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Inequalities in the Public Health System: the case of care for transvestites is' babado!

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Abstract

Estigmatizadas por não corresponderem ao padrão hegemônico segundo o qual sexo e gênero devem necessariamente coincidir, as travestis constituem um grupo social que não tem garantido o exercício de sua cidadania. Nesse sentido, este artigo tem por objetivo analisar a percepção, os sentimentos e as dificuldades enfrentadas pelas travestis para terem acesso aos serviços de saúde e serem atendidas de forma igualitária aos demais segmentos da população. Os dados aqui analisados resultam de uma pesquisa qualitativa desenvolvida com travestis freqüentadoras dos encontros organizados pelo grupo Igualdade, em Porto Alegre, com as quais foram realizadas, em primeiro momento, observações participantes e grupo focal, em outra ocasião. A análise dos dados revelou 10 elementos centrais para se compreender a percepção das travestis em relação ao atendimento que recebem nos serviços de saúde: "linguagem", "corpo", "situação de discriminação", "hospitalização", "serviços de saúde", "medicações", "HIV/aids", "preconceito", "estratégias para lidar como preconceito" e "violência simbólica e física". A partir das observações feitas e dos depoimentos colhidos, foi constatada a necessidade de se qualificar os profissionais de saúde para um adequado acolhimento e atendimento ao grupo em estudo, pois a marginalização das travestis traz sérias conseqüências para a saúde pública.
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#!

2)!9:


 !
" #$% 
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   '       )  *    +
,-.
/ $    +       ! 0    & 1
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!3.&
 -&#$
)     4 " (/ 5  !       !
/           4   + "6  !
!%.
 +     & ,  0    .   + 
"748$
/9"3!89/
     ! +         !
 !2& 3  
   ! &   !
.:
!8!9
!+2&
      8 9  - 8 9   
!
;
!
3!)!OE&P
1!; 
!3%<%;=%>%?!
+!-;;+
! ) 
.
!1%>%!
;;1
!
   (             
&
 %>%3-;
#!*
! &>  
       !  ;   
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                  
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                 !
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&(!& 
!!&!3&6
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B>(@)C DEEE?     ;   !    .
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>&+!
3      &      '  
!
;
)+
!#
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F       =GH$( DEE:? (     
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'%))%
  !    4    (     
!'& +
3'&&;
!'=1CCC*C$)%*1#()AA0*1CCC*I@((AAO?
 !        !  P   
&!!&
&=7(,##@AA0?
(-!G@IM3=QC%DEEE?
+&!  
!="CKC*LLH#)(AAD?!R 
'&'R&!
     +      '    
&G@I3'
G@IP3!!
1       =   !   ' 
@?!'&,33
;;4
D ! G@IP3-'*
 '
!!*
N    !    G@I  2      + !

.'!
!2!
  . = ?        P3  
 !+2+
+%74
              

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! 
,&L1T
2!;
.&-  "    
2
3
;!-
3 >7 %;=>7%?3(
  ! +     1 $U      
&34
(    " '      (      
)*+,-
.+,*,+,-//
 ,      "   ' ( - 0  * 0  
12-34*(
*0.!3
.
 !       ) +      
'&)
;!& 
 KU%4
*(5#6
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% / 01 2,   ,3  ,$,    4 ,3 .     $
, +,   , ,     5 "#66&)      
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G@IH$!
4
32
!!** 
*78A2 
7D8
8 9';'
";
 !   '       !   
1$U&34
78(  E, 2 ( 
-.6
.(F(,
!)(F
(-*
(*789+-
*B, A7A
28*
!!'!!+X
L5!!
1          !  !  
% &3 
. G@I#
!!
 !            !    
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5#6'78(+( 
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  * (      * 0    B. (  * :/
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'G@I+X
!!!

 - !   +      +  !  -
P3!"'3 
 89       !       
";*
;-&
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!@'G@I-
&&
 &  ! .    '      
 !
!!2
+!-
          !    ! &  
L54
3    78         ) * 0A )
781*178
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*(,*")B0(?#9(@C(?'
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789*"D#:(=(<#:B5(?'
 F       ' &      
  ; !   ' ) !   +   + 
!( 
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 +  - !            
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D%&=%%*L&%S%
!! !;++
3=K(>#GAA0?
3= ?
     '       X   !
'!
!*!-
 -
H$L5+DEOADEWA
             
+'' 

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(,0,
*1!)
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)3 +2
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!*!
%9R%%
P!&M3
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      !        
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' &   ! &     !    
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... Those providing services need to work towards banning negative attitudes and prejudices, ensuring that services are friendly and accessible (Diehl et al., 2017;Kalra, Ventriglio, & Bhugra, 2015). Training for healthcare workers should be expanded to helping them to welcome people from the sexual minorities into health services, to deliver sex education programmes and promote awareness of sexual orientation and gender variations among the general population to achieve a cultural shift towards greater tolerance of gender diversity (Diehl et al., 2017;Muller & Knauth, 2008). Such initiatives would contribute to a reduction in the stigma associated with non-standard gender identities, sexual orientation variance, and the active promotion of the human rights of individuals with such identities (Diehl et al., 2017). ...
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