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National comprehensive healthcare policy for people deprived of liberty: the challenge of integrality

Abstract

Background

In Brazil, despite the current legislation guaranteeing the health care of Persons Deprived of Liberty, the prison scenario is considered a public health issue.

Objective

To understand the challenges to guarantee integrality in the context of the National Comprehensive Healthcare Policy for People Deprived of Liberty in the Prison System.

Method

A qualitative study was carried out with 75 persons deprived of their liberty who were serving sentences in prisons in the state of Paraíba. The collection took place through a sociodemographic questionnaire and semi-structured interview. Content Analysis was carried out.

Results

The participants were mostly young, from the State of Paraíba, married, Catholics, with an average of one to three children, received visits from family members, with incomplete elementary education, family income below one minimum wage, were in a closed regime and were repeat offenders. After the analysis of the statements, the categories were conformed: Healthcare and Physical structure.

Conclusion

The challenges to guarantee comprehensive care in the PLP in the Brazilian context refers to the structural deficiencies of public health policies, accentuated in the prison context by the disarticulation between the health and justice work process, as well as the formative fragility of the actors involved in assisting this clientele.

Keywords:
health policy; inmate; prisons; integrality; care

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