Atendimento às mulheres vítimas de violência sexual: um estudo qualitativo

Abstract

ObjectiveTo assess public services attending female victims of sexual violence in the city of Sao Paulo. Methods This is a qualitative study conducted in two public services attending female victims of sexual violence. Interviews with 42 women were conducted, 13 of whom had sought these services for assistance and 29 were professionals working in these services. Evaluation of the services was based on the categories: reception, access, resolvability and sanitary responsibility. ResultsThe analysis of the interviews per category has shown that there was reception in both services, problems with respect to access due to the lack of information concerning these services, and quality resolvability with a multi-professional team. As to the sanitary responsibility, it is present in these specialized services but is deficient in the emergency services and basic health care units. Many women are unaware of the rights they are entitled to with respect to specialized services. Frequently their late arrival compromises the efficacy of care. There are deficiencies both in terms of reference and counter reference. ConclusionsThe results ratify the importance of these services and the need for their decentralized expansion. Health courses should introduce the theme of sexual violence at the undergraduate level.

[ARTIGO RETRATADO] Bioética e atendimento a mulheres vítimas de violência sexual: revisão de literatura

“…The lack of knowledge of women regarding the existence of specialized services able to provide care to victims of sexual violence, as well as the right they have to access them 17,19 , in addition to the deficiencies these services present within the health care service network, and how misinformed health care professionals are about such services 17 , were issues also highlighted in this review. Sexual violence is one of the least reported and recorded incidents throughout the world 22,26 .…”

“…Issues related to the access of women victims of sexual violence to specialized services were presented in seven of the studies analyzed [16][17][18][19]21,25,29 . Access issues take even greater proportions when less privileged groups with fewer resources are indeed more exposed to violence 29 , and services are still unable to reach the most disadvantaged layer of the population 16 , which proves that only a small portion of society has access to health care 29 .…”

“…Sexual violence is one of the least reported and recorded incidents throughout the world 22,26 . The authors surveyed admit the need to expand and decentralize care, still concentrated in large urban areas 17 , with more investment in the health care network, and improvement of professional specialization 25 , the coordination of specialized services and the reciprocity between municipalities 16 . It was concluded that the disclosure of information is imperative to women 25 , to the various segments of society 17,29 , and to health care professionals 29 .…”

“…Preliminary assistance is provided by: health care services 16,17,21,29 , and police 16,21,29 . In the first case, understanding and recognizing the violence inflicted becomes a dilemma, as accepting the credibility of the complaint and avoiding medicalizing the events observed are often recurring practices 17 .…”

“…In the case of law enforcement response, the studies reveal that the police do not always provide the right assistance 17 , which leads many women not register their complaint 29 . Injury inflicted upon individuals, groups, or social segments, such as the female portion of the population, is particularly relevant to the protection of ethics 14 .…”