The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis

Detalhes bibliográficos
Autor(a) principal: Krawczyk, Noa
Data de Publicação: 2017
Outros Autores: Kerrigan, Deanna, Bastos, Francisco Inácio Pinkusfeld Monteiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/58000
Resumo: This work was conducted with the support of the Fulbright U.S. Student Program and by a grant by the National institute of Drug Abuse (T32-DA007293, PI: Renee Johnson).
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spelling Krawczyk, NoaKerrigan, DeannaBastos, Francisco Inácio Pinkusfeld Monteiro2023-04-26T16:24:10Z2023-04-26T16:24:10Z2017KRAWCZYK, Noa; KERRIGAN, Deana; BASTOS, Francisco Inácio Pinkusfeld Monteiro. The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis. International journal of health services, v. 47, n. 3, p. 477-488, 2017.0020-7314https://www.arca.fiocruz.br/handle/icict/5800010.1177/0020731416679351This work was conducted with the support of the Fulbright U.S. Student Program and by a grant by the National institute of Drug Abuse (T32-DA007293, PI: Renee Johnson).Johns Hopkins Bloomberg School of Public Health. Department of Mental Health. Baltimore, USA.Johns Hopkins Bloomberg School of Public Health. Department of Mental Health. Baltimore, USA.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Calls to address crack-cocaine use in Brazil among homeless and street-frequenting populations who are in urgent need of health services have questioned the capacity of the Brazilian Unified Health System to attend to the nation’s most marginalized citizens. In recent years, Brazil has launched several actions to escalate care for substance users, yet many obstacles hindering accessibility and effectiveness of services remain. Paradoxically, these actions have been implemented in the context of a growing economic crisis, and expanding services for a population of poor and stigmatized substance users while cutting other government programs tends to elicit harsh criticism from citizens. In consequence of such prospects, this commentary aims to discuss barriers marginalized substance users face in accessing health services that are at risk of worsening with government cutbacks. Using Rio de Janeiro as an example, we explore two primary issues: the resource-strained, under-staffed and decentralized nature of the Brazilian Unified Health System and the pervading stigma that bars vulnerable citizens from official structures and services. Abandoning initiated government efforts to increase access to health services would risk maintaining vulnerable citizens at the margins of public structures, inhibiting the opportunity to offer this population humane and urgently needed treatment and care.engConnecticut Greenwood PeriodicalsThe Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleSubstance abuse servicesUniversal healthCrack-cocaineMental health servicesMarginalized groupsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
title The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
spellingShingle The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
Krawczyk, Noa
Substance abuse services
Universal health
Crack-cocaine
Mental health services
Marginalized groups
title_short The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
title_full The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
title_fullStr The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
title_full_unstemmed The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
title_sort The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis
author Krawczyk, Noa
author_facet Krawczyk, Noa
Kerrigan, Deanna
Bastos, Francisco Inácio Pinkusfeld Monteiro
author_role author
author2 Kerrigan, Deanna
Bastos, Francisco Inácio Pinkusfeld Monteiro
author2_role author
author
dc.contributor.author.fl_str_mv Krawczyk, Noa
Kerrigan, Deanna
Bastos, Francisco Inácio Pinkusfeld Monteiro
dc.subject.en.en_US.fl_str_mv Substance abuse services
Universal health
Crack-cocaine
Mental health services
topic Substance abuse services
Universal health
Crack-cocaine
Mental health services
Marginalized groups
dc.subject.en.none.fl_str_mv Marginalized groups
description This work was conducted with the support of the Fulbright U.S. Student Program and by a grant by the National institute of Drug Abuse (T32-DA007293, PI: Renee Johnson).
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2023-04-26T16:24:10Z
dc.date.available.fl_str_mv 2023-04-26T16:24:10Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv KRAWCZYK, Noa; KERRIGAN, Deana; BASTOS, Francisco Inácio Pinkusfeld Monteiro. The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis. International journal of health services, v. 47, n. 3, p. 477-488, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/58000
dc.identifier.issn.en_US.fl_str_mv 0020-7314
dc.identifier.doi.none.fl_str_mv 10.1177/0020731416679351
identifier_str_mv KRAWCZYK, Noa; KERRIGAN, Deana; BASTOS, Francisco Inácio Pinkusfeld Monteiro. The Quest to Extend Health Services to Vulnerable Substance Users in Rio de Janeiro, Brazil in the Context of an Unfolding Economic Crisis. International journal of health services, v. 47, n. 3, p. 477-488, 2017.
0020-7314
10.1177/0020731416679351
url https://www.arca.fiocruz.br/handle/icict/58000
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Connecticut Greenwood Periodicals
publisher.none.fl_str_mv Connecticut Greenwood Periodicals
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/58000/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/58000/2/va_Krawczyk_Noa_etal_ICICT_2017.pdf
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