Os sentidos do cuidado às mulheres trabalhadoras do sexo para Agentes Redutores de Danos

Abstract

The concept of vulnerability has been worked on in several areas of knowledge, in general, to refer to an invisible part of society. For the care of this population, we have the Damage Reducing Agents (ARD) as part of the team, which seeks to reduce the biological, economic and social losses of drug use, based on respect for this being, in view of the his right to use drugs. A group that demands the assistance of the ARD are sex workers, especially those who are in the pregnancy and puerperal period. The harm reduction strategy is structured based on the work of the ARD, where they are people who have been in situations of vulnerability and / or who are close to the population. These professionals are hired to work on damage prevention and health promotion, such as: guidance, provision of condoms, lectures, health training and promotion of rights. Objective: To understand the meaning of care for women sex workers for Harm Reduction Agents. Method: This is a qualitative study, with descriptive research. The research took place during the “Extension Course in Health and Sexuality for Harm Reduction Agents in the city of Belo Horizonte”. The results were obtained in the course and in individual interviews with three leaders of the ARD association. For data collection, a field diary was used with the main points discussed in the course, and a semi-structured interview script. Results and discussion: From the data collected, the following categories emerged: “Experiences of care with the broad public”, “Experiences of care with women sex workers” and “Conceptions and practices of ARD related to sexualities and sexual health and reproductive ”. About the first category, About the “Experiences of care for the broad public”, it is clear that the professionals have a well-defined way, the main functions of an ARD, which could be examined through reports of lived experiences with the population in a situation of vulnerability and experienced care. The category “Care experiences with cis and trans sex workers” is related to the ARD reports of care for cis women who were in the pregnancy and puerperal cycle, in addition to the experiences with care for trans women, related the unpreparedness of the multiprofessional team in assisting these women and coping strategies built by the ARD. Finally, in the category “Conceptions and practices of ARD related to sexualities and sexual and reproductive health” there is a discussion about the importance of using contraceptive methods and the description of the strategies used by these professionals for guidance on STI prevention . Conclusion: Perceives with the research a need to support public policies and family planning and reproductive actions more effective and directed to sex workers. Keywords: Sex work, harm reduction, health vulnerability