William Dias Borges
@ee.usp.br
Universidade de São Paulo
RESEARCH, TEACHING, or OTHER INTERESTS
Nursing, Health Policy, Multidisciplinary, Health (social science)
Scopus Publications
Scopus Publications
Ana Tereza Torquato de Morais Navarro, Lucimara Fabiana Fornari, Emiko Yoshikawa Egry, William Dias Borges, and Rosemeire Natsuko Shoji
FapUNIFESP (SciELO)
ABSTRACT Objective: To identify policies and programs adopted by a Brazilian municipality to address violence against children during the COVID-19 pandemic. Method: A qualitative documentary study. The study setting was the municipality of Ananindeua, Pará, Brazil. Data was collected from official websites between November 2021 and February 2022. Thematic content analysis was used with the support of webQDA software. Results: Three empirical categories emerged: a) Impacts of the COVID-19 pandemic on violence against children; b) Action strategies for tackling violence against children in the COVID-19 pandemic; c) Evaluation indicators and targets for action strategies for tackling violence against children. Final considerations: The documents revealed few direct mentions of children, especially traditional populations; they presented superficial and ineffective evaluations of the policies and programs adopted, using exclusively quantitative indicators.
Glenda R. O. N. Ferreira, Amanda L. C. Miranda, Viviane A. Farias, Melissa B. Martins, Débora Talitha Neri, William D. Borges, Carlos Leonardo F. Cunha, Geyse Aline R. Dias, Dirceu C. Santos, and Fabianne J. D. Sousa
Springer Science and Business Media LLC
Abstract Background In Brazil, despite advances in public health policies aimed at eliminating and controlling infectious and parasitic diseases, the incidence of neglected diseases is still high. The epidemiological scenario in Brazil of diseases such as tuberculosis and leprosy evidences a public policy agenda that has not been resolute in terms of control, nor in terms of elimination. Objective To analyze the actions of diagnosis and treatment of leprosy and tuberculosis in the context of primary health care. Methods In this ecological study, data from the third cycle of the Program for the Improvement of Access and Quality of Primary Care were extracted from electronic address of the Primary Health Care Secretariat of Brazil in the area of Actions, Programs and Strategies. A total of 37,350 primary health care teams were that answered the questionnaire were eligible, with variables extracted from leprosy and tuberculosis control actions. The municipalities were grouped according to the characteristic of the Brazilian municipality. The partition chi-square and the Residuals Test were used to assess whether there was a difference in the proportion of tuberculosis and leprosy actions between types of municipalities. Statistics were carried out using Minitab 20 and Bioestat 5.3. Results Regarding the leprosy treatment location, there is a higher proportion of people referred to be treated at the reference in adjacent rural (p = 0.0097) and urban (p < 0.0001) municipalities; monitoring of people with leprosy referred to the service network (p. = 0.0057) in remote rural areas. Lower proportion of teams requesting bacilloscopy in remote rural areas (p = 0.0019). Rural areas have a higher proportion of teams that diagnose new cases (p = 0.0004). Regarding the actions of diagnosis and treatment of tuberculosis. There is a higher proportion of teams that carry out consultations at the unit itself in rural areas when compared to adjacent intermediaries (p = 0.0099) and urban (p < 0.0001); who requested sputum smear microscopy in adjacent intermediaries (p = 0.0021); X-ray in adjacent intermediaries (p < 0.0001) and urban (p < 0.0001); collection of the first sputum sample in urban (p < 0.0001) and adjacent rural areas (p < 0.0001); directly observed treatment (p < 0.0001) in adjacent rural municipalities. Conclusion There are inequalities in the diagnosis and treatment of leprosy and tuberculosis among the types of municipalities.
Rosa Maria Godoy Serpa da Fonseca, Lucimara Fornari, Emiko Yoshikawa Egry, William Dias Borges, Maria Amélia de Campos Oliveira, and Ana Rosa Ribeiro Elias
Revista Baiana de Enfermagem
Emiko Yoshikawa Egry, Lucimara Fabiana Fornari, Rosa Maria Godoy Serpa da Fonseca, William Dias Borges, Ana Rosa Ribeiro Elias, and Maria Amélia de Campos Oliveira
Ludomedia
Introduction: Girls have been victims of violence, especially sexual ones. Childhood can be violated in several ways, such as the case that occurred in Brazil in 2020. Qualitative research can elucidate the phenomenon by making it possible to deepen the complex issues related to sexual violence against girls that result in pregnancy and legal abortion. Objectives: To highlight the qualitative investigative path used to decode the case of the girl victim of rape perpetrated by a relative, which resulted in pregnancy, and whose legal outcome of abortion. Method: Documentary study with a qualitative approach. The data sources were two Brazilian newspapers in electronic format. The data collection period was from August to October 2020. The data was organized using a semi-structured instrument. Reports on the subject of the study were included, and those that only cited the case were excluded, without exploring its triggers. For thematic content analysis, the webQDA software was used. The analytical categories were gender and generation. Results: Subsequent to the analysis, the 78 selected reports showed three empirical categories: 1) the wide-open subordination; 2) the process for carrying out abortion; and 3) criminalization versus legalization of abortion. The qualitative methodology supported by webQDA allowed to expose what was not shown at first sight: the existence of a profound subordination of gender and generation, when the protagonist, the girl, suffered different new violence - institutional ones - that contradict what the Statute of the Child and Adolescent determines. Conclusions: The methodological path adopted allowed us to look beyond the situation experienced by the girl - rape, pregnancy and abortion - before turning 12 years old. The manipulation of leaders and authorities was emphasized, imposing their personal convictions, instead of guaranteeing the victim's rights.