ABSTRACT
Objective: To analyze the challenges for exercising health advocacy to hospitalized children during the COVID-19 pandemic.Methods: This is an online descriptive-exploratory qualitative study. Participants were 28 nursing professionals enrolled in the subject Nursing in Health Care for Children and Adolescents in a graduate program at a federal university in northeastern Brazil. Data collection took place in June 2021 through a conversation wheel and press conference. As instruments, we used Google forms and a semi-structured script. The study was approved by the Research Ethics Committee. As an analysis method, Discursive Textual Analysis (DTA) was used. For data organization, Atlas.ti 8.4.15 software (Qualitative Research and Solutions) was used.Results: Two categories emerged: 1) Impacts of the pandemic on pediatric care and advocacy: child isolation and a health care scenario where children were placed in the background were observed. 2) Existing barriers that worsened with the health crisis: work overload, precarious structure and difficulty in working conditions were identified, which led to violations of children's rights and aggravated the overview of difficulties in the provision of pediatric services.Conclusion: The challenges for exercising health advocacy for hospitalized children during the pandemic, evidenced by the impacts and barriers to care, have expanded health teams' work, making the exercise of advocacy in pediatric care even more difficult. It is necessary to rethink and adjust access and care policies after the pandemic to ensure that child care is not restricted.
ABSTRACT
Objetivo: comprender las rupturas biogr??ficas provocadas por la pandemia del COVID-19 en adolescentes y j??venes hombres trans y personas transmasculinas en el contexto de Brasil. M??todo: estudio cualitativo ??? encuesta en l??nea ??? multic??ntrico. Participaron 97 hombres trans y 22 personas transmasculinas autoidentificadas, que respondieron un formulario semiestructurado en dos etapas. Los datos se sometieron al An??lisis de Contenido Tem??tico Reflexivo. La interpretaci??n se realiz?? sobre una base sociol??gica a partir del concepto de ruptura biogr??fica. Resultados: surgieron cinco categor??as: interrupci??n de la terapia hormonal, cirug??as y seguimiento especializado;malestares precipitados por la interrupci??n de las caracter??sticas masculinas, autoimagen, autopercepci??n e identidad;vulnerabilidad por la p??rdida de familiares y seres queridos, empleo y debilitamiento de las redes de apoyo;aparici??n de problemas psicoemocionales, como la p??rdida del sentido de la vida;demandas de atenci??n de enfermer??a y valoraci??n de la vida de adolescentes y j??venes transexuales en el pospandemia. Conclusi??n: las rupturas biogr??ficas provocadas por la pandemia amenazaron las identidades de los hombres trans y personas transmasculinas adolescentes y j??venes, produjeron degradaci??n y discontinuidad de las biograf??as, llev??ndolas a perder el sentido de la vida. Los profesionales de enfermer??a pueden ser estrat??gicos e imprescindibles en la superaci??n de estas amenazas al promover una intervenci??n anticipada.
ABSTRACT
Objective: to analyze racial biases in the context of morbidity and mortality due to COVID-19 of Brazilian pregnant women from an intersectional perspective. Method: an ecological, documental study using epidemiological bulletins intended to monitor the novel coronavirus in Brazil. Data were collected in March and April 2021 and analyzed using descriptive statistics mediated by the intersectional theory-based methodology. Results: Afro-descendant pregnant women presented an average prevalence rate of 65.18% hospitalizations and 70.85% deaths due to COVID-19 in 2020. On the other hand, the average prevalence rate of hospitalizations and deaths among Caucasian pregnant women was 32.32% and 27.23%, respectively. Conclusion: A greater difficulty to access prenatal care, a high prevalence rate of comorbidities, poor working conditions and impossibility to leave work during the pandemic, institutional racism, and necropolitics adopted by the Brazilian government are potential explanations for the vulnerable context faced by this population © All Rights Reserved.
ABSTRACT
Introduction: Due to the historical inequality, the COVID-19 pandemic has impacted social groups differently, which calls for special assistance to ethnic-racial minorities living in a situation of vulnerability. In light of this, this study is aimed to analyze the vulnerability of the black population in Brazil to the evolution of the COVID-19 pandemic. Materials and Methods: A quantitative descriptive study following a documentary method was conducted based on the coronavirus disease epidemiological bulletins published by the Brazilian Ministry of Health. Two variables were assessed from epidemiological bulletins regarding race/color: hospitalizations for severe acute respiratory syndrome and deaths due to COVID-19. Results: A steady increase in rates of hospitalization for severe acute respiratory syndrome (from 23.9% to 54.7%) and death (from 34.3% to 61.3%) was observed among the black population in bulletins 9-18, contrary to the steady decrease in rates of hospitalization (from 73% to 43.3%) and death (from 6.29% to 36.5%) among the white people. It was also found that black people are more likely to be hospitalized for SARS infection and death due to COVID-19 in Brazil, suggesting that they are at a higher vulnerability. Discussion: This unfavorable scenario for the black population is considered to arise from the difficulty or impossibility of social integration, the prevalence of comorbidities that trigger severe COVID-19 forms, difficulties in accessing healthcare services and institutional racism. Conclusion: The implementation of a social protection network is necessary to reduce the disease infection and the mortality of the virus. 2021 © adno.no