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BIS. Boletim do Instituto de Saúde (Impresso)

versão impressa ISSN 1518-1812


JUNIOR, Nivaldo Carneiro; OLIVEIRA, Loreto Sampaio de; JESUS, Christiane Herold de  e  LUPPI, Carla Gianna. Immigration, social exclusion and health service: the case of the bolivian population in the central metropolitan region of São Paulo. BIS, Bol. Inst. Saúde (Impr.) [online]. 2011, vol.13, n.2, pp. 177-181. ISSN 1518-1812.

Currently migration flows represent a social issue. This phenomenon results from growing demographic, political, religious disparities leading to social and cultural transformations. Brazil is a well-established target to Latin American neighbors who migrate to Brazil hoping to have a better quality of life mostly of them Bolivians. They usually come to great metropolitan areas, such as São Paulo. In this context the Brazilian Health Care System should urgently reconsider its capacity of dealing with new challenges. The aim of this article is to describe the experience of the Primary health care service in dealing with Bolivians who live in the center of Sao Paulo. Health care effectiveness depends on surpassing communication barriers, being aware of cultural differences, dealing with gender inequalities and epidemiologic-related policies. Traditional primary health care policies do not contribute to improve health conditions of that immigrant population. Moreover, Bolivian immigrants have difficulty in establishing a good rapport with health professionals and consequently in having their real problems recognized. Women in particular do not always achieve inclusion in our public health care system, since they are exposed to genre inequity-related problems and to domestic and workplace violence. Aiming to identify a new approach by resorting to a trans-professional strategy, primary health care services has managed to reorganize health promotion and prevention actions to Bolivian immigrants, so that they can enjoy a higher quality health care attention.

Palavras-chave : Bolivians; Latin-America Migration Flows; Social Exclusion; Primary health care.

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