Viver na rua e a atuação das redes em saúde

Abstract

This study deals with the care of homeless people living with HIV / AIDS. We sought to investigate the formal and informal care production networks. Networking is closely linked to the production of care especially when it comes to the most vulnerable populations. In the conceptual field, the term People in Street Situation (PSS) was generally constructed in place of others loaded with stigma and prejudice such as homelessness, beggar, as well as the search for recognition as subjects of rights. In the current Brazilian socioeconomic and political conjuncture, the existence of homeless people is a constant to be observed in large cities. A complex, multicausal phenomenon that requires thorough and careful look. Another phenomenon of importance for public health is the HIV / AIDS epidemic that over the decades has presented multiple dimensions and trends involving social, economic, cultural and behavioral aspects, its concentrated growth in some populations requires new strategies. The objective of the research was to analyze the performance of care production networks of people who are homeless in a territory of Fortaleza. This is a study with a qualitative approach that aimed to perform the analysis of networks of homeless people living with HIV / AIDS. The research scenario was Hospital São José and the non-governmental organization Spiritist Group Casa da Sopa, located in the Center of Fortaleza, territory with significant number of PSS. The construction of the data took place in two moments, the first with three subjects, two male and one female, using the semi-structured interview technique from a script, then mapping the subject's primary network and from the narratives observed the points of dialogue with the formal and informal network. The second moment was the mapping of the network, visits and interviews with 16 existing formal and informal institutions to provide care to PSS in Fortaleza's down town and surrounding areas. The analysis of the information took place through the analysis of hermeneutic networks and assumptions. It was observed that the network of the homeless population is diverse. It has its singularities and limitations, however, protagonizes the care. Each institution with its own way of doing, that has no “cake recipe” and it doesn´t happen only by guidelines and protocols. The finding of the study that draws attention is that the care network that now emerged from the subjects, was presented by equipment mainly from social assistance and NGOs. Health appeared shyly, demonstrating fragility in dealing with people living on the street. Historically the demands of the PSS were all directed to social assistance, the perspective of working in live networks presents possibilities to correct these misconceptions, fully embrace the subject, recognize their autonomy and the network they create, and share care without prejudice.