[Women's health in violent situations: municipal administrative roles and decision-making in the Brazilian public health system].
The aim of this study was to investigate the role of health management staff concerning the health of women facing violent situations and the impact these roles have on decisions concerning health measures targeting these women. The study employed a qualitative, descriptive methodology including 18 health management staff members from three municipalities classified as having fully autonomous municipal management systems under the Unified National Health System (SUS) in Greater Metropolitan Recife, Pernambuco State, Brazil. Staff members were divided into three distinct groups according to their opinions on women in violent situations and women's health interventions. However, the three groups were convergent with respect to their roles in determining decisions on health actions for these women. The health management staff's commitment to the feminist movement proved to be the most relevant factor. Common issues among staff members, such as the problem of public health and quality of living, or more technically, the cost-benefit issue, did appear as key arguments.
Porto
Madge
M
Gerência de Eqüidade de Gênero, Secretaria de Cidadania e Assistência Social do Estado do AcreAC, 69915-300, Brasil. madgeporto@ig.com.br
McCallum
Cecilia
C
Scott
Russell Parry
RP
de Morais
Heloísa M Mendonça
HM
D022126:Access to Information; D001938:Brazil; D003153:Community Health Services / Q000458:organization & administration*; D003657:Decision Making; D003695:Delivery of Health Care / Q000458:organization & administration; D005260:Female; D019513:Feminism; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D009111:Local Government; D016730:Program Development; D014504:Urban Health; D014754:Violence / Q000517:prevention & control*; D016387:Women's Health