https://repositorio.ufba.br/handle/ufba/523 2026-05-19T09:01:40Z 2026-05-19T09:01:40Z Barros, Lucas Novais https://repositorio.ufba.br/handle/ri/44493 2026-05-18T11:39:16Z 2025-09-22T00:00:00Z

Entre milagres, pedras preciosas e manchas vermelhas na parede: tessituras entre cultura e território na produção de cuidado a usuários de saúde mental do município de Seabra, Bahia. Barros, Lucas Novais Torrenté, Mônica de Oliveira Nunes de The present study aimed to analyze the production of care for users of the Psychosocial Care Network (RAPS) in the city of Seabra, Bahia, and its articulation with the culture in the territory. To this end, it prioritized the characterization of formal and informal care practices, the mapping of territories and spaces of care, both within and outside health services, and the identification of the repercussions of sociocultural aspects on the provision of care in the daily lives and relationships of these users. The methodology adopted a qualitative, descriptive, and exploratory approach through multisituated ethnography, using participant observation (or observant participation), interviews, and field journal as data production techniques. With inclusion and exclusion criteria, three users and some actors involved in their care production were selected. They were followed for seven months, between 2024 and 2025, based on their narratives and trajectories through formal (health services) and informal (their homes and streets) networks. Based on a hermeneutic analysis, the study presented an ethnographic description of the context of CAPS, RAPS, and the cases of the three users based on the researcher's experiences as a psychologist and citizen of Seabrense, which resulted in three categories of analysis. The first highlighted the formal and informal care practices produced in the itineraries of these three cases. Among the results, we highlight the presence of practices aligned with an ambulatorial logic, anchored in biomedical rationality and contributing to an approach focused on medicalization, pathologization, and social exclusion. The presence of other care practices was evident, such as those produced by the researcher and the users themselves, which focused on emancipatory care based on aspects of otherness, geared toward encounters and affections. In the second category, some sociocultural aspects were demonstrated from an intersectional perspective, circumscribed in the daily routine of services, relationships, and territories, such as: the local value system based on christian morality, which produced an ambiguous relationship of care with users, in addition to the so-called “culture of gossip,” which materialized as a practice of socialization through which information about these people actively circulated throughout the city, producing spaces of care and reproduction of stigmas. In the third category, it was highlighted how functional and symbolic territories produced experiences based on sociocultural, historical, and affective values. Therefore, these experiences revealed exclusion and stigma based on colonialism of being, knowledge, and power, contributing to the intersection of experiences based on race/color, gender, and class as structuring factors in the experience of daily suffering, illness, and the production of new meanings of life. In general, the relevance of understanding the complexity present in care practices produced in mental health itineraries was highlighted. When territorial and cultural aspects inherent to small towns and rural areas are highlighted, such practices become even more complex and may be paths for prioritizing mental health issues in political agendas and in the production of new practices and encounters. Universidade Federal da Bahia Dissertação

2025-09-22T00:00:00Z Ricardo, Daniel Fernando Batista https://repositorio.ufba.br/handle/ri/44492 2026-05-15T14:03:00Z 2025-08-27T00:00:00Z

Atenção Primária à Saúde, governança comunitária e extensão universitária na resposta à COVID-19: estudo de caso de Puerto Padre, las Tunas, Cuba. Ricardo, Daniel Fernando Batista Esperidião, Monique Azevedo Cuba was considered a successful experience in facing the COVID-19 pandemic due to several aspects, such as the existence of a coping plan with integrated actions to strengthen Primary Health Care and articulation of society with the government. In the municipality of Puerto Padre, Las Tunas province, Cuba, the articulation between Primary Health Care, community governance and university extension proved to be a central strategy to face the health crisis. The objective of this research was to analyze this integration in coping with the COVID-19 pandemic between 2020 and 2022. The experience of the Cuban municipality is analyzed through a qualitative and descriptive approach, which involved the application of electronic forms to community representatives, Primary Health Care professionals, students and professors of the Medical Sciences campus of Puerto Padre. The results are presented in two articles. The first showed that the integration between Primary Health Care, the active participation of the community and intersectoral collaboration played a key role in the municipality's response to COVID-19, demonstrating the effectiveness of a health model based on solidarity and popular participation. In the second, university extension, envolving the work of students and professors in the municipality, played an essential role in epidemiological surveillance, in the promotion of health and education of the population. In general, this study highlights the relevance of Primary Health Care as the basis of a resilient health system prepared for future health crises, being a lesson that can be learned by other countries. Universidade Federal da Bahia Dissertação

2025-08-27T00:00:00Z Silva, Ana Maria Miguez https://repositorio.ufba.br/handle/ri/44491 2026-05-15T14:02:28Z 2025-02-21T00:00:00Z

Perfil dos casos de violência sexual no Brasil: uma análise das desigualdades de 2011 a 2021. Silva, Ana Maria Miguez Ramos, Dandara de Oliveira Objective: The main objective of this study was to analyze the profile of sexual violence cases in women reported in health units in Brazil, aiming to understand their relationship with various social markers, as well as the connection of these markers with the outcome of pregnancy resulting from rape. Method: This is a descriptive, observational, cross-sectional study with individualized data, developed from reports of violence made in health units across all municipalities in Brazil, recorded in the Notifiable Diseases Information System (SINAN – Violence and Accidents Information System/VIVA), during the period from 2011 to 2021. To investigate the profile of violence victims, an approach combining descriptive analysis and multiple logistic regression was used. Results: The results indicate that factors such as repeated violence, race/ethnicity, disability, and educational adequacy differ significantly among reported rape cases. The presence of repeated violence, in particular, was a factor significantly associated with different proportions of reported rape cases, while the absence of data on repeated violence and the mismatch of age and education were more prevalent among reported sexual violence cases. Conclusion: The study concludes that sexual violence against women is a complex phenomenon that requires an intersectional analysis to understand how vulnerabilities experienced in Brazil, such as gender, race, and social class, influence violence. Universidade Federal da Bahia Dissertação

2025-02-21T00:00:00Z Newlands, Ana Clara Tupam https://repositorio.ufba.br/handle/ri/44490 2026-05-15T14:01:57Z 2025-05-09T00:00:00Z

Atenção Farmacêutica na Rede de Atenção Psicossocial do município de Salvador. Newlands, Ana Clara Tupam Costa, Ediná Alves Pharmaceutical assistance is still an evolving field in Brazil. Historically, it has focused on technical and managerial activities, though there has been a shift in the last decade that recognizes the importance of the technical and assistive roles of pharmaceutical professionals. This dissertation approaches pharmaceutical care as technical-assistive practices, including clinical activities as concrete actions within care practices. The study is divided into two parts, comprising three stages. The first part, consisting of a single stage, involved conducting an integrative literature review on the topic of pharmaceutical assistance in mental health in Brazil. A significant number of articles addressed the use of psychotropic medications, but there was little academic production concerning pharmaceutical care in mental health. The few studies that explored care practices indicated that the work of these professionals still revolves around technical and managerial demands. The second part, divided into two stages, focused on a single case study of Pharmaceutical Assistance and Care within Salvador's Mental Health Care Network (RAPS). The first stage of this part involved an exploratory study of the network, analyzing the distribution of outpatient units based on Donabedian's theoretical framework, with an emphasis on geographical accessibility. This stage identified low coverage of psychotropic dispensing services; among 184 RAPS units, only 35 offered such services, with one-third of these units concentrated in three of the twelve health districts in the city. This situation presents a scenario of socio-spatial inequality. Finally, informed by the findings of the exploratory study, the third and final stage involved conducting interviews with pharmacists from the twelve health districts in Salvador. The analysis of the results followed Bardin's (2011) theoretical-methodological framework. The results of these interviews echoed the literature’s findings, showing limited engagement in clinical activities among the services. Pharmacists cited a lack of minimal structural conditions necessary for these activities. Even those able to perform some clinical functions prioritized managerial actions in their professional practice. This dissertation's findings indicate a limited role for pharmacists in mental health beyond management activities. This situation proves detrimental to promoting the appropriate use of psychotropic medications and requires special attention from public health policy decision-makers. Universidade Federal da Bahia Dissertação

2025-05-09T00:00:00Z