The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro

From the theoretical perspective of the cartography of the micropolitics of living labor in action, the objective was to analyze the work process of the “street clinic” team based in a primary care unit in the city of Rio de Janeiro, Brazil, in the management of tuberculosis cases in the context of...

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Main Authors: Aline Azevedo Vidal, Karla Santa Cruz Coelho, Emerson Elias Merhy
Format: Article
Language:English
Published: Instituto de Salud Colectiva, Universidad Nacional de Lanús 2024-03-01
Series:Salud Colectiva
Subjects:
Online Access:https://revistas.unla.edu.ar/saludcolectiva/article/view/4774
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author Aline Azevedo Vidal
Karla Santa Cruz Coelho
Emerson Elias Merhy
author_facet Aline Azevedo Vidal
Karla Santa Cruz Coelho
Emerson Elias Merhy
author_sort Aline Azevedo Vidal
collection DOAJ
description From the theoretical perspective of the cartography of the micropolitics of living labor in action, the objective was to analyze the work process of the “street clinic” team based in a primary care unit in the city of Rio de Janeiro, Brazil, in the management of tuberculosis cases in the context of the Covid-19 pandemic. This is an exploratory qualitative research. Between May and December 2021, seven professionals from the street clinic team were interviewed, and participant observation was conducted with field diary records. Three thematic axes emerged from the interviews related to people experiencing homelessness in the context of the Covid -19 pandemic: 1) Challenges, potentialities, and weaknesses of tuberculosis care; 2) Building intersectoral care networks for monitoring individuals with tuberculosis; and 3) The street as a space for care production: the work process of the street clinic in tuberculosis management. It is concluded that caring for people experiencing homelessness with tuberculosis in the context of the Covid -19 pandemic requires not only managing clinical protocols but also building shared work with the intra and intersectoral network. In addition to the task of being in the territory, the outpatient service in the territory must also be a street outpatient service, especially regarding tuberculosis treatment.
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spelling doaj.art-c08ebe75ad254b99a5284519df8230c52024-03-08T21:21:12ZengInstituto de Salud Colectiva, Universidad Nacional de LanúsSalud Colectiva1669-23811851-82652024-03-012010.18294/sc.2024.4774The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de JaneiroAline Azevedo Vidal0https://orcid.org/0000-0003-3586-5912Karla Santa Cruz Coelho1https://orcid.org/0000-0003-4943-4814Emerson Elias Merhy2https://orcid.org/0000-0001-7560-6240Prefeitura da Cidade do Rio de Janeiro Universidade Federal do Rio de Janeiro Universidade Federal do Rio de Janeiro From the theoretical perspective of the cartography of the micropolitics of living labor in action, the objective was to analyze the work process of the “street clinic” team based in a primary care unit in the city of Rio de Janeiro, Brazil, in the management of tuberculosis cases in the context of the Covid-19 pandemic. This is an exploratory qualitative research. Between May and December 2021, seven professionals from the street clinic team were interviewed, and participant observation was conducted with field diary records. Three thematic axes emerged from the interviews related to people experiencing homelessness in the context of the Covid -19 pandemic: 1) Challenges, potentialities, and weaknesses of tuberculosis care; 2) Building intersectoral care networks for monitoring individuals with tuberculosis; and 3) The street as a space for care production: the work process of the street clinic in tuberculosis management. It is concluded that caring for people experiencing homelessness with tuberculosis in the context of the Covid -19 pandemic requires not only managing clinical protocols but also building shared work with the intra and intersectoral network. In addition to the task of being in the territory, the outpatient service in the territory must also be a street outpatient service, especially regarding tuberculosis treatment. https://revistas.unla.edu.ar/saludcolectiva/article/view/4774Homeless PeopleHealthcare TeamCOVID-19TuberculosisBrazil
spellingShingle Aline Azevedo Vidal
Karla Santa Cruz Coelho
Emerson Elias Merhy
The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro
Salud Colectiva
Homeless People
Healthcare Team
COVID-19
Tuberculosis
Brazil
title The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro
title_full The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro
title_fullStr The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro
title_full_unstemmed The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro
title_short The street as a space for care production: the singular therapeutic project and tuberculosis management in people experiencing homelessness during the Covid-19 pandemic in the city of Rio de Janeiro
title_sort street as a space for care production the singular therapeutic project and tuberculosis management in people experiencing homelessness during the covid 19 pandemic in the city of rio de janeiro
topic Homeless People
Healthcare Team
COVID-19
Tuberculosis
Brazil
url https://revistas.unla.edu.ar/saludcolectiva/article/view/4774
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