A política nacional de saúde integral de lésbicas, gays, bissexuais, travestis e transexuais: um estudo de revisão preliminar

Abstract

The present master's thesis in Social Work of the Federal University of Juiz de Fora has as its object the National Health Policy of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals (PNSI-LGBT), instituted by the Brazilian Ministry of Health, in 2011. The object of analysis consists of a preliminary analysis of the historical antecedents that focused on the legal frameworks that culminated in the said PNSI-LGBT, as well as an integrative review of the specialized literature on it. The specific objectives included the relevant aspects about how the issue of LGBT health emerges and in which political-ideological context the health portfolio incorporates the demands of this group; analyzed the historical context by locating the social subjects that contributed to the formulation of the policy; investigated the factors that contributed to the formulation of the LGBT PNSI if it was effective only in 2011; ; problematized support and what conditions prevent the effectiveness of LGBT PNSI. The methodological path used were: primary and secondary sources through the realization of documentary research that favored legislation related to LGBT PNSI, literature review prioritizing books, theses, dissertations, scientific articles on LGBT PNSI. In this sense, this research tried to carry out critical analyses on the contextualization and emergence of the PNSILGBT within the Unified Health System (SUS), presenting its advances, challenges and the current social, political and economic context that focuses on its operationalization and implementation during the period 2011 to 2019. The main points highlighted in this study, based on the analysis of the health policy of the LGBT population, through the integrative review, were, the heteronormative hegemonic model, structural and institutional homophobia and the lack of knowledge of health professionals in relation to the needs of the LGBT population, that is, the lack of professional training on health issues of LGBT people, as well as the PNSILGBT itself. The research showed that there are several reasons for the removal of the LGBT population from health services. For the most part, the reasons are, the environment of care, , contaminated by prejudice and discriminatory actions, which are based on the rigid heteronormative binary model, the absence of professional qualification on gender, sexuality, sexual identities and demands of LGBT health, the prejudice of health professionals to deal with these demands and also the cisheterosexist model that structure society and nullifies LGBT subjects.