Abstract
ABSTRACTObjective:to analyze based on the practitioners' discourse, the way they organize their practices confronting situations of intra-family violence against children and adolescents. Method:qualitative research carried out with 15 professionals who work in social and health services located in the southernmost of Brazil. Data were collected through semi-structured interviews, performed at the participants' workplace. We used a theoretical matrix to analyze the data, based on Institutional Ethnography and the technique of discursive textual analysis. Results:the practitioners' practices developed in situations of intra-family violence against children and adolescents are organized on the basis of: power relations that take place in services that respond to violence situations; routines instituted to meet the demands of care in services; and the interplay between the conception of violence as a public health problem and the conception of violence as a social problem. Conclusion:the way these practices are organized is reflected in actions that are not protective against situations of intra-family violence against children and adolescents.
Highlights
Strategies for intervention in situations of domestic violence against children and adolescents have been expressed in some official documents, among them the Statute of the Child and Adolescent (ECA) and the Primary Health Care Handbook – Intra-family violence against children and adolescents: guidelines for practice in service
The first document places Brazil in a prominent position in the world scenario for establishing a law considered one of the most advanced in terms of guaranteeing the rights of the child and youth population(1); The second aims to support states and municipalities in the implementation of actions that promote equality and the exercise of human rights(2). From what these documents propose, professionals have the responsibility to identify victims in an early stage, to notify suspected or confirmed cases of violence(1), and, to promote actions to strengthen relations between institutions working in the areas of health, safety, justice, education, human rights and social movements, aiming to guarantee adequate protection and treatment for children and adolescents(2). These documents point out guidelines for organizing effective actions in terms of protecting victims of domestic violence, according to the World Health Organization (WHO) it is necessary to consider among others, the low participation of professionals in complaints and notification of situations of violence(3), contributing to the fact that many cases remain anonymous
This leads to questions about the difficulties that professionals experience in incorporating in their practice the guidelines for the protection of children and adolescents as described in the official documents and serving as foundations to organize their practices in the face of situations of intra-family violence, present in their daily routine in the health services in which they operate
Summary
Strategies for intervention in situations of domestic violence against children and adolescents have been expressed in some official documents, among them the Statute of the Child and Adolescent (ECA) and the Primary Health Care Handbook – Intra-family violence against children and adolescents: guidelines for practice in service. The first document places Brazil in a prominent position in the world scenario for establishing a law considered one of the most advanced in terms of guaranteeing the rights of the child and youth population(1); The second aims to support states and municipalities in the implementation of actions that promote equality and the exercise of human rights(2) From what these documents propose, professionals have the responsibility to identify victims in an early stage, to notify suspected or confirmed cases of violence(1), and, to promote actions to strengthen relations between institutions working in the areas of health, safety, justice, education, human rights and social movements, aiming to guarantee adequate protection and treatment for children and adolescents(2). The practices developed in the context of these services tend to be fragmented and individualized, proving to be ineffective in the face of the complexity of the problem, which can not be understood by individual competence in a single professional area, but rather involving multidisciplinary and intersectoral actions (5)
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