Integral health care production for lesbian and bisexual women in the West Zone of Rio de Janeiro
Sexual and gender minorities; Lesbian and bisexual women; Health; Comprehensive health care; Subjectivity
Health is guaranteed as a human right, and as such, it is an instrument of transformation aimed at social justice, related to full citizenship and equality. Therefore, it is linked to the guarantee of the right to equality, since respect for differences is presupposed for this. In the Brazilian context, based on the Federal Constitution, the human right to health is understood as a social right inherent to every citizen, without distinction of any nature, based on the pillars of university, comprehensiveness and equity. For this reason, the State has the duty to integrate the right to health into various public policies. However, the dynamics of stigma and discrimination against the LGBTQIA+ population are materialized and symbolic barriers that prevent access to health in their territory. In recent decades, we have witnessed many advances regarding the comprehensive health of the LGBTQIA+ population, with resolutions, policies and historic official documents that reaffirm the ethical-political commitment of the Unified Health System (SUS) to provide access to all, in a comprehensive manner and without discrimination of any nature. However, lesbian and bisexual women still suffer from invisibility in their specific health issues, as well as being susceptible to various forms of prejudice, discrimination and stigma in accessing health care. In this sense, this project aims to understand the reality of the production of comprehensive health care for lesbian and bisexual women in the West Zone of Rio de Janeiro. This is a qualitative study that, through action research, aims to align an ideal of social transformation and knowledge production. Together with semi-structured interviews with health professionals from public services in the West Zone of Rio de Janeiro, it seeks to collect data and analyze them through intersectionality. Through its analysis, the aim is to know and understand the intersections of the various identities and social markers of difference in the production of health care for the lesbian and bisexual female population in the territory to be researched.