Utilização de serviços de saúde por imigrantes haitianos na grande Cuiabá, Mato Grosso

• Autor(a) principal: Alves, Jenniffer Francielli de Sousa
• Data de Publicação: 2016
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Biblioteca Digital de Monografias da UFMT
• Texto Completo: http://bdm.ufmt.br/handle/1/154
• topic: CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA; Migração internacional; Haiti; Uso de serviços de saúde; International imigration; Haiti; Use health of services

The immigration phenomenon has highlighted the fragility of the structure and the country's lack of preparation in health care for immigrants and also the lack of public policies for this population. There are few studies that evaluate the health status of this population group, as has being a recent phenomenon. Therefore, there is the need for the profile analysis of the health services use which, in turn, would contribute to the planning of actions the health needs efficiently, respecting the uniqueness of this people. This study aims to analyze the use of health services by resident Haitian immigrants in Cuiabá, Mato Grosso, Brazil. A cross-sectional exploratory study was developed, with a probabilistic sample of 452 Haitian immigrants residents in Cuiaba and Várzea Grande. Haitians answered a questionnaire with demographic, health and use of health services information. The following variables were analyzed: age (measured in years and classified into age groups); individual income (in reais, for the last month); education (in years); languages you speak/understand; How long lived in Brazil; If you ever needed to use any health service (yes/no); and what types of services and their nature (public/private). Data collection took place between December 2014 and February 2015 and was approved by the University Hospital of the Ethics Committee Julius Muller UFMT. The SPSS software was used for data analysis. Four hundred fifty-two Haitians was interviewed (82.5% male). Approximately half of the respondents earned between one and two minimum wages (46.0%) and a significant proportion reported having not got no income (30.1%). The highest percentage of women who reported having used some health service in Brazil when compared to men (65.8% vs 41.3, p <0.01). In addition, there was a greater prevalence of use of health services among those with higher income, with better understanding of the Portuguese, who dominated Haitian Creole and two or more languages and living more time in Brazil (p <0.05 for all variables). Regarding the types of services and their nature, 18.6% used public emergency care service; 21.5% used Basic Unit of Health Services (UBS) Public; only 1.2% said they had used private emergency care. It was noted that there are inequalities between genders regarding the use of health services, higher demand among women. Thus, there is a need for actions aimed at male emphasizing the importance of prevention of diseases and disorders. Some theorists suggest that individuals with better understanding of Portuguese, most use the health services, however, we must consider that the language domain is directly associated with the residence time in the host country, was found in this study that the Portuguese domain It was not associated with the use of health services, after adjusting for the residence time in Brazil. Thus, there is the need for empowerment of migrants on their rights and also on how it is organized health services network in Brazil. Furthermore, continuing education activities for health professionals on health care in relation to immigrant and develop other forms of communication beyond verbal language can assist in better access of this population group to health services.