Ciencia & saude coletiva最新文献_第8页

Analysis of a national intervention to strengthen the management of the maternal and neonatal health care network. 加强孕产妇和新生儿保健网络管理的国家干预措施分析。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-29 DOI: 10.1590/1413-81232026318.07032026

Maria Teresa Rossetti Massari, Priscilla Paiva Gê Vilella Dos Santos, Raíssa Ottes Vasconcelos, Callyne Duarte, Cynthia Magluta, Luiza Beatriz Acioli, Maria Auxiliadora de Souza Mendes Gomes

{"title":"Analysis of a national intervention to strengthen the management of the maternal and neonatal health care network.","authors":"Maria Teresa Rossetti Massari, Priscilla Paiva Gê Vilella Dos Santos, Raíssa Ottes Vasconcelos, Callyne Duarte, Cynthia Magluta, Luiza Beatriz Acioli, Maria Auxiliadora de Souza Mendes Gomes","doi":"10.1590/1413-81232026318.07032026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.07032026","url":null,"abstract":"Improving healthcare for women and children remains a priority in Brazilian public policy, with actions by the Ministry of Health aimed at strengthening management and planning to reduce maternal and neonatal mortality. This article analyzes the relevance and adequacy of the intervention in 20 state health departments. This is an evaluative study with a strategic analysis of the consistency between the intervention's objectives and the problems faced, including: (1) description of the intervention and logical model; (2) validation of the model; (3) analysis of the relevance of the intervention; (4) evaluation by technicians and managers of the secretariats. The intervention was well evaluated, with agreement that strengthening planning and management is essential to reduce maternal and neonatal mortality. Analysis of the responses from technicians and managers (n=143) indicated a favorable assessment of the intervention's contribution in the territories, the relevance of the topics addressed, the usefulness of the materials, and the profile of the consultants, including their ability to adapt SUS guidelines to local realities. The study contributes to improving future national interventions focused on women's and children's health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e07032026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rural women's access to Health: rethinking the meanings of care from Mato Grosso do Sul, Brazil. 农村妇女获得保健的机会：重新思考护理的意义（巴西南马托格罗索州）。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-22 DOI: 10.1590/1413-81232026318.06632026

Lorena Lima de Moraes, Esmael Alves de Oliveira, Isabelly Janczeski, Gabriel Luis Pereira Nolasco, Marcos Antonio Ferreira do Nascimento

引用次数: 0

National Policy on Care and Reproductive Justice: necessary intersections. 国家护理和生殖正义政策：必要的交叉点。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-22 DOI: 10.1590/1413-81232026318.06602026

Claudia Bonan, Rita Helena do Espírito Santo Borret, Nanda Isele Gallas Duarte, Melanie Maia, Luanda de Oliveira Lima

{"title":"National Policy on Care and Reproductive Justice: necessary intersections.","authors":"Claudia Bonan, Rita Helena do Espírito Santo Borret, Nanda Isele Gallas Duarte, Melanie Maia, Luanda de Oliveira Lima","doi":"10.1590/1413-81232026318.06602026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.06602026","url":null,"abstract":"This article presents reflections by researchers from the Gender, Reproduction and Justice Research Group/RepGen on the place of reproductive bodies within Brazil's National Policy on Care (PNaC), analyzed through a reproductive justice lens. The first section contextualizes the study. The second synthesizes the policy's main concepts, highlighting elements relevant to the discussion. We then address the absence of reproductive body care work in the policy and examine the challenge PNaC faces in defining its specificities in relation to other public policies centered on care, especially Health. In the fourth section, we argue that although the PNaC identifies care workers as a priority group, it still fails to incorporate their own reproductive care needs, overlooking issues such as menstrual dignity and abortion. Despite these gaps, the policy creates room to imagine more equitable care models. We conclude that recognizing the care of reproductive bodies as a strategic dimension of social and reproductive justice-and as a transversal axis of the PNaC-would be a decisive step toward confronting the patriarchal, racist, and capitalist order that regulates bodies, knowledge, and reproductive experiences.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e06602026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Policies of waiting, the meanings of reparation and care, and public health emergencies. 等待政策、补偿和护理的意义以及突发公共卫生事件。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-22 DOI: 10.1590/1413-81232026318.06682026

Martha Cristina Nunes Moreira, Marcelo de Abreu Maciel, Francine de Souza Dias, Waleska Aureliano, Silvia Portugal

引用次数: 0

Women experiencing homelessness in Downtown São Paulo, Brazil, and access to food. 巴西圣保罗市中心无家可归的妇女和获得食物的途径。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-21 DOI: 10.1590/1413-81232026318.19772024

Fernanda Sabatini, Ramiro Fernandez Unsain, Priscila de Morais Sato, Thifany Helena Torres, Fernanda Baeza Scagliusi

{"title":"Women experiencing homelessness in Downtown São Paulo, Brazil, and access to food.","authors":"Fernanda Sabatini, Ramiro Fernandez Unsain, Priscila de Morais Sato, Thifany Helena Torres, Fernanda Baeza Scagliusi","doi":"10.1590/1413-81232026318.19772024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.19772024","url":null,"abstract":"Food access involves subjective issues, such as food desires. In addition, involves social, political, and cultural structures. This study focused on examining food access among women experiencing homelessness (WeH). We conducted an ethnographic study between 2018 and 2022 with WeH in central São Paulo, Brazil, and data were analyzed using the thematic content analysis method. Black feminist theory and socio-anthropological perspectives on food guided the research\"s theoretical, methodological, and ethical approach. Two emic category emerged from the findings about the spaces and ways by which participants accessed food, and their perceptions of this access (\"bocas de rango\" and \"cocas de fudê - \"bocas de rango\" may be comparable to \"food dens\", \"bocas de fudê\" may be loosely translated as \"fucking awesome food den\" due to the great food experience). We concluded that participants developed strategies for food and nutritional security (FNS) based on their food choices, including what they perceived as pleasurable and desirable to experience through food. In this sense, building FNS by and for WeH requires strengthening the possibilities of material, political, and cultural resources that support their autonomous decision-making about what they want to eat, with their pleasures and desires playing a significant role in this process.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e19772024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Worker health and safety on maritime platforms: ergological renormalizations in offshore work]. [海上平台上工人的健康和安全：海上作业的ergological再规范]。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-28 DOI: 10.1590/1413-81232026318.04282024

Rayana Ferreira Vinagre, Alexandre de Carvalho Castro

引用次数: 0

Social inequalities in the use of preventive healthcare among older women (50+): evidence from ELSI-Brazil. 老年妇女（50岁以上）在使用预防性保健方面的社会不平等：来自巴西elsi的证据。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-02 DOI: 10.1590/1413-81232026318.17742024

Poliana Fialho de Carvalho, Luciana de Souza Braga, Maria Fernanda de Lima-Costa, Juliana Vaz de Melo Mambrini

{"title":"Social inequalities in the use of preventive healthcare among older women (50+): evidence from ELSI-Brazil.","authors":"Poliana Fialho de Carvalho, Luciana de Souza Braga, Maria Fernanda de Lima-Costa, Juliana Vaz de Melo Mambrini","doi":"10.1590/1413-81232026318.17742024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.17742024","url":null,"abstract":"Considering the scenario of Brazilian population aging, marked by the feminization of old age and persistent social inequality in access to and use of health services, this study aims to investigate the association between socioeconomic variables and preventive healthcare among older women (50+), according to the source of health care. This is a cross-sectional study, based on ELSI-Brazil (2015-2016) baseline data. The outcomes were Pap smear; mammography; measurements of cholesterol, blood glucose, and blood pressure; and the exposures of interest were educational level, self-reported skin color, and per capita household income. Odds ratio (OR) were estimated in Logistic regression models. Self-reported skin color, educational level, and per capita household income were frequently associated with outcomes for women with and without private health plans, with a higher prevalence of exams among those who were white and those who had higher educational and income levels. The implementation of public policies and multisectoral actions that tackle the structural determinants of health and improve people's living and working conditions is essential to reducing health inequalities and ensuring the universal right to health.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e17742024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urban violence and psycho-social suffering in Brazil: a clinical-political discussion of the concept of collective trauma. 巴西的城市暴力和社会心理痛苦：集体创伤概念的临床政治讨论。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-06-04 DOI: 10.1590/1413-81232026318.13922024

Lilian Miranda, Michael O'Loughlin

{"title":"Urban violence and psycho-social suffering in Brazil: a clinical-political discussion of the concept of collective trauma.","authors":"Lilian Miranda, Michael O'Loughlin","doi":"10.1590/1413-81232026318.13922024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.13922024","url":null,"abstract":"This article presents a clinical-political approach to collective trauma, based on authors who offer an intersubjective reading of psychoanalysis in dialogue with feminist theorists, responsible for the political interpretation of trauma. This material engages with accounts of victims' experiences of urban violence in Brazil. Collective trauma is seen as a disruptive event, for which there are no representational resources. Among its effects are the corrosion of the sociability ties of the social group that experienced the trauma, feelings of impotence, fear, and loss of spatial and temporal orientation. Generally, based on contexts of exclusion and social oppression, collective trauma has been approached from a medicalizing, reductionist perspective, which disregards its structural roots. In contrast, it is proposed that its chronic nature be recognized, requiring political discussion, from which it would be important to legitimize traumatized people as specialists in the experience they have been through. With their protagonism, confronting trauma should involve both political strategies for creating collective mechanisms, emancipation and the struggle for structural changes, as well as clinical ones.","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e13922024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Women's, Children's and Adolescents' Health: studies on policies and care in the field of Public Health. 妇女、儿童和青少年健康：关于公共卫生领域政策和护理的研究。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 DOI: 10.1590/1413-81232026318.0802026

Ivia Maksud, Daniele Marano, Suely Deslandes, Breno de Oliveira Ferreira

引用次数: 0

The dramaturgy of a health emergency: women's lived experiences of the zika epidemic in Brazil. 突发卫生事件的戏剧性：巴西妇女对寨卡疫情的亲身经历。

IF 1.6 4区医学

Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-19 DOI: 10.1590/1413-81232026318.00582025

Debora Diniz, Luciana Stoimenoff Brito, Arbel Griner, Patricia Kingori

引用次数: 0