Articles

Narratives of emotional distress in Primary Care in Brazil: contributions to a comprehensive and culturally sensitive Global Mental Health approach

Abstract

MENEZES, Alice Lopes do Amaral et al. Narratives of emotional distress in Primary Care in Brazil: contributions to a comprehensive and culturally sensitive Global Mental Health approach. Interface (Botucatu) [online]. 2019, vol.23, e170803. Epub Apr 04, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.170803. Global Mental Health authors advocate on the one hand, for increased access to mental health care, including the use of standardized interventions. On the other, patients’ symptomatic expression of emotional distress hampers its identification by Primary Care professionals in Brazil. This affects the provision of care and demands culturally sensitive approaches. In order to understand patients’ perception of their emotional distress and of the care provided in Primary Health Care, a narrative qualitative method was adopted,

Challenges in the anthropological education of Healthcare professionals: a teaching experience in graduate studies in Collective Health

Abstract

FERREIRA, Jaqueline and BRANDAO, Elaine Reis. Challenges in the anthropological education of Healthcare professionals: a teaching experience in graduate studies in Collective Health. Interface (Botucatu) [online]. 2019, vol.23, e170686. Epub Feb 25, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.170686. Healthcare professionals have sought research education, in the area of Social Sciences, in the scope of Collective Health graduate programs. In this process, anthropological studies, grounded on the cultural anthropological method, have been frequent among these researchers (with no anthropological education). The objective of this study is to reflect on the experience of teaching and learning the theoretical-methodological foundations of cultural anthropological research in health, considering the teaching experience of the authors. The main pedagogical challenge consists in not

Communicating on Zika: prevention recommendations in contexts of uncertainties

Abstract

RODRIGUES, Raphaela Rezende Nogueira and GRISOTTI, Márcia. Communicating on Zika: prevention recommendations in contexts of uncertainties. Interface (Botucatu) [online]. 2019, vol.23, e190140. Epub Sep 12, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.190140. The Zika virus epidemic, which was treated as a national and international public health emergency during a specific period, gave rise to unusual measures, which claims for a more detailed analysis, especially the recommendations given by the Brazilian Ministry of Health in the website “Combate Aedes ”. In this work, we analyze those recommendations employing the Collective Mindsets Analysis method. The recommendations targeted at health professionals and general public fail due to not clarifying the characteristics of the most vulnerable population, compromising its applicability. The

Violence and right to care in public policies on long-term care institutions for the elderly

Abstract

POLTRONIERI, Bruno Costa; SOUZA, Edinilsa Ramos de e RIBEIRO, Adalgisa Peixoto. Violence and right to care in public policies on long-term care institutions for the elderly. Interface (Botucatu) [online]. 2019, vol.23, e180124. Epub 26-Ago-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180124. The objective of this research was to study the inclusion of the topic of violence in Brazilian policies and those of the state of Rio de Janeiro that address long-term care institutions for the elderly. A documentation analysis of public policies aimed at the elderly or related to violence was conducted starting from the 1988 Constitution. Nine national policies and two policies of the state of Rio de Janeiro were identified, and this collection was submitted to content

Oral health from people’s living with HIV/Aids perspective: contributions for dentists’ continuing education

Abstract

PAROLA, Gustavo Barbosa e ZIHLMANN, Karina Franco. Oral health from people’s living with HIV/Aids perspective: contributions for dentists’ continuing education. Interface (Botucatu) [online]. 2019, vol.23, e180441. Epub 16-Set-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180441. People living with HIV/Aids (PLWHA) are vulnerable regarding oral health. Dentists’ education, traditionally technical and procedure-centered, may not be sensitive to subjective demands. The objective was to understand how PLWHA deal with their oral health, in order to promote humanized and integral care. A qualitative study was carried out with 12 PLWHA adults analyzing the perception of oral health and care expectations through thematic focus groups and in-depth interviews. The discourses were categorized by the thematic content analysis method. It was observed the need for

Physicians’ perception of the dimensions of obstetric and/or institutional violence

Abstract

SENS, Maristela Muller e STAMM, Ana Maria Nunes de Faria. Physicians’ perception of the dimensions of obstetric and/or institutional violence. Interface (Botucatu) [online]. 2019, vol.23, e170915. Epub 26-Ago-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.170915. Obstetric/institutional violence (OV/IV) is being widely discussed in Brazil and around the world. The objective of this study was to evaluate the perception of physicians providing childbirth assistance in a public humanized maternity in Brazil on this subject. Based on a qualitative epistemological study, the data was collected by applying a questionnaire to 23 medical professionals. OV/IV was assessed by content analysis and categorized in the following dimensions: individual, institutional, and human relation. In the first dimension, OV/IV occurs in the form of dated practices,

Internet and hiv/aids: a virtual ethnography on Facebook

Abstract

OLIVEIRA NETO, Alfredo de and CAMARGO JUNIOR, Kenneth Rochel de. Internet and hiv/aids: a virtual ethnography on Facebook. Interface (Botucatu) [online]. 2019, vol.23, e180580. Epub June 27, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180580. This paper identified and analyzed some interactions on the internet in the daily of people living with HIV and AIDS (PLHA) in Brazil. As methods we made interviews with PLHA analyzed by content analysis and a virtual ethnography of a secret group of PLHA on Facebook. These are the following results: sociability produced in the internet helps to reduce suffering in relation to prejudice; there are not many welcoming zones for PLHA on the internet; PLHA linked to social networks have more encouragement to not

What can a policy do? Challenging the implementation of the More Doctors Program based on the experience of a Brazilian city

 

Abstract

SANTOS, Mara Lisiane de Moraes dos; BERTUSSI, Débora Cristina; KODJAOGLANIAN, Vera Lúcia e MERHY, Emerson Elias. What can a policy do? Challenging the implementation of the More Doctors Program based on the experience of a Brazilian city. Interface (Botucatu) [online]. 2019, vol.23, e190052. Epub 26-Ago-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.190052. We aim to problematize the implementation of the More Doctors Program based on the experience of a Brazilian city. Using encounter as method, we present affections/reflections emerging from conversations with doctors and other actors involved with the program. The devices for the program operation proved insufficient considering this controversial/conflicting policy. Each municipality implements and takes advantage of the program in its own way, creating or

Physicians’ perception of obstetric or institutional violence in the subtle dimension of the human and physician-patient relationship

 

Abstract

SENS, Maristela Muller e STAMM, Ana Maria Nunes de Faria. Physicians’ perception of obstetric or institutional violence in the subtle dimension of the human and physician-patient relationship. Interface (Botucatu) [online]. 2019, vol.23, e180487. Epub 10-Jul-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180487. Initiatives in search of effective changes in obstetric care and the claiming for social recognition of obstetric or institutional violence are current phenomena, the result of a multidimensional reflection on what constitutes the act of giving birth. In order to identify the perception of obstetricians who provide childbirth assistance in a humanized maternity in South Brazil, this research was proposed on a qualitative epistemological basis. The data was collected by means of a questionnaire answered by

“Something that is so simple to experience and control, yet difficult to share and defend”: HIV/Aids, secrets and sociability in an on-line social network

Abstract

DAMASCENO, Éverson de Brito et al. “Something that is so simple to experience and control, yet difficult to share and defend”: HIV/Aids, secrets and sociability in an on-line social network. Interface (Botucatu) [online]. 2019, vol.23, e180506. Epub 05-Ago-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180506. Recent research in the field of social anthropology has highlighted the influence of social media on the experiences of people living with long-term illnesses. A virtual ethnography involving people living with HIV/Aids (PLHIV) who are members of a secret Facebook group was conducted over a period of 11 months. The study aimed to gain an insight into the social practices adopted by PLHIV through the observation and analysis of posts and comments. The

The health research process and obstacles to the use of research findings by health professionals

  Abstract PAULA, Milena Lima de; JORGE, Maria Salete Bessa and MORAIS, Jamine Borges de. The health research process and obstacles to the use of research findings by health professionals. Interface (Botucatu) [online]. 2019, vol.23, e190083. Epub Aug 12, 2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.190083. This study explored the current obstacles to the health research process, with emphasis on the application of results to the everyday practices of PrimaryHhealthcare workers. A qualitative study was conducted in a coordinating office in and primary care facility in Fortaleza, Ceará. A search of research projects and interviews with health professionals were conducted during the period 2015 to 2016. The results of the content analysis reveal obstacles to the use of research

Neo-liberalism, ethics, and academic output: subjectivation and resistance on graduate programs in Brazil

Abstract

MAURENTE, Vanessa Soares. Neo-liberalism, ethics, and academic output: subjectivation and resistance on graduate programs in Brazil. Interface (Botucatu) [online]. 2019, vol.23, e180734. Epub 26-Ago-2019. ISSN 1414-3283. http://dx.doi.org/10.1590/interface.180734. The culture of assessment is an important social control device. In higher education, the productivist logic is just another expression of the ubiquity of neo-liberalism, which engenders modes of subjectivation and capture in settings that should safeguard possibilities of resistance. Drawing on Foucault’s notion of ethics, this article describes the experiences of graduate students regarding what we call neoliberal productivist morality in an academic context. We present fragments of an intervention study that includes semi-structured interviews and photography workshops with 10 students from five graduate programs in Brazilian universities. The