Invisibility of Social Vulnerability and Social Rights to a Comprehensive Health Care in Chile

Abstract

Objective: To estimate the magnitude of perception of invisibility of social vulnerability and its impact on the access to universal and specific services of the Comprehensive Childhood Protection System in Chile.Method: Cross-sectional study in 50 vulnerable dyads, who were registered in a family health care center (Metropolitan Region, Chile; 2012). After the informed consent, mothers were interviewed using a structured questionnaire. A correspondence analysis model was applied. Results:The invisibility of social vulnerability estimated for mothers (92.0%) and children (86.0%), and a better access was observed to universal services by children and to specific services by mothers. Conclusion:The invisibility of vulnerability limits the opportunities of social protection for disadvantaged groups. Therefore, public policy does not correct social inequalities, which deserve attention by the public health managers in Chile. DESCRIPTORS: Social vulnerability. Public policy. Risk groups. Health inequalities. Comprehensive health care. IN-VISIBILIDAD DE LA VULNERABILIDAD SOCIAL Y EL DERECHO AL CUIDADO DE SALUD INTEGRAL EN CHILE RESUMENObjetivo: estimar la magnitud de la percepción de la in-visibilidad de la vulnerabilidad social y sus consecuencias en el acceso a servicios universales y específicos del Sistema de Protección Integral de la Infancia en Chile.Método: estudio transversal en 50 díadas vulnerables, registradas en un centro de salud familiar (Región Metropolitana, Chile; 2012). Después de la firma de consentimiento informado, las madres fueran entrevistadas usando un cuestionario estructurado. Se aplicó un modelo de análisis de correspondencias.Resultados: la in-visibilidad de la vulnerabilidad social fue estimada para madres (92.0%) y hijos (86.0%), observándose un mejor acceso a los servicios universales a los infantes y específicos a las madres.Conclusión: la in-visibilidad de la vulnerabilidad limita las oportunidades de protección social a grupos desventajados. Como consecuencia, la política pública no corrige las desigualdades sociales, que merecen atención de los gestores de la salud pública chilena.DESCRIPTORES: Vulnerabilidad social. Protección social en salud. Grupos de riesgo. Inequidad en salud. Atención integral de salud. Texto Contexto Enferm, 2016; 25(4):e6150015 Arcos E, Canales M, Muñoz LA, Toffoletto MC, Sánchez X, Vollrath A 2/8 (IN)VISIBILIDADE DA VULNERABILIDADE SOCIAL E DO DIREITO AO CUIDADO INTEGRAL DA SAÚDE NO CHILE RESUMO Objetivo: estimar a magnitude da percepção da invisibilidade da vulnerabilidade social e suas consequências no acesso aos serviços universais e específicos do Sistema de Proteção Integral à Infância no Chile.Método: estudo transversal em 50 díades vulneráveis, registrados em um centro de saúde familiar (Região Metropolitana, Chile;2012). Depois do consentimento informado, as mães foram entrevistadas usando um questionário estruturado. Um modelo de análise de correspondência foi aplicado.Resultados: a invisibilidade da vulnerabilidade social foi estimada para mães (92...

Poverty, Reproductive Health and Public Health Policies in Chile

“…Feelings such as discomfort, despair and loneliness emerged, both for being an unforeseen pregnancy and for being unexpected and that is consistent with the precariousness of the social support to teach women on how to take care in a context of social vulnerability [37,38]. Women describe a life condition where the social construction of hopelessness, invisibility and social exclusion have been naturalized, a condition which affects the practice of motherhood, childcare and sexual and reproductive rights [37,39]. The situation of invisibility is not an isolated fact, because it occurs in a condition of poverty with a gender perspective.…”

“…The situation of invisibility is not an isolated fact, because it occurs in a condition of poverty with a gender perspective. Women perceive a distance between them and health personnel, which they feel as lack of understanding of their condition of vulnerability and poverty, due to the asymmetrical power relations and stigmatization of guilty for their pregnancy [39]. The more difficult it is for a woman to carry out motherhood and children care, the further she is from a project that justify the exercise of her reproductive rights [40,41].…”

Habitantes de calle en Medellín, Colombia

“…Cabe señalar con Arcos et al (2012) que una población identificada en un contexto de vulnerabilidad y alto grado de exclusión social termina por ser invisibilizada, reduciendo así las oportunidades de acceso a los derechos. Por su parte, Sánchez (2015) señala que uno de los factores que hace al habitante de calle distanciarse de los derechos está relacionado con las prácticas realizadas para subsistir.…”

Atenção Em Rede Às Pessoas Com Amputação: A Ação Da Enfermagem Sob O Olhar Da Bioética

“…From the moment that the problem occurs, we are in a condition of being violated, one that has a condition that requires more attention and readaptation in order to have wellbeing. 11 It is up to the professionals, who are links between public policy and those assisted by it, to minimize disparities that may arise amid present vulnerability, 14 independent from the one in need.…”