Cuidado em saúde de mulheres trans e travestis: narrativas de trabalhadores/as da saúde e usuárias da Atenção Básica no interior do Amazonas

Abstract

The LGBTQIAP+ population has, over time, fought tirelessly to resist social erasure, especially trans women and transvestites. In recent years, many projects and laws have been established with the aim of eradicating this erasure, but above all, offering them a sense of social belonging. Brazil is a country where the formulation of the few public policies aimed at the LGBTQIAP+ population arises from the tireless work of social movements that mobilize, especially the judiciary, to reflect on the various forms of discrimination, denial, prohibitions and constraints suffered by trans women and transvestites, who are identified as those who face the most barriers to accessing health services, from basic care to highly complex care. Most studies on trans health focus on urban areas, leaving a significant gap in understanding the needs of this population in rural and remote contexts. The general objective of this study was to understand the health care processes in Primary Care for trans and transvestite women in the city of Manaquiri, Amazonas, in 2023. This is a qualitative, descriptive and exploratory study, where we chose to investigate oral reports as a way of understanding the experiences of health service workers and users, especially through their practices, experiences and criticisms. The work was carried out in the municipality of Manaquiri, located 160 km from the capital of the state of Amazonas, Manaus, considered the 62nd largest municipality in territorial extension in the state. The participants in this research were workers working in the care and management area of the UBS and UBAS and trans and transvestite women who use the services offered by the basic units. In total, 17 workers working in care, 05 workers working in management positions and 04 trans/transvestite women residing in the municipality were interviewed. The workers were divided into the three Basic Health Units (UBS) located in the area. Data analysis followed the proposal of Gomes and Mendonça (2002), as they formulate sequential phases that allow for a clear and objective analysis of the data. In the end, we consider that it is imperative to promote inclusive and functional strategies, with daily practices of health care for trans women and transvestites in primary care. These practices should be guided, above all, by the (re)cognition of the reality of these bodies in different territories, in order to join forces to minimize the annihilation already suffered throughout their lives and open the main gateway to SUS services for trans women and transvestites.