categories emerged: a) Impacts of the COVID-19 pandemic on violence against children; b) Action strategies for tackling violence against children in the COVID-19 pandemic; c) Evaluation indicators and targets for action strategies for tackling violence against children. Final considerations: The documents revealed few direct mentions of children, especially traditional populations; they presented superficial and ineffective evaluations of the policies and programs adopted, using exclusively quantitative indicators.
Leprosy and tuberculosis control scenario of the national program for the improvement of access and quality of primary care in Brazil Glenda R. O. N. Ferreira, Amanda L. C. Miranda, Viviane A. Farias, Melissa B. Martins, Débora Talitha Neri, William D. Borges, Carlos Leonardo F. Cunha, Geyse Aline R. Dias, Dirceu C. Santos, Fabianne J. D. Sousa BMC Health Services Research, 2023 Background In Brazil, despite advances in public health policies aimed at eliminating and controlling infectious and parasitic diseases, the incidence of neglected diseases is still high. The epidemiological scenario in Brazil of diseases such as tuberculosis and leprosy evidences a public policy agenda that has not been resolute in terms of control, nor in terms of elimination. Objective To analyze the actions of diagnosis and treatment of leprosy and tuberculosis in the context of primary health care. Methods In this ecological study, data from the third cycle of the Program for the Improvement of Access and Quality of Primary Care were extracted from electronic address of the Primary Health Care Secretariat of Brazil in the area of Actions, Programs and Strategies. A total of 37,350 primary health care teams were that answered the questionnaire were eligible, with variables extracted from leprosy and tuberculosis control actions. The municipalities were grouped according to the characteristic of the Brazilian municipality. The partition chi-square and the Residuals Test were used to assess whether there was a difference in the proportion of tuberculosis and leprosy actions between types of municipalities. Statistics were carried out using Minitab 20 and Bioestat 5.3. Results Regarding the leprosy treatment location, there is a higher proportion of people referred to be treated at the reference in adjacent rural (p = 0.0097) and urban (p < 0.0001) municipalities; monitoring of people with leprosy referred to the service network (p. = 0.0057) in remote rural areas. Lower proportion of teams requesting bacilloscopy in remote rural areas (p = 0.0019). Rural areas have a higher proportion of teams that diagnose new cases (p = 0.0004). Regarding the actions of diagnosis and treatment of tuberculosis. There is a higher proportion of teams that carry out consultations at the unit itself in rural areas when compared to adjacent intermediaries (p = 0.0099) and urban (p < 0.0001); who requested sputum smear microscopy in adjacent intermediaries (p = 0.0021); X-ray in adjacent intermediaries (p < 0.0001) and urban (p < 0.0001); collection of the first sputum sample in urban (p < 0.0001) and adjacent rural areas (p < 0.0001); directly observed treatment (p < 0.0001) in adjacent rural municipalities. Conclusion There are inequalities in the diagnosis and treatment of leprosy and tuberculosis among the types of municipalities.
LEGAL ABORTION IN CHILDHOOD PORTRAITED BY THE BRAZILIAN WRITTEN PRESS: PERSPECTIVES FOR CARE Rosa Maria Godoy Serpa da Fonseca, Lucimara Fornari, Emiko Yoshikawa Egry, William Dias Borges, Maria Amélia de Campos Oliveira, Ana Rosa Ribeiro Elias Revista Baiana De Enfermagem, 2022 Objetivo: identificar e interpretar à luz das categorias gênero e geração as contradições contidas em reportagens da imprensa escrita brasileira sobre caso envolvendo uma menina vítima de violência sexual e consequente aborto legal. Método: estudo documental de abordagem qualitativa. Os dados foram coletados por meio de 78 reportagens publicadas em 2 jornais no período de agosto a outubro de 2020, por meio de instrumento semiestruturado. O tratamento foi realizado por análise de conteúdo temática com apoio do webQDA. Resultados: foram identificadas três categorias empíricas: Proteção da infância expressa na legislação e no discurso dos agentes públicos; Concepções sobre o aborto e a inviolabilidade da integridade da criança; Volição dos adultos versus a autonomia da criança. Considerações finais: as contradições identificadas nas reportagens da mídia escrita brasileira no caso de uma menina desvelaram que sua autonomia, assim como o direito à proteção da infância e descriminalização do aborto, não foram respeitados. Descritores: Aborto. Abuso Sexual na Infância. Maus-Tratos Infantis. Notícias. Pesquisa Qualitativa.
Violated Childhood: Study of Reports Published in the Press about the Girl Victim of Rape and the Consequent Legal Abortion Emiko Yoshikawa Egry, Lucimara Fabiana Fornari, Rosa Maria Godoy Serpa da Fonseca, William Dias Borges, Ana Rosa Ribeiro Elias, Maria Amélia de Campos Oliveira New Trends in Qualitative Research, 2021 Introduction: Girls have been victims of violence, especially sexual ones. Childhood can be violated in several ways, such as the case that occurred in Brazil in 2020. Qualitative research can elucidate the phenomenon by making it possible to deepen the complex issues related to sexual violence against girls that result in pregnancy and legal abortion. Objectives: To highlight the qualitative investigative path used to decode the case of the girl victim of rape perpetrated by a relative, which resulted in pregnancy, and whose legal outcome of abortion. Method: Documentary study with a qualitative approach. The data sources were two Brazilian newspapers in electronic format. The data collection period was from August to October 2020. The data was organized using a semi-structured instrument. Reports on the subject of the study were included, and those that only cited the case were excluded, without exploring its triggers. For thematic content analysis, the webQDA software was used. The analytical categories were gender and generation. Results: Subsequent to the analysis, the 78 selected reports showed three empirical categories: 1) the wide-open subordination; 2) the process for carrying out abortion; and 3) criminalization versus legalization of abortion. The qualitative methodology supported by webQDA allowed to expose what was not shown at first sight: the existence of a profound subordination of gender and generation, when the protagonist, the girl, suffered different new violence - institutional ones - that contradict what the Statute of the Child and Adolescent determines. Conclusions: The methodological path adopted allowed us to look beyond the situation experienced by the girl - rape, pregnancy and abortion - before turning 12 years old. The manipulation of leaders and authorities was emphasized, imposing their personal convictions, instead of guaranteeing the victim's rights.
