Roda de conversa: atenção integral à saúde das mulheres e questões de gênero

Abstract

History reveals that women's health in Brazil received attention in the early 20th century limited to aspects of pregnancy and childbirth. It is known that, in comparison with men, women seek health services more, in addition to having a longer life expectancy, being affected by various pathologies such as human beings and not only by reproductive aspects. Violence is practiced against women, either physically or emotionally and / or through unequal power relations, norms and gender values that translate into differentiated access and control over health resources, inside and outside families. Thus, discovering and understanding the need to address comprehensive care for women in a community that is assisted by an ESF unit that welcomes students of the Medicine course for practical activities, three undergraduate students at the Faculty of Medicine (FAMED) of the Federal University Alagoas (UFAL), supported by Collective Health professors, developed an Extension Project, in order to promote care related to Integral Attention to Women's Health (AISAM). The present work aims to report an experience in this extension that has as its central and triggering theme Women's Health, bringing the result of a conversation circle on the day of action in which biopsychosocial issues that pervade the health of these women were discussed. The theme was presented through presentation and interaction dynamics, moving on to the later realization for the conversation circle. The adopted method aims to debate recurring subjects in everyday life, through participatory practice with users of a Family Health Unit (FHU) field of internship and teaching at the university where the authors work. The conversation circle was held to integrate all those present in the action and establish a horizontal relationship, in an attempt to minimize the supposed superiority of academic knowledge. In order to boost dynamism, some triggering questions were elaborated by the members of AISAM and read by the women, with the intention of encouraging them to say what they thought about the subjects from their experiences. Then we started to discuss the facts, seeking to guarantee the users' right to speak. The wheels provided excellent discussions and experiences among members, both among women and theirs with the members of the AISAM team. In the exercise of speaking, people express their conceptual horizon, their intentions and worldview. It was noted in the speeches the importance of a space for discussing these issues in order to strengthen individual female autonomy and bring information to combat taboos that limit sexual and reproductive freedom. Thus, the fact that women get sick and / or die is not only linked to biological factors, being influenced by several factors, among them violence, which is a social phenomenon directly linked to the way of living. It was possible to perceive in the narratives of these women the social economic gap and the highlight of the influence of gender issues on their health -constantly present in their daily lives as gender, race, class and domestic violence. We understand the importance of the social phenomena mentioned and the severity of the distance from the University as a trainer of people, as well as future health professionals in this context.