Polícia penal e gestão: assistência à saúde a mulheres privadas de liberdade em Tocantins

Abstract

The Brazilian Constitution of 1988 guaranteed the right to health to all people without distinction, including those deprived of their liberty, considering them equally holders of human and social rights. In order to guarantee access to comprehensive care by people deprived of their liberty in the prison system in the Unified Health System (SUS), the National Policy for Comprehensive Health Care for People Deprived of Liberty in the Prison System (PNAISP) was established. The research aimed to understand the flow of health care for people deprived of their liberty residing in the Palmas Women's Penitentiary Unit and the Miranorte Women's Penitentiary Unit. This is a qualitative, descriptive and exploratory research. The main objective was to understand the flow of health care for people deprived of their liberty, from the perspective of Prison Managers and Police Officers. The following participants participated in the research: Prison Managers (n=2), Primary Care Managers (n=2), State Managers (n=2) and Prison Police Officers (n=10). Semi-structured interviews were used as a data collection instrument, which were then transcribed and analyzed and interpreted using the Thematic Analysis method. In the end, five categories emerged: description of the provision of care; comprehensive care; care in the Health Care Network; main problems; and the knowledge of the actors about the Policy. The study demonstrated that the actions developed in the Penal Units studied reproduce the biomedical-welfare model, and also a lack of health promotion actions; lack of knowledge, or even limited knowledge, on the part of the actors involved about the National Policy for Comprehensive Health Care for Persons Deprived of Liberty in the Prison System; dialogue between health and justice must be achieved for the actual operationalization of the Polic