A diversidade ética e política na garantia e fruição do direito à saúde nos municípios brasileiros da linha da fronteira do MERCOSUL

Abstract

A diversidade ética e política na garantia e fruição do direito à saúde nos municípios brasileiros da linha da fronteira do MERCOSUL

Efetividade no diagnóstico da tuberculose em Foz do Iguaçu, tríplice fronteira Brasil, Paraguai e Argentina

“…In relation to foreigners living in the South Arch area, the municipality of Foz do Iguaçu assists 28.2% of all patients (12) .…”

“…However, it is well known that multilateral agreements should preview the interaction between commercial and sanitary perspective to strength expected intersectional results (12,27) .…”

“…In addition, inequalities are seen more often in the Paraguayan population that sought care in Brazil and in Argentina because of the scarcity of sanitary resources in these countries and lack of financial resources to access health care. In addition, there is the presence of brasiguaios (Brazilians immigrants and their children who were born in Paraguay), who are not eligible for health care in Paraguay (12,(29)(30) . This problem occurs because a bilateral cooperative agreement has not been reached.…”

“…However, since the health system in Brazil is free, foreigners and immigrants look for care in Foz do Iguaçu and receive selective care because of the requirement to present a Brazilian ID card, an SUS card, and proof of permanent residency in Brazil. Requests for vaccination, urgent and emergency care, treatment for bites by poisonous animals, and follow-up of institutionalized pregnant women are honored without reciprocity of neighboring countries (12) . Given the socioeconomic profile of TB patients and the transmissibility of the pathogen, health care managers in Foz do Iguaçu-PR are advised to diagnose and treat these patients without restrictions, even though they have no legal responsibility to offer care for foreigners and Brazilians who live outside of the national territory.…”

Gestão em saúde na fronteira: revisão integrativa da imbricância para a assistência hospitalar Health management in frontier: integrative review on its impact for hospital care

“…31 This feature of health in the border leaves the population in constant uncertainty about the decision-making and the possibilities of public and private institutions managers to ensure access to health. 32 IIt is added to the border area context other data that contribute to the establishment and implementation of specific public policies. One is the low Human Development Index that takes local managers to develop social assistance programs.…”