Itinerário terapêutico de pessoas quilombolas com sinais e sintomas sugestivos da Covid-19

Abstract

The Therapeutic Itinerary (TI) can be characterized as the set of care practices and strategies adopted by people and families, encompassing the motivation that directs the search for care, which is associated with the sociocultural context and the availability of resources. To describe the TI of quilombola people with signs and symptoms suggestive of Covid-19. This is a descriptive study, with a qualitative approach, whichhad Madeleine Leininger's Transcultural Theory of Care astheoretical support. To contextualize the object of study, we sought to deepen the themes: Therapeutic Itinerary in thesearch for health care, living conditions and health of the black population in Brazil. The studywas carried out in the quilombola community of Praia Grande, located on Ilha de Maré, in Salvador-BA, with twenty-six respondents who showed signs and symptoms suggestive of Covid-19. Data were collected from December/2021 to January/2022 through semi-structured interviews, after approval of the research by the Research Ethics Committee of the Federal University of Bahia, under protocol No. 5,138,214. For data processing, Bardin's thematic content analysistechnique was used. The perceptions about the flu symptoms presentedin the pandemic period are plural and range from biological factors to problems and needs related to the social and geographic context of the community, which also influence the construction of the IT. With this study, we allowed the Quilombo population to share their experiences and express the difficulties faced in accessing health services in the formal subsystem, which served as a diagnosis of the weaknesses and inadequacies of this subsystem. There is a need to develop public policies that guarantee the quilombolacommunity of Praia Grande full access to services offered by the formal system, enabling the achievement of congruent care referred to by Leininger.