PERCEPÇÕES DE GESTORES E PROFISSIONAIS SOBRE ASSISTÊNCIA À SAÚDE DE MULHERES MIGRANTES VENEZUELANAS EM MANAUS E BOA VISTA

Abstract

The Venezuelan migration to Brazil, especially to the cities of Boa Vista and Manaus, has brought significant challenges to the healthcare sector in these regions, significantly affecting the routine of services. In view of this, the objective of this study was to analyze the perceptions of professionals about the healthcare assistance provided to Venezuelan migrant women in two capitals of the northern region that, due to their proximity to the border, have received a large number of migrants. This study is a descriptive and exploratory research with a qualitative approach, constructed from a segment of a larger project called Redressing Gendered Health Inequalities of Displaced Women and Girls in contexts of Protracted Crises in Central and South America (ReGHID). Considering the total population of interviewees from the ReGHID project, the sample of this study consisted of 54 interviewees, considering the proposed inclusion and exclusion criteria, with 32 working in Boa Vista and 22 in Manaus. Data were collected through semi-structured interviews, later fully transcribed, and analyzed using the technique of Reflexive Thematic Analysis by Braun and Clarke, in light of Bourdieu's Social Theory. The data were distributed into three thematic axes: (1) Overlapping Structural Vulnerabilities and Cultural Divergences in Assistance to Venezuelan Migrants, (2) Restructuring of Health Care as a Response to the Arrival of Venezuelan Migrants, and (3) Resistance to New Dynamics and the Hysteresis Effect. The analysis from the perspective of Bourdieu's theory revealed tensions emerging from the encounter between the habitus of professionals and the capitals of Venezuelan migrants, impacting the care provided to this population. Additionally, structural barriers were identified, marked by the worsening of a healthcare sector that was already deficient before the arrival of the migrants. Furthermore, it was concluded that the complexity of the migrants' demands, related to multiple social markers and the context of migration, required adaptations in care. The initial resistance of professionals, understood by the concept of hysteresis, was partially overcome, but challenges still persist to achieve equity.