Aos trancos e barrancos: uma análise do processo de implementação e capilarização do processo transexualizador no Brasil

• Autor(a) principal: Santos, Márcia Cristina Brasil
• Data de Publicação: 2020
• Outros Autores: [e-mail]
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/18382
• topic: Transexualizing Process in Brazil; Judicialization of the Transexualizer Process; Health Care for Transsexual People in SUS; Implementation of the Transexualizer Process in Brazil; Processo Transexualizador no Brasil; Transexualidade; Judicialização do Processo Transexualizador; Assistência à Saúde de Pessoas Transexuais no SUS; Implementação do Processo Transexualizador no Brasil; CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL

This is a study that aims to analyze the trajectory of institutionalization and implementation of the Transsexualizing Process in Brazil throughout its first 10 years of existence, without disregarding the period, before 2008, in which transgenitalization surgeries were offered to trans people on an experimental basis by the four pioneer university hospitals in this care modality in the country. Thenceforth, we sought to examine the historical constitution of the program between 2008 and 2018, which identified the role played by the Judiciary, the LGBTIQ+ Social Movement, the Ministry of Health, the Professionals/Coordinators and the Researchers, without failing to consider the years prior to the institutionalization of the Program, having as its initial milestone the year 1997, when the Federal Council of Medicine authorized physicians to perform these procedures on an experimental basis. Throughout this study, we sought to investigate the implementation and conduction of this program in the five university hospitals, since the HC of the Federal University of Pernambuco began to perform this care only in 2014, seeking, in this process to understand how the relationship between these units and the management institutions of the SUS took place, as well as trying to identify why the program did not have the full membership of the Health Departments of the states and municipalities for its decentralized implementation. During the study, a field research was undertaken in five states where the university hospitals that conduct the care were visited, in which interviews were conducted with the coordinators and professionals involved in the care. The Ministry of Health was also visited in Brasilia, where it was possible to interview some former policy managers. Throughout the research, some leaders of the social movement were interviewed, as well as some researchers directly involved in the process of building the program and Judge Roger Raupp Rios. Thus, we tried to understand the limits and possibilities of effecting the transsexualizing process as a program of the Unified Health System, and as such, participate in the difficulties that permeate the implementation of this policy since its institutionalization in the 1990s. Among these limits, we sought to point out the characteristics of social formation in Brazil and the historical and cultural difficulties that the country has in dealing with diversity. We sought to situate these difficulties in the milestones of a reality crossed by the logic of state counter-reform and consequent definancing of public social policies in a context of capitalist crisis. In this sense, we sought to understand the limits and weaknesses of the SUS, understanding them as the result of the privatist logic and the interests of national and supranational political and economic power agencies in denying the universal right to health, based on the orientation of minimization of the state in the provision of policies for protection and social security.