This dissertation is a social history of the Uganda Prisons Service in the late colonial and early post-colonial periods. Focusing particularly on prison officers, it advances four key arguments. Firstly, it argues that global visions of the prison were crucial in shaping the Service’s development, its institutional culture, and the professional identities of its personnel. From the late colonial period onwards, this vision was anchored on notions of penal welfarism, which positioned the prison as a centre of rehabilitation, staffed by professionals who possessed technical expertise. Secondly, the penal welfare model was combined with an emphasis on the prison’s role as a driver of economic development and a source of public revenue – features that were seen as compatible with penal modernity. Thirdly, this vision of the prison gave the Service a particular imaginative capital, which prison officers used as an important resource. It provided them with a common set of principles and norms through which to define their professional role. Senior officers adopted it with alacrity, pursuing further professionalization through engagement with transnational penal reform networks. Others summoned it as a source of claim-making, using it to call on the state to provide them with greater benefits and treat them as respectable public servants. Finally, visions of penal modernity and professionalism were contested throughout the periods under study, leading officers to engage in boundary work. Officers were regularly defining their role in relation to other spaces of incarceration, such as local government prisons and informal detention sites. With the take-over of Idi Amin in 1971 and the militarization of the state, prison officers’ professional identities were profoundly challenged, but also became particularly important, providing them with a conceptual boundary that at least partially demarcated them from Amin’s regime. Ultimately, the case of the Uganda Prisons Service reminds us of the importance of studying prisons beyond their coercive capacities, paying attention to how such institutions became the focal point of debates over modernity, authority, and professionalism. More broadly, this study challenges the narrative of failure that has dominated popular and scholarly portrayals of state institutions on the African continent, rejecting generic depictions of the postcolony as a site of chaos and disorder.

O presente estudo objetiva, a partir da narrativa do trabalhador prisional da SEAP-RJ, abordar em que situações e com base em quais justificativas esse profissional recorre ao uso da força física em seu cotidiano prisional. A rotina de trabalho dos agentes penitenciários é apresentada a partir de um estudo de caso realizado no Instituto Presídio Hélio Gomes. Nele, os relatos dos integrantes das turmas de guardas se constituíram em nossa principal fonte de informações. Em outra fase da pesquisa, o processo de formação profissional dos servidores prisionais admitidos em 2004, pela SEAP-RJ, foi acompanhado através das aulas ministradas na Escola de Gestão Penitenciária. Em ambos os casos, a observação participante foi o instrumento metodológico que me permitiu a coleta de dados e a interação com o grupo estudado. A narrativa está centrada no processo de socialização por que passam os servidores prisionais para se integrarem a (s) moralidade (s) vigente nas prisões. Sugere-se que a integração plena do operador da lei ao universo prisional, implique em sua socialização no mundo do crime. A possibilidade de uso da violência física como mecanismo de controle, em sua modalidade violência negociada, mostrou-se uma hipótese viável. Porém, ainda necessita de maiores comprovações empíricas, em especial junto aos internos penitenciários, para que possa ser formalmente validada. / The aim of this study is to analyze, through the narrative of the professional that works in prisons of SEAP-RJ, in which situations and based on what justifications this professional resorts to the use of physical strength during his quotidian in prisons. The work routine of penitentiary workers is presented according to the study of a case accomplished at Instituto Presídio Hélio Gomes [Penitentiary Institute Hélio Gomes]. In the study, the reports of members of the policeman groups are our main source of information. In another phase of the research, the process of professional qualification of prison servants hired in 2004 by SEAP-RJ was followed through classes given at Escola de Gestão Penitenciária [School of Penitentiary Administration]. In both cases, the participative observation was the methodology that allowed collecting data and interacting with the studied group. The narrative is centered on the process of socialization that prison servants go through in order to become integrated with the values active in prisons. It is suggested that the complete integration between the law enforcer and the universe of prisons results in his socialization in the world of crime. The possibility of using physical violence as a mechanism of control, in the negotiated violence modality, has turned out to be a viable hypothesis. However, more empirical evidences are needed, especially with the penitentiary interns, in order to be formally validated.

Submitted by Valquíria Barbieri (kikibarbi@hotmail.com) on 2017-09-12T21:37:33Z No. of bitstreams: 1 DISS_2014_Vanessa Alves Lopes.pdf: 2022175 bytes, checksum: 9daf74b8996152eadacb364c537e2046 (MD5) / Approved for entry into archive by Jordan (jordanbiblio@gmail.com) on 2017-09-15T16:57:02Z (GMT) No. of bitstreams: 1 DISS_2014_Vanessa Alves Lopes.pdf: 2022175 bytes, checksum: 9daf74b8996152eadacb364c537e2046 (MD5) / Made available in DSpace on 2017-09-15T16:57:02Z (GMT). No. of bitstreams: 1 DISS_2014_Vanessa Alves Lopes.pdf: 2022175 bytes, checksum: 9daf74b8996152eadacb364c537e2046 (MD5) Previous issue date: 2014-09-15 / CAPES / Este estudo tem por objetivo analisar a experiência de profissionais de saúde que atuam em unidades prisionais de regime fechado localizadas em Cuiabá- Mato Grosso. Para tanto o referencial teórico metodológico empregado foi o da Fenomenologia, de Alfred Schutz, retendo dela os conceitos pertinentes a esta pesquisa, devido a adequação da abordagem a que nos propomos. Assim, nosso objeto de estudo foram os profissionais de saúde de três penitenciárias localizadas em Cuiabá. As técnicas utilizadas foram entrevistas com roteiro semi estruturado e observações, que ocorreram de junho a dezembro de 2013, nos quais 25 profissionais foram entrevistados. A discussão e a análise de dados foram organizadas a partir de temas que emergiram dos dados e que permitiram que desvelássemos parcialmente o cotidiano dos profissionais de saúde, imersos no contexto penitenciário. Assim pudemos identificar e analisar as estratégias elaboradas para atuação neste lugar de conflitos e tensões que, entre outros, particulariza a unidade de saúde penitenciária. A entrada dos profissionais no Sistema Penitenciário foi marcada por situações de tensão e medo, sobressaindo sobre a satisfação da aprovação em concurso público. O ingresso não seguiu uma lógica de treinamento, assim o desconhecimento sobre a prisão foi unânime entre os entrevistados. A unidade de saúde torna-se peculiar pelas características que lhes são impostas no ambiente penitenciário, como presença de agentes penitenciários, grades, algemas, o que demarca parte da particularidade deste ambiente. Os profissionais mostraram-se desacreditados frente à função ressocializadora e são contraditórios perante as relações com os presos, ora este é paciente, ora preso perigoso, impondo situações de insegurança e desconfiança perante estes. Notamos que a rotina diferenciada influencia no atendimento e que muitos objetos tomam outras funções das que inicialmente são propostos. Os códigos internos são apreendidos pelos profissionais na tentativa de manter a comunicação com os presos, além do que percebem alterações comportamentais que incidem sobre suas vidas. Assim, o cotidiano dos profissionais de saúde ganha contornos singulares dentro da prisão. / This study aims to analyze the experience of health professionals working in prison units located in Cuiabá- Mato Grosso. The theoretical and methodological reference employed was the Phenomenology by Alfred Schütz, selecting from it the concepts concerning this research in order to adequate the approach we set ourselves. Our subject of study were the health professionals of three correctional facilities of Cuiabá. The techniques used were semi-structured interviews and observations, which took place from June to December 2013, with 25 professionals interviewed. The discussion and data analysis were organized based on the themes that emerged from the data, which allowed us to partially unveil the health professionals daily lives immersed in the prison context. This way we could identify and analyze the strategies elaborated to work in this tense and full of conflict atmosphere that builds the singularity of the place. The entry of the professionals in the prison system was marked with tension and fear situations, surpassing the satisfaction of a public contest approval. The entry did not follow a training logic, making the lack of knowledge about the prison unanimous among the subject. The health unit becomes something very peculiar for them because of the imposed characteristics of the prison environment, such the presence of warders, bars and handcuffs, which demarcates part of the particularity of this environment. The respondents demonstrated great disbelief about the socialization function, they also reveal contradiction relating to the inmates, sometimes they are a patient, sometimes a hazard, imposing mistrust and insecurity towards the professionals. We noticed that this unique routine influences the job to be done and many of the subject end up doing a different job than the initially proposed. The internal codes are learned by the professionals in an attempt to maintain communication with the prisoners. They also reveal that they perceived some behavioral changes affecting their lives. Thus, the daily lives of the health professionals gain unique shapes inside the prison.

The thesis is a case study in prison resistance. It examines the imprisonment and penal treatment of women who were confined for politically motivated offences in Northern Ireland between 1972 and 1995. It comprises an historical account of the main events in the women's prisons during the period, and establishes links between successive phases in the administration of political imprisonment and qualitative shifts in the character of prison regimes. The account also links the various punitive, administrative and gendered regulatory responses by the prison authorities to different strategies of collective organisation and resistance by women political prisoners. In modelling the cycle of punishment and resistance in terms of a dialectic of prison conflict, the thesis also argues that this relationship was grounded in prison regimes that combined both politicised and gendered correctional influences. The theoretical basis of the thesis comes from the Foucauldian formulation that structures of power or authority produce the conditions by which they are resisted. However, the thesis also engages feminist analyses in order to explain how `general' penal procedures take on different forms and meanings according to the disciplinary population upon whom they are practiced. This supports the argument that, just as prison punishment acquires specific forms when applied to different prisoner populations, punishment also forms the context in which prison resistance materialises. The practical and empirical basis of the thesis is grounded in the oral narratives of women former political prisoners, staff, and other relevant participants and observers.

No description available.

This thesis is primarily concerned with the social control and disciplining of women within a semi-penal institution. As a case study it critically analyses the history of one particular institution from 1823 to 1994, chronicling its development from a nineteenth century female reformatory to a twentieth century bail and probation hostel for women. Through an analysis of this history, the thesis fulfils three aims. First, it explicitly identifies the themes of continuity and discontinuity in the history of semi-penal institutionalisation, and thus contributes significantly to the feminist theoretical literature by establishing this oft forgotten arena as a significant site of social control for 'deviant' women, placed somewhere between the formal control of the prison and the informal regulation of the domestic sphere. Second, it deconstructs the dominant, hegemonic discourses around domesticity, respectability, motherhood, sexuality and pathology that have been mobilised to both define 'deviance' in women and to construct semi-penal institutional regimes aimed at reforming deviant behaviour. This analysis also makes an important contribution to this field of study in that it confirms that the discourses utilised to characterise and discipline women in reformatories during the nineteenth century, continue to be mobilised for the same purpose in a probation hostel nearly two hundred years later. In recognising this fact, the thesis dismantles the popular notion that such institutions are unproblematic simply because they are 'not custodial'. Finally, the thesis analyses the way in which women cope with or resist the disciplinary regimes and discourses imposed upon them. It concludes that women utilise a range of strategies through which they can re-gain and re-assert a sense of agency and authority within a regime that, whilst claiming to 'empower', actually serves to induce submission in women and to `infantilise' them, reducing them to a less-than-adult status. Through an examination of these strategies of resistance and coping it becomes apparent that the distribution of power in the semi-penal institution is not fixed, but can be subtly negotiated and redistributed. This thesis therefore complements and adds to the existing body of literature around women's resistance to custodial regimes by highlighting that these methods of survival are not only to be found in prisons but in semi-penal institutions also.

Made available in DSpace on 2015-05-08T14:47:36Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1692615 bytes, checksum: 6c0dc725dec1ee105c5bd851735a52cb (MD5) Previous issue date: 2012-12-14 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The access of the population carcerária to the actions and services of health is defined by the National Plan of Health in the System Prisoner, who emphasizes the guarantee of the right to the health for the set of the Brazilian population. In this, there are included the Deprived Persons of Freedom, bordered in prison establishments, which makes the minimização of the differences between the life intrawalls and to extrawalls basically for the reduction of the iniquities and the universalização of the access to the health. So, the plan is an instrument for inclusion of the detainees in the System Only one of Health. Prisoners constitute the tuberculosis and the prisons like serious problems of public health and the actions of the control of this disease in the spaces it has when if deficients were shown. The study aimed to analyse the actions of control of the tuberculosis turned to the private persons of freedom, according to the determinations of the National Plan of Health in the System Prisoner of the unities masculine prisons of the local authority of John Pessoa, State of Paraíba. It the question is a study avaliativo qualitative nature. The subjects of the inquiry are seven private persons of freedom of the masculine sex with history of adoecimento for tuberculosis, notified in the year of 2011. For construction of the empirical material there was used the technique of the oral history and for reading of the obtained informations, when analysis of the speech was done. Referent to the actions of control of the tuberculosis in the extent prisoner, the subjects pointed, in his speeches, to lack of preventive measures of the disease, reporting, for times, insalubridades of the enclosures (cells), the food inapropriada to a patient of tuberculosis and negligence for part of the agents prisoners for with the mobilization of transporting them to the service of health. According to speeches uttered by such collaborators, the care in the control of the tuberculosis is carried out, predominantly, in situations that the disease was already installed in the individual and the directions of the professionals of health consist in the maintenance of the healthy condition of same after or during the persistence of debilidades biological produced by the clinical picture of adoecimento for tuberculosis, advising for continuity of the regular ingesta and daily rate of the bacteriostáticos and direction prescritiva for I it do not use drugs. The narratives point to ineffective knowledge on the forms of infection of the disease, link the attack for tuberculosis to the tobaccoism and use of illicit drugs; they make speeches made a list to the stigma of the tuberculosis in the relations with the too much punished ones, which it shows fragilidades of informations on the disease for part of the punished ones. The discursive fragments surface negative senses of is ill of tuberculosis in the prison. In order to surpass the difficulties as for the access to the health of the punished ones and to the efficient control of the tuberculosis between this population, one needs the undertaking of efforts, for part of the State, of the management of the prison and of the professionals of health, in the execution of actions in health cohesive with the politics of health turned to this population and efetivação the Laws of Penal Executions. Such measures collaborate in destroying the iniquities inherent in the beginning of the universalização of the access to the health indistinct of the Brazilian population. / O acesso da população carcerária às ações e serviços de saúde é definido pelo Plano Nacional de Saúde no Sistema Penitenciário, que enfatiza a garantia do direito à saúde para o conjunto da população brasileira. Neste, se incluem as Pessoas Privadas de Liberdade, confinadas em estabelecimentos prisionais, o que torna a minimização das diferenças entre a vida intramuros e a extramuros fundamental para a redução das iniqüidades e a universalização do acesso à saúde. Portanto, o plano é um instrumento para inclusão dos detentos no Sistema Único de Saúde. A tuberculose e as prisões constituem-se como sérios problemas de saúde pública e as ações do controle desta doença nos espaços penitenciários tem se mostrado deficientes. O estudo objetivou analisar as ações de controle da tuberculose voltadas às pessoas privadas de liberdade, segundo as determinações do Plano Nacional de Saúde no Sistema Penitenciário das unidades penitenciárias masculinas do município de João Pessoa, Estado da Paraíba. Trata-se de um estudo avaliativo de natureza qualitativa. Os sujeitos da pesquisa são sete pessoas privadas de liberdade do sexo masculino com história de adoecimento por tuberculose, notificados no ano de 2011. Para construção do material empírico foi utilizada a técnica da história oral e para leitura das informações obtidas, feita análise do discurso. Referente às ações de controle da tuberculose no âmbito penitenciário, os sujeitos apontaram, nos seus discursos, carência de medidas profiláticas da doença, relatando, por vezes, insalubridades dos recintos (celas), a alimentação inapropriada ao doente de tuberculose e negligência por parte dos agentes penitenciários para com a mobilização de transportá-los ao serviço de saúde. Conforme discursos proferidos por tais colaboradores, o cuidado no controle da tuberculose é realizado, predominantemente, em situações que a doença já se encontrava instalada no indivíduo e as orientações dos profissionais de saúde se resumem à manutenção da condição saudável do mesmo após ou durante a persistência de debilidades biológicas geradas pelo quadro clínico de adoecimento por tuberculose, aconselhamento para continuidade da ingesta regular e diária dos bacteriostáticos e orientação prescritiva para o não uso de drogas. As narrativas apontam conhecimento ineficaz sobre as formas de contágio da doença, vinculam o acometimento por tuberculose ao tabagismo e uso de drogas ilícitas; proferem discursos relacionados ao estigma da tuberculose nas relações com os demais apenados, o que denota fragilidades de informações sobre a doença por parte dos apenados. Os fragmentos discursivos emergem sentidos negativos de estar doente de tuberculose na prisão. A fim de superar as dificuldades quanto ao acesso à saúde dos apenados e ao controle eficaz da tuberculose entre essa população, necessita-se do empreendimento de esforços, por parte do Estado, da gestão do presídio e dos profissionais de saúde, na execução de ações em saúde coesas com as políticas de saúde voltadas a esta população e efetivação das Leis de Execuções Penais. Tais medidas colaboram em aniquilar as iniqüidades inerentes ao princípio da universalização do acesso à saúde indistinto da população brasileira.

O presente estudo objetiva, a partir da narrativa do trabalhador prisional da SEAP-RJ, abordar em que situações e com base em quais justificativas esse profissional recorre ao uso da força física em seu cotidiano prisional. A rotina de trabalho dos agentes penitenciários é apresentada a partir de um estudo de caso realizado no Instituto Presídio Hélio Gomes. Nele, os relatos dos integrantes das turmas de guardas se constituíram em nossa principal fonte de informações. Em outra fase da pesquisa, o processo de formação profissional dos servidores prisionais admitidos em 2004, pela SEAP-RJ, foi acompanhado através das aulas ministradas na Escola de Gestão Penitenciária. Em ambos os casos, a observação participante foi o instrumento metodológico que me permitiu a coleta de dados e a interação com o grupo estudado. A narrativa está centrada no processo de socialização por que passam os servidores prisionais para se integrarem a (s) moralidade (s) vigente nas prisões. Sugere-se que a integração plena do operador da lei ao universo prisional, implique em sua socialização no mundo do crime. A possibilidade de uso da violência física como mecanismo de controle, em sua modalidade violência negociada, mostrou-se uma hipótese viável. Porém, ainda necessita de maiores comprovações empíricas, em especial junto aos internos penitenciários, para que possa ser formalmente validada. / The aim of this study is to analyze, through the narrative of the professional that works in prisons of SEAP-RJ, in which situations and based on what justifications this professional resorts to the use of physical strength during his quotidian in prisons. The work routine of penitentiary workers is presented according to the study of a case accomplished at Instituto Presídio Hélio Gomes [Penitentiary Institute Hélio Gomes]. In the study, the reports of members of the policeman groups are our main source of information. In another phase of the research, the process of professional qualification of prison servants hired in 2004 by SEAP-RJ was followed through classes given at Escola de Gestão Penitenciária [School of Penitentiary Administration]. In both cases, the participative observation was the methodology that allowed collecting data and interacting with the studied group. The narrative is centered on the process of socialization that prison servants go through in order to become integrated with the values active in prisons. It is suggested that the complete integration between the law enforcer and the universe of prisons results in his socialization in the world of crime. The possibility of using physical violence as a mechanism of control, in the negotiated violence modality, has turned out to be a viable hypothesis. However, more empirical evidences are needed, especially with the penitentiary interns, in order to be formally validated.

Considerando a infecção pelo HIV uma condição crônica e de alta prevalência no ambiente carcerário, este estudo objetivou analisar os desafios relacionados à regularidade no uso da terapia antirretroviral (TARV) pelas pessoas vivendo com HIV em unidades prisionais (UP) da região de Ribeirão Preto (RP), São Paulo. Tratase de um estudo descritivo, do tipo inquérito. Foram incluídos indivíduos reclusos há mais de seis meses, com diagnóstico de HIV e em uso de TARV. Utilizou-se um banco de dados contendo variáveis sociodemográficas, clínicas e de acompanhamento dos casos; adesão à TARV e ações desenvolvidas pelas equipes de saúde das UP para o monitoramento da ingestão medicamentosa. Os dados foram analisados por meio de técnicas descritivas e testes de associação (Quiquadrado e Exato de Fisher). Identificou-se 67 indivíduos em uso de TARV, dos quais, 80,6% cumpriam pena em regime fechado e 38,8% possuíam de dois a cinco anos de clausura. Houve o predomínio de homens (79,1%); 25 a 39 anos (52,2%); não brancos (64,2%); solteiros (47,8%); ensino fundamental I e II (67,1%); possuíam profissão (88,1%) e ganhavam de um a três salários mínimos (50,7%) antes da reclusão. Quanto ao perfil clínico e de acompanhamento: 44,8% diagnosticaram HIV na prisão; 86,6% faziam acompanhamento em serviço de assistência especializada em HIV (SAE); 41,7% interromperam o tratamento em algum momento; 31,3% possuíam TCD4+ acima de 500 cópias e em 62,7% a carga viral era indetectável. Identificou-se o uso de drogas ilícitas (71,6%) e lícitas (80%) prévias ao encarceramento. Em relação ao atraso na entrega da TARV, 70,3% referiram nunca ou quase nunca ocorrer tal situação; 42,2% referiram nunca ou quase nunca perderem consultas nos SAE; 79,1% informaram que nunca ou quase nunca recebem os resultados dos exames laboratoriais processados fora das UP. Sobre o questionamento acerca do uso da TARV nos últimos sete dias: 76,1% tomaram medicamentos fora do horário; 80,6% deixaram de tomar medicamentos; 91% tomaram menos ou mais compridos. Em 58,2% dos casos houve retirada regular da TARV junto às unidades dispensadoras de medicamentos situadas na rede pública de saúde de Ribeirão Preto. Quanto às ações desenvolvidas dentro das UP voltadas ao monitoramento da TARV, considerou-se regular apenas o questionamento sobre o uso contínuo dos medicamentos, sendo que as demais foram insatisfatórias. A adesão à TARV apresentou associação estatisticamente significante com o sexo feminino (p=0,028); o uso de drogas lícitas (p=0,006) e a interrupção do acompanhamento médico (p=0,014) estiveram associadas à não adesão. Os achados deste estudo permitem refletir sobre a complexidade da assistência prestada às pessoas que vivem com HIV/aids no ambiente prisional, principalmente no que tange o monitoramento do uso da TARV, sinalizando a necessidade de desenvolvimento e incorporação de estratégias de intervenção que qualifiquem a produção do cuidado em saúde na perspectiva integral e resolutiva, capaz de produzir impactos condizentes com os desafios que perpassam a prevenção e o manejo do HIV / Considering that the HIV/aids infection constitutes a chronic condition with high prevalence in prisons, this study aimed to analyze the challenges related to regularity in the use of antiretroviral therapy (ART) by people living with HIV in prisons (UP) in the region of Ribeirão Preto (PR), São Paulo. This is a descriptive, inquiry-type study. We included individuals who had been incarcerated for more than six months, diagnosed with HIV/aids and using ART. We used a database containing sociodemographic and clinical information and variables on the case follow-up, ART adherence and actions developed by PU health teams to monitor drug intake. Data were analyzed using descriptive techniques and association tests (Chi-square and Fisher\'s Exact). A total of 67 individuals using ART were identified, of whom 80.6% were in closed regime and 38.8% had two to five years of incarceration. There was a predominance of men (79.1%); 25 to 39 years old (52.2%); non-white (64.2%); single (47.8%); elementary education I and II (67.1%); having a profession (88.1%) and earning one to three minimum wages (50.7%) before incarceration. In regard of the clinical and follow-up profile: 44.8% had HIV diagnosed in prison; 86.6% were attending a specialized HIV care service (SAE); 41.7% discontinued treatment at some point of time; 31.3% had TCD4+ over 500 copies and in 62.7% of participants the viral load was undetectable. The use of illicit drugs (71.6%) and licit drugs (80%) prior to incarceration was also identified. Regarding delays in ART delivery, 70.3% reported that a delayed delivery never or almost never occurred; 42.2% reported that they never or almost never miss appointments in SAE; 79.1% reported that they never or almost never receive the results of laboratory tests processed outside the PU. Regarding the use of ART in the last seven days: 76.1% took medicines outside medication time; 80.6% stopped taking medicines; 91% took a higher or a lower dosage. In 58.2% of the cases, the withdrawal of ART from the drug dispensing units located in the public health network of RP was regular. Regarding the actions developed within the PUs aimed at ART monitoring, the questioning about the continuous use of the drugs was assessed as regular and the others were unsatisfactory. Adherence to ART had a statistically significant association with woman (p = 0.028). The use of licit drugs (p = 0.006) and interruption of medical follow-up (p = 0.014) were associated with non-adherence. The findings of this study allow us to reflect on the complexity of care provided to people living with HIV/aids in prisons, especially regarding the monitoring of ART, suggesting the need for development and incorporation of strategies that qualify the health care delivery towards an integral and resolutive perspective, capable of producing impacts that are consistent with the challenges of HIV prevention and management

Submitted by Irene Nascimento (irene.kessia@ufpe.br) on 2016-03-09T19:08:25Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação Mestrado Marcelle Guimarães.pdf: 872161 bytes, checksum: 3067ed8f814c10f9559fa1eb291984b6 (MD5) / Made available in DSpace on 2016-03-09T19:08:25Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) Dissertação Mestrado Marcelle Guimarães.pdf: 872161 bytes, checksum: 3067ed8f814c10f9559fa1eb291984b6 (MD5) Previous issue date: 2015-02-26 / O encarceramento feminino cresce a cada ano, por isso torna-se necessária a implementação de políticas públicas para mulheres encarceradas, que considere suas especificidades de gênero, as questões da maternidade e presença de crianças em ambiente prisional para fins do aleitamento materno (AM). Esta dissertação objetivou desvelar a promoção do AM no sistema prisional a partir da percepção de nutrizes encarceradas, à luz da estrutura dos sistemas abertos de Imogene King. Desenvolveram-se dois artigos científicos para responder este objetivo. O primeiro, artigo de Revisão Integrativa, buscou responder à seguinte questão de pesquisa: Quais aspectos são discutidos na produção científica da Enfermagem acerca da saúde da mulher em privação de liberdade durante o ciclo gravídico-puerperal? A partir da busca às bases de dados SCOPUS, PUBMED, MEDLINE, CINAHL, LILACS e BDENF e da biblioteca SciELO. As principais temáticas abordadas foram: o incentivo às mudanças de políticas de saúde para mulheres encarceradas; a problemática da separação mãe-bebê; a valorização da atuação do enfermeiro para melhoria da saúde no cárcere; a importância da educação em saúde em ambiente prisional; e a maternidade como nova perspectiva de vida para cuidar do filho. O segundo, artigo original, consistiu em estudo qualitativo, desenvolvido em uma Unidade Prisional Feminina da região metropolitana do Recife/PE, entre julho e outubro de 2014. O conteúdo das entrevistas foi analisado utilizando-se a técnica do Discurso do Sujeito Coletivo (DSC) e como recurso sistematizador da análise, utilizou-se o programa Qualiquantisoft. O modelo explicativo do fenômeno em questão foi fundamentado pela Estrutura dos Sistemas abertos de Imogene King, que considera os indivíduos como sistemas abertos, em constante interação entre si e com o ambiente. Foram entrevistadas 14 nutrizes reclusas no período de coleta de dados. A partir da análise, emergiram as ideias centrais (IC) agrupadas a cada um dos três sistemas abertos de Imogene King. Referindo-se ao sistema pessoal, agruparam-se as seguintes IC: A promoção do AM com foco na saúde da criança; Promoção do AME de forma impositiva. Para o sistema interpessoal, agruparam-se as seguintes IC: Interação conflituosa com os profissionais de saúde; Relação harmoniosa e de confiança com o Setor Psicossocial. As IC que se referiram ao sistema social foram: As regras do sistema prisional definindo a duração do AM; Estrutura física e confinamento como estressores; O ambiente carcerário e suas regras como geradores de estresse e perturbação para a prática do aleitamento materno. A promoção do AM no sistema prisional ocorre de forma impositiva, desconsiderando diversos fatores que podem interferir no êxito da amamentação, negando a autonomia para a tomada de decisão consciente. A percepção das nutrizes é influenciada pelas particularidades do sistema social em que estão inseridas, levando a uma interação ineficiente entre mulheres reclusas e profissionais de saúde, dificultando o alcance da meta do cuidado de Enfermagem efetivo e da satisfação com a assistência prestada. Além das dificuldades inerentes à promoção do AM, a organização prisional possui condições peculiares que interferem tanto na prática da amamentação, como na assistência prestada à nutriz e sua criança pelos profissionais a ela vinculados. / The rate of female incarceration grows every year and important data to guide public policies for women deprived of their freedom, considering their specific gender, including issues of motherhood and the presence of children in the prison environment for the purpose of breastfeeding (AM). This work aimed to unveil the promotion of breastfeeding in the prison system from the perception of nursing mothers incarcerated in the light of the structure of open systems Imogene King. Two papers were developed to meet the objective of this study. The first consisted of a Integrative Review article that sought to answer the following research question: What aspects are discussed in the scientific production in Nursing about women's health in prison settings during pregnancy and childbirth? From search to SCOPUS databases, PubMed, MEDLINE, CINAHL, LILACS and BDENF and SciELO Library. The main topics addressed were: encouraging the health policy changes to incarcerated women; the problem of mother-infant separation; the valuation of nursing work to improve health in prison; the importance of health education in the prison environment; and motherhood as a new perspective on life to care for the child. The second, a unique, is a descriptive and exploratory study with a qualitative approach, which was developed in a Prison Unit Women's located in the metropolitan region of Recife / PE, from July to October 2014. The content of the interviews was analyzed using the technique of the Collective Subject Discourse (DSC) and as systematizer feature of the analysis, we used the Qualiquantisoft program. The explanatory model of the phenomenon in question was based by Systems Structure open Imogene King, which considers individuals as open systems, in constant interaction with each other and with the environment. This process of interaction may lead to the transaction, which is the very scope of the goals. All 14 women that were prisoners in the data collection period were interviewed. From the analysis of the interviews, the central ideas emerged (IC) that didactically were grouped in each of the three open systems Imogene King. Referring to the personal system the following core ideas were grouped: The promotion of breastfeeding with a focus on children's health; AME Promotion imposing form. For interpersonal system, the following central ideas were grouped: conflictual interaction with health professionals; Harmonious relationship and trust with the Psychosocial Sector. The central ideas referred to the social system were:The rules of the prison system by setting the duration of breastfeeding; And physical containment structure as stressors; The prison environment and its rules as stress generators and disruption to breastfeeding. The promotion of breastfeeding in the prison system occurs in imposing form, disregarding a variety of factors that can interfere with the success of breastfeeding process, denying autonomy for making a conscious decision. The perception of the nursing mothers is influenced by characteristics of the social system in which they operate, leading to inefficient interaction between women prisoners and health professionals, making it difficult to achieve the goal of effective nursing care and satisfaction with the care provided. Apart from the difficulties inherent in the promotion of breastfeeding, the prison organization has unique conditions that affect both the practice of breastfeeding, as in assistance to nursing mother and her child by professionals linked to it