Olhar da gestão sobre a implantação da ficha de notificação da violência doméstica, sexual e/outras violências em uma metrópole do Brasil

Abstract

The article presents an exploratory study about the process of implementation of the notification form of domestic, sexual and/or other types of violence against children and adolescents. The field of study was the city of Rio de Janeiro. This qualitative research used the techniques of interview with central level managers/technicians and focus group with representatives of the coordination of programmatic areas. It was found that, although the Municipal Health Department of Rio Janeiro is a pioneer in the institutionalization of the notification of maltreatment, the discontinuity of actions for addressing violence is still a reality. Concerning notification, the health management at different hierarchical levels still faces several obstacles related to the permanent incorporation of the theme of violence in the agenda of the public health policy, even if we take into account the effort of actions targeted at the qualification of health professionals and the dialogue and articulation with the intra-and inter--sector network.

Violence against women in the single health system

“…The anonymous complaint, the clinical analysis of the patient and the reporting of the facts by the Community Health Agents (CHA), who know the local reality, are forms of detection found. 12,29 Studies have shown that women who are victims of violence are increasingly seeking hospitals, often seeking non-specialized police stations. 25 Also, one of the studies that compose the corpus has shown that many women do not see this service as a gateway, 29 while another refers to the fact that the health area is the only place where they seek help.…”

“…12,29 Studies have shown that women who are victims of violence are increasingly seeking hospitals, often seeking non-specialized police stations. 25 Also, one of the studies that compose the corpus has shown that many women do not see this service as a gateway, 29 while another refers to the fact that the health area is the only place where they seek help. 17 Because it fails to address the genesis of the problem, primary health care becomes ineffective, with recurrence of cases and consequently increased expenditures.…”

“…17 Because it fails to address the genesis of the problem, primary health care becomes ineffective, with recurrence of cases and consequently increased expenditures. 24,29 A great challenge to be overcome by health professionals is the invisibility of violence, since they do not investigate possible cases or only in the presence of physical injuries, thus losing the chance to prevent grievance and promote health; thus, greater attention is needed in the treatment of the possible signs and symptoms of the users, exercising the extended clinic. 12,24 Poor performance is usually justified by lack of time, difficulty in exposing the subject when there are no suspicions, fear of not knowing how to act, absence or lack of knowledge of the services available to support them, besides the naturalization and fear of reprisals by both the professional as well as by women.…”

Decision analysis in referrals of children and adolescent victims of violence: An ANP approach

“…This overload ends up causing setbacks in Protective Services referrals, often individualising the problem and not identifying the causal connection between the violence committed and the right violated. This type of problem can cause an incorrect reporting flow, which is essential to the continuity of actions within the safety net, affecting cases directly (Aragão, 2011;Apostólico, Nóbrega, Guedes, Fonseca, & Egry, 2012;Bannwart & Brino, 2011;Lima & Deslandes, 2015;Njaine, 1997).…”

As infecções sexualmnete trasmissíveis em serviço especializado: quais são e quem as tem?

“…4 Compulsory notification (CN) is made in the situation where the legal norm requires health professionals and community members to report to the sanitary authority the occurrence of illness or injury that is under epidemiological surveillance. 5 However, as neither all STIs are of compulsory notification, there is a shortage of data that corroborate the objective reality of these diseases in Brazil 5 . In the current scenario, for example, there is the vaccine against HPV, but this disease is not included in the list of diseases of compulsory notification, which makes it difficult to see the problem and evaluate the effectiveness of the vaccine.…”