“In the middle of the crossfire”: considerations about the armed violence impacts in Primary Health Care in the city of Rio de Janeiro

Ciencia e Saude Coletiva

article

Silva, Mayalu Matos¹  Ribeiro, Fernanda Mendes Lages¹  Frossard, Vera Cecília²  Souza, Rosane Marques de¹  Schenker, Miriam¹  Minayo, Maria Cecília de Souza¹ 

[1] Fundação Oswaldo Cruz;ENSP

关键词: Gun violence;    Health;    Violence;    Primary Health Care;    Drug Laws;   

DOI  :  10.1590/1413-81232021266.00632021

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

The paper addresses the impacts of armed violence, based on Primary Health Care, in a neighborhood in the city of Rio de Janeiro, Brazil. This is a qualitative exploratory study developed in two services aiming to identify the main types of violence, their impacts and the strategies used to cope with the phenomenon. The production of information included data collection in the service records, conducting semi-structured interviews, focus groups and feedback seminar. Armed violence, among all expressions of violence, was identified as one of the major concerns of healthcare professionals and users of services, due to its intense occurrence and the severity of its consequences on health. Its impact on strategies to cope with the violence and the difficulty in making the phenomenon visible are highlighted. It is considered that this type of violence, prevalent in the black territories of the city, is legitimized by structural racism, being the public security policy – based on the ideal of war on drugs and on the military confrontation with armed groups that operate in the retail trade of illicit drugs – expressions of state racism and necropolitics.

【 授权许可】

CC BY