Intersectionalities in primary health care during the COVID-19 pandemic: work, gender, and class

Alves FLFS, Carvalho RHSBF, Campos DM, Sousa FS, Thomaz EBAF, Alves MTSSB. Intersectionalities in primary health care during the COVID-19 pandemic: work, gender, and class. Interface (Botucatu). 2026; 30: e240641 Doi: https://doi.org/10.1590/interface.240641

Abstracts

The study analyzed the labor challenges (both professional and domestic) faced by Primary Health Care professionals during covid-19, using an intersectional approach. Six focus groups were conducted with 42 professionals, resulting in two empirical categories. “Turn on a dime at the health unit” revealed work overload, especially for women. Professional hierarchies shaped work experiences. Female doctors maintained their exclusive roles, while nurses and community health workers also took on operational tasks. “Juggling the second shift” highlighted the increase in domestic responsibilities for all women, regardless of profession or social class. The intersections of social class and gender showed that in the professional sphere, class differences translated into hierarchy; in the domestic sphere, they produced inequalities in the distribution of care. The global social and health crisis did not alter the naturalization of oppression in gender and class relations.

Keywords
Gender; Primary Health Care; Covid-19; Work

Access in: https://doi.org/10.1590/interface.240641