Beyond the transitioning process: design and implementation of a depathologizing and comprehensive trans and travesti health service in the primary health care context in the city of Porto Alegre (Rio Grande do Sul)

• Autor(a) principal: Lucena, Marcelle Medeiros
• Data de Publicação: 2022
• Outros Autores: Ferreira, Guilherme Gomes, Floss, Mayara, Melo, Diego Azevedo Conte de
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2873
• topic: Transsexualism; Gender Identity; sexuality; Primary Health Care; Unified Health System; Transexualidad; Identidad de Género; sexualidad; Atención Primaria de Salud; Sistema Único de Salud; Transexualidade; Identidade de Gênero; Sexualidade; Atenção Primária à Saúde; Sistema Único de Saúde

Problem: Transgender people and travestis constitute an extremely vulnerable population in several social spheres, including the institutional one. In health, this process is no different, with numerous barriers to the health demands of this population. This lack of care contradicts the current legislation, the very foundation of the Brazilian public health system (Sistema Único de Saúde — SUS), and even health care policies for the LGBTQIA+ population. The expansion and strengthening of this population's care network move toward historical reparation and reducing inequities, which are systematically violated in our current social structure. This work aims to report the experience of creating the Gender Identity Outpatient Clinic (Ambulatório de Identidade de Gênero — AMIG) of Conceição Hospital Group (Grupo Hospitalar Conceição), a comprehensive and depathologizing service for trans and travesti health care in the primary health care context of SUS. Methods: This is a qualitative descriptive study. We performed documentary research on minutes and materials produced during the implementation, as well as observations made by the researchers, such as field journals, resulting from their participation in this process. Data were analyzed through content analysis to synthesize and process the information collected. Results: Specific services for the trans and travesti population are necessary because they work to remedy historical inequities experienced by this population. The design and operationalization of this service allowed us to revisit stages of a complex and not always linear process, with challenges including transphobia. Conclusions: Strengthening the service itself and the health care network for this population will require continuing education for professionals, as well as incentives from the institutions involved in this process. The formalization of the project, the increasing participation of the population and social movements, and the promotion of educational and training actions are perspectives to be considered in the next steps of this journey.