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[暴力环境下的妇女健康:巴西公共卫生系统中的市政管理角色与决策]

[Women's health in violent situations: municipal administrative roles and decision-making in the Brazilian public health system].

作者信息

Porto Madge, McCallum Cecilia, Scott Russell Parry, de Morais Heloísa M Mendonça

机构信息

Gerência de Eqüidade de Gênero, Secretaria de Cidadania e Assistência Social do Estado do AcreAC, 69915-300, Brasil.

出版信息

Cad Saude Publica. 2003;19 Suppl 2:S243-52. doi: 10.1590/s0102-311x2003000800006. Epub 2004 Mar 8.

Abstract

The aim of this study was to investigate the role of health management staff concerning the health of women facing violent situations and the impact these roles have on decisions concerning health measures targeting these women. The study employed a qualitative, descriptive methodology including 18 health management staff members from three municipalities classified as having fully autonomous municipal management systems under the Unified National Health System (SUS) in Greater Metropolitan Recife, Pernambuco State, Brazil. Staff members were divided into three distinct groups according to their opinions on women in violent situations and women's health interventions. However, the three groups were convergent with respect to their roles in determining decisions on health actions for these women. The health management staff's commitment to the feminist movement proved to be the most relevant factor. Common issues among staff members, such as the problem of public health and quality of living, or more technically, the cost-benefit issue, did appear as key arguments.

摘要

本研究的目的是调查健康管理人员在面临暴力情况的妇女健康方面所起的作用,以及这些作用对针对这些妇女的健康措施决策的影响。该研究采用了定性描述性方法,研究对象包括来自巴西伯南布哥州累西腓大都市区统一国家卫生系统(SUS)下三个具有完全自治市管理系统的城市的18名健康管理人员。根据他们对处于暴力情况的妇女和妇女健康干预措施的看法,工作人员被分为三个不同的组。然而,这三组在为这些妇女确定健康行动决策方面所起的作用上是一致的。事实证明,健康管理人员对女权运动的承诺是最相关的因素。工作人员之间的常见问题,如公共卫生问题和生活质量问题,或者更专业地说,成本效益问题,确实作为关键论点出现了。

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