Women's health: vulnerability, health policies and nursing care in the COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v10i15.22453Keywords:
Nursing; Nursing Care; Health Polices; Pandemics; Coronavirus infections.Abstract
This article presents a systematized reflection and discussion around three guiding axes: the first discusses the vulnerability of women enhanced by the COVID-19 pandemic; in the second, it reflects on public policies for women's health in Brazil and COVID-19's coping strategies with the objective of maintaining women's health and mitigating the effects of the pandemic; and the third reflects on the nursing care for women in vulnerable situations in the face of the pandemic. The conclusion is that the COVID-19 pandemic has had a major impact on vulnerable women with countless consequences that add to the inequities and the many vulnerabilities that already exist. The post-pandemic scenario will require collective efforts to protect and guarantee the health of women in vulnerable situations, which are intertwined with the articulation of public policies with the specific procedures of health organizations; the participation of women in the formulation of these policies and nursing care.
References
Associação Brasileira de Obstetrizes e Enfermeiros Obstetras (ABENFO) & Sociedade Brasileira de Enfermeiros Pediatras (SOBEP) (2020). Nota Técnica referente aos cuidados da equipe de Enfermagem Obstétrica, Neonatal e Pediátrica diante de caso suspeito ou confirmado de COVID-19. https://sobep.org.br/covid-19-nota-tecnica-referente-aos-cuidados-da-equipe-de-enfermagem-obstetrica-neonatal-e-pediatrica-diante-de-caso-suspeito-ou-confirmado/
Brasil (2002). Ministério da Saúde. Gabinete do Ministro. Portaria nº 1060, de 5 de junho de 2002. Aprova, na forma do Anexo desta Portaria, a Política Nacional de Saúde da Pessoa Portadora de Deficiência. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2002/prt1060_05_06_2002.html
Brasil (2004). Ministério da Saúde. Política Nacional de Atenção Integral à Saúde da Mulher: princípios e diretrizes. https://bvsms.saude.gov.br/bvs/publicacoes/politica_nac_atencao_mulher.pdf
Brasil (2009). Presidência da República. Casa Civil. Decreto nº 7.053 DE 23 de dezembro de 2009. Institui a Política Nacional para a População em Situação de Rua e seu Comitê Intersetorial de Acompanhamento e Monitoramento, e dá outras providências. http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2009/decreto/d7053.htm
Brasil (2013). Ministério da Saúde. Política Nacional de Saúde Integral de Lésbicas, Gays, Bissexuais, Travestis e Transexuais. https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_lesbicas_gays.pdf
Brasil (2014). Ministério da Saúde. Diário Oficial da União. Portaria interministerial nº 1, de 2 de janeiro de 2014. Institui a Política Nacional de Atenção Integral à Saúde das Pessoas Privadas de Liberdade no Sistema Prisional (PNAISP) no âmbito do Sistema Único de Saúde (SUS). http://bvsms.saude.gov.br/bvs/saudelegis/gm/2014/pri0001_02_01_2014.html
Brasil (2011). Presidência da República. Secretaria de Políticas para as Mulheres. Política Nacional de Enfrentamento à Violência Contra as Mulheres. https://www12.senado.leg.br/institucional/omv/entenda-a-violencia/pdfs/politica-nacional-de-enfrentamento-a-violencia-contra-as-mulheres
Brasil. (2020). Ministério da Saúde. Covid-19 no Brasil. https://qsprod.saude.gov.br/extensions/covid-19_html/covid-19_html.html. Acesso em 08/07/2021
Do Carmo, M. E. & Guizardi, F. L. (2018). The concept of vulnerability and its meanings for public policies in health and social welfare. Cad. Saúde Pública (Online), 34(3), e00101417.
França, A. M. B. & Oliveira e Silva J. M. (2016). Women in vulnerable situation: a view from perspective of social phenomenology. Rev. Enferm. UFPE on line, 10(supl 2), 875-9.
Li, Q. et al. (2020). Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. N Engl J Med, 382(13), 1199-207.
Organização das Nações Unidas (2020). Diretrizes para atendimento em casos de violência de gênero contra meninas e mulheres em tempos da pandemia da COVID-19. https://www.onumulheres.org.br/wp-content/uploads/2020/08/Diretrizes-para-atendimento_ONUMULHERES.pdf
Organização Panamericana de Saúde. (2020). OPAS pede que países protejam grupos vulneráveis dos efeitos da pandemia. https://www.paho.org/bra/index.php?option=com_content&view=article&id=6175:diretora-da-opas-pede-que-paises-protejam-grupos-vulneraveis-dos-efeitos-da-pandemia-de-covid-19&Itemid=812
Rodrigues, A., Lacerda, L., & Francisco, R. P. V. (2021). Brazilian Obstetric Observatory. 8 Jul 2021. https://observatorioobstetrico.shinyapps.io/covid_gesta_puerp_br/
Santos, D. S. et al. (2020). Disproportionate impact of COVID-19 among pregnant and postpartum Black Women in Brazil through structural racism lens. Clin Infect Dis., ahead of print,1-9.
Silva, A. D. & Melo, S. L. P. (2021). Pandemia de covid-19 e população LGBTI+. (In)visibilidades dos impactos sociais. Sex., Salud Soc, 37, e-21202.
Tsai, J. & Wilson, M. (2020). COVID-19: a potential public health problem for homeless populations. Lancet Public Health,5(4), e186-e187.
Turale, S., Meechamnan, C., & Kunaviktikul, W. (2020). Challenging Times: Ethics, Nursing and the COVID-19 Pandemic. Int Nurs Rev., 67(2), 164-7.
United Nations (2020). Policy brief: a disability-inclusive response to COVID-19. https://unsdg.un.org/sites/default/files/2020-05/Policy-Brief-A-Disability-Inclusive-Response-to-COVID-19.pdf
Wenham, C., Smith, J. & Morgan, R. (2020). COVID-19: the gendered impacts of the outbreak. Lancet, 395(1027), 846–8.
World Health Organization. (2020a). Preparedness, prevention and control of COVID-19 in prisons and other places of detention: Interim guidance. https://apps.who.int/iris/bitstream/handle/10665/336525/WHO-EURO-2020-1405-41155-55954-eng.pdf?sequence=1&isAllowed=y
World Health Organization (2020b). Regional Office for South-East Asia. Continuing essential Sexual Reproductive, Maternal, Neonatal, Child and Adolescent Health services during COVID-19 pandemic. https://www.who.int/pmnch/media/news/2020/SRMNCAH.pdf?ua=1
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Monica Maria de Jesus Silva; Angelina Lettiere-Viana; Juliana Cristina dos Santos Monteiro; Flavia Azevedo Gomes-Sponhoz; Patrícia Scotini Freitas; Maria José Clapis
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
