Discurso dos(as) enfermeiros(as) da atenção básica sobre saúde sexual e reprodutiva das mulheres lésbicas

Abstract

Among the priority areas of Primary Health Care (PHC) is the attention on sexual and reproductive health, which must be offered to the population with ethics and humanization, being human rights that are part of public health policies. Refering for women, it reports that they can exercise their sexuality without repression and violence. However, countless people have their rights violated because of their sexual orientation. It cites here, the lesbians who often have their sexual and reproductive rights infringed within health services. Among the professionals who work in these services, the nurse is mentioned, who has an important role in the care and, therefore, should seek the improvement of their practices to provide a better assistance to the lesbians, within their demands and specificity. Thus, this research had the objective of characterizing the discourses of nurses who work in Primary Health Care (PHC) of Belém about sexual and reproductive health of the lesbians. The methodology used was exploratory with a qualitative approach, collected in the city of Belém in a UBS of each one of the 07 administrative districts of that capital. Participants were nurses that atued in these health sectors and that prested assistance to Ministry of Health programs that involved women's health. It were consulted a total of 23 nurses were consulted for the research. However, 10 discorded about the inclusion criteria, resulting in 13 nurses interviewed. The research happenned through a sociodemographic questionnaire, followed by a semi­structured interview script. The content analysis was according to the structure proposed by Bardin, perpassing for the steps of pre­analysis, material exploration, treatment of results, inference and interpretation. The results and discussions of this research were divided into four categories, the first about stereotypes involving lesbianity, the second reporting the need for training and qualification of these professionals, the third mentioning sexual health in primary care, and the fourth citing the reproductive rights of lesbians. Through this research it can characterize the discourse of these professionals, being fundamental to propose strategies for the reduction or eradication of some fragilities found such as heteronormativity in health care, lack of capacity, the stereotype that affect lesbians and the assistence question in sexual health and reproductive. All these themes were analyzed with theoretical bases, through discussions involving authors that discuss lesbianity, lesbian health, as well as publications of the Ministry of Health through its guidelines and concepts.