Lopes Renato Luis Barros, Ribeiro Luis Claudio, Oliveira Deise Moura de
Universidade Federal de Juiz de Fora, Juiz de Fora, Brasil.
Universidade Federal de Viçosa, Viçosa, Brasil.
Cad Saude Publica. 2023 Aug 11;39(7):e00218022. doi: 10.1590/0102-311XPT218022. eCollection 2023.
Social and community networks constitute an important social determinant of health, especially in the poorer segments of civil society and in their struggles to guarantee the right to health care. This study sought to understand the social and community networks created by women living in a low-income community and their relationship with the development of health care in this social group. Semi-structured interviews were conducted with 11 women participating in a nongovernmental organization in the community, and the data were subjected to content analysis. The analysis highlighted four categories: the community as a large network, formed by multiple interconnected dynamic networks; the network of "aunts", women with an important role in the care of the community, treated as part of the family; the conversation circles, such as the rite of periodic meeting on the sidewalks, indicated as an important space that guarantees emotional stability and quality of life; and the benzedeiras with the use of medicinal plants, they are reference care within the community, providing disease prevention, health treatment, and referral to the health care unit when necessary. We concluded that the social and community networks created by the participants are important social determinants, and health facilities registered in the territory should value such networks.
社会和社区网络是健康的重要社会决定因素，尤其是在民间社会较贫困的群体及其保障医疗保健权的斗争中。本研究旨在了解生活在低收入社区的女性所建立的社会和社区网络，以及这些网络与该社会群体医疗保健发展的关系。对参与社区非政府组织的11名女性进行了半结构化访谈，并对数据进行了内容分析。分析突出了四个类别：社区作为一个由多个相互关联的动态网络组成的大网络；“阿姨”网络，这些女性在社区照料中发挥着重要作用，被视为家庭的一部分；对话圈，比如在人行道上定期聚会的仪式，被认为是保障情绪稳定和生活质量的重要空间；以及使用药用植物的“苯泽代拉斯”，她们是社区内的参考照料者，提供疾病预防、健康治疗，并在必要时将患者转诊至医疗保健单位。我们得出结论，参与者建立的社会和社区网络是重要的社会决定因素，该地区注册的卫生设施应重视此类网络。
