LILIA BLIMA SCHRAIBER
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina - Líder
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina - Líder
16 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 16
- Obstacles and facilitators to primary health care offered to women experiencing domestic violence: a systematic review(2020) D'OLIVEIRA, Ana Flavia Pires Lucas; PEREIRA, Stephanie; SCHRAIBER, Lilia Blima; GRAGLIA, Cecilia Guida Vieira; AGUIAR, Janaina Marques de; SOUSA, Patricia Carvalho De; BONIN, Renata GranussoSystematic review of the literature addressing obstacles and facilitators for the care of women, in situations of domestic violence (DV) in primary health care (PHC) in Brazil. The bibliographic review found 1,048 references. The analysis encompassed 39 articles complying with the inclusion and exclusion criteria. The material was centered on representations and beliefs of practitioners. The main obstacles were related to: conceptualizing DV as a health issue, resulting into difficulties to identify the problem and managing care encounters; lack of training and teamwork; scarce intersectoral network, fear and lack of time. The facilitators were mainly: introducing a gender and human rights perspective, bonding and embracement, teamwork and multisectoral work. Despite the potential of PHC to address the issue, few studies considered perspectives of management and financing, considered as key to overcome the problems pointed out.
- A Atuação dos Psicólogos em Unidades Básicas de Saúde na Cidade de São Paulo(2012) ARCHANJO, Auryana Maria; SCHRAIBER, Lilia BlimaThis paper describes the results of a study about the practice of psychologists in primary care units in the city of Sao Paulo, Southeastern Brazil. It was a qualitative research and 17 semi-structured interviews were performed with psychologists who work in those services. Collected data were analyzed through Theme-based Content Analysis, and the theoretical framework was Institutional Analysis, health work studies and the history of Psychology as a profession. Two connected points were focused: the social status changes that the regulation of the profession brought to Psychology in Brazil and the public mental health policies in the State and city of Sao Paulo from the 1970s onwards. Results revealed changes, tensions and contradictions between traditional clinical psychology and institutional clinical psychology and also revealed new challenges when psychologists started to work with clinical and sanitary practices, and had to accept political-institutional impositions.
- Luiz Carlos Bresser-Pereira: o Sistema Único de Saúde (SUS) e a Reforma Gerencial do Estado dos anos de 1990(2019) NEMI, Ana; SCHRAIBER, Lilia Blima
- Primary health care and the specialized care services to women in situation of violence: expectations and mismatches in the voice of professionals(2023) AGUIAR, Janaina Marques de; SCHRAIBER, Lilia Blima; PEREIRA, Stephanie; GRAGLIA, Cecilia Guida Vieira; KALICHMAN, Beatriz Diniz; REIS, Marina Silva dos; LIMA, Nayara Portilho; AZEREDO, Yuri Nishijima; D'OLIVEIRA, Ana Flavia Pires LucasNetworking plays a central role in assisting women in situations of violence. This study analyzes how different the work perspectives are for Primary Care professionals and specialized services professionals in the areas of social and law assistance, and public security in the city of Sao Paulo, Brazil. Semi-structured interviews were carried out with 16 professionals from specialized services and 46 from the health sector. The axes for a thematic analysis were: what professionals know and think about services other than their own; their performance based on that; and their expectations. The findings revealed insufficient knowledge of the different services, resulting in communication difficulties as well as wrong referrals to other services, based on how other services would ideally work. We concluded that each sector is autonomous and its services start from its own field of action to define what would be best for women. The set works more like a mesh of services than a network.
- The Practice of Psychologists in Primary Care Units in the City of Sao Paulo (vol 21, pg 351, 2012)(2012) SCHRAIBER, Lilia Blima
- FEAR AND SHAME AS BARRIERS TO OVERCOME DOMESTIC VIOLENCE GENDER(2015) TERRA, Maria Fernanda; D'OLIVEIRA, Ana Flavia Pires Lucas; SCHRAIBER, Lilia BlimaThe objective is to understand - by means of the vulnerability concept - how the feelings of fear and shame associated with violent situations have an impact on the possibilities of women overcoming gender-based domestic violence. Although these feelings are considered a problem and are expressed according to each woman's personal viewpoint, this article argues that the relationship between them and gender-based domestic violence is not an individual problem; rather it is a social and cultural violation of human rights. Based on sixteen interviews with women with a history of domestic violence, the vulnerability concept was used to analyse the relationship between the subjective perspectives of the interviewees and the programmatic and social components that make these women vulnerable. This is turn permitted the analyse of women's social representations in relation to violence and to the means of confronting it, as well as women's objective and subjective relationship with health services.
- The Leser Reform: the architecture of a Sao Paulo (Brazil) public health project, 1967-1979(2019) MOTA, Andre; SCHRAIBER, Lilia Blima; AYRES, Jose Ricardo de Carvalho MesquitaAs part of a study on the history of public health in Sao Paulo, aiming at identifying and debating regional peculiarities on the creation and consolidation of public health, this article intends to present a historical dimension analysis on some of the actions carried out by the sanitary physician Walter Leser, in charge of the Secretary of Health in the state of Sao Paulo between 1967 and 1970, in the first period, and between 1975 and 1979, in the second period. It was, in fact, in this last period that actions were undertaken to implement the Leser Sanitary Reform, as was named, at the end, this Sao Paulo initiative. This article recovers the relevance of these actions, both in the sense of reorganization of the government's public health machinery and for the contextual opening to the public health movement of Sao Paulo, which was organized, above all, within the state government's machinery of the period. It is considered that the Leser Reform has had a relevant impact especially in the constitution of Primary Health Care (PHC) and in its consolidation as an important level for the health system, as it would be considered in the proposal and implementation of the Brazilian National Health System (SUS) after 1988. However, the public policy that defined the PHC under the Leser Reform as a certain care model, the Programacao em Saude, had a very short historical existence.
- Health education in the 70's: a lesser-known facet of Cecilia Donnangelo(2017) MOTA, Andre; SCHRAIBER, Lilia Blima; AYRES, Jose Ricardo de Carvalho MesquitaThe article is the product of historical research about the emergence and up growth of Sao Paulo's Collective Health, through the analysis of an unpublished text, authored in 1976, by Cecilia Donnangelo, one of the main contributors to the construction of this field in Brazil and a pioneer in social thinking in health. In the text, she examines ""Health Education"", shedding light upon the historical roots of how this practice was institutionalized. The words of the author are used in the methodology as pieces related to the context that had when crafted, giving to the discourse the nature of a historical document, thus evidencing issues that are involved in past-present relationships in the interface between health and education. Through this process, the author demonstrates how, through the use of the medicalization concept that she developed in another of her works, health education becomes a public policy in the health domain that extends itself beyond the area of public health to acquire institutionalized formats in the individual medical care. It also enlarges its reach farther on its initial health realm becoming a school-related intervention. In this fashion, health education is molded as an important health policy tool, as well as a device that have direct impact on the social domain, collaborating as an additional instrument strengthening medicalization and its accompanying biopower.
- Historical changes in the intersectoral network of services targeted at violence against women - Sao Paulo, Brazil(2020) AGUIAR, Janaina Marques de; D'OLIVEIRA, Ana Flavia Pires Lucas; SCHRAIBER, Lilia BlimaViolence against women has gained space in the political agenda, driven by the women's movement, with the making of public policies targeted at assistance for women. We analyze the results of a study carried out in the city of SAO Paulo, Brazil, with professionals from the specialized intersectoral services network, focusing on the changes that have occurred due to the Maria da Penha Law. Data show that, in spite of the expansion of the services that provide assistance, defense and protection for women, there are difficulties concerning integrated work in professionals' actions and interaction, which hinders the outline of a common assistance project the most important principle for a networked action. The conclusion is that overcoming these difficulties is a challenge in the current political context of degeneration of the services and weakening of public policies targeted at women's rights.
- Institutional violence, human rights and technical-scientific authority: the complex childbirth situation for women(2020) AGUIAR, Janaina Marques de; AZEREDO, Yuri Nishijima; D'OLIVEIRA, Ana Flavia P. L.; SCHRAIBER, Lilia Blima