Therapeutic itineraries of Bolivian women in the central region of São Paulo: conditions of life, work and access to health

• Grant number: 19/13439-7
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• Start date: October 01, 2019
• End date: January 08, 2023
• Field of knowledge: Humanities - Anthropology
• Principal Investigator: Renata Mirandola Bichir
• Grantee: Eugenia Brage
• Host Institution: Centro Brasileiro de Análise e Planejamento (CEBRAP). São Paulo , SP, Brazil
• Associated research grant: 13/07616-7 - CEM - Center for Metropolitan Studies, AP.CEPID
• Associated scholarship(s): 21/09697-0 - Sustainability of life in transnational contexts: a comparative anthropological analysis of the living conditions, work and health of Bolivian women in São Paulo and Buenos Aires during the COVID-19 pandemic, BE.EP.PD

Abstract

The present project is inserted in Research Line 1: "The role of subnational regulation in mediating the implementation of national policies", more specifically, is aligned with the objectives of Subproject 4: "Health policy: comparing experiences in the State of Sao Paulo". The research proposal seeks to analyse the ways in which Bolivian immigrant women interact with the policies of the Unified Health System (SUS) from the reconstruction of their therapeutic itineraries. The proposed methodology consists of a brief ethnographic fieldwork, in-depth interviews with Bolivian women and participant observation in Basic Health Units (BHU) and hospitals located in the central region of São Paulo. Considering the different social markers of difference and the different dimensions in which inequalities operate and combine in given contexts, the proposal seeks to contribute to the research line by providing a knowledge of public policies based on people's use of them, identifying obstacles and strengths and making visible, at the same time, the political agency of these people. The focus on the migrant population is due to a growing problem in the world's metropolises, and particularly to a reality that in Brazil leads to urgent reflections on how to include these populations. The study of therapeutic itineraries is a theoretical-methodological-analytical tool of great relevance because from its reconstruction it is possible not only to access the various forms of interaction between subjects and policies but also to the different everyday worlds where people develop their life and also interact with other policies through various services. Thus, the deep knowledge of the praxis of therapeutic itineraries is an input to public policies of enormous wealth, since it allows understanding how these policies actually operate. Finally, this research proposal aims to contribute to the knowledge of the interactions between vulnerable populations and health policies focused on Bolivian immigrant women.

Scientific publications

(18)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

GOFEN, ANAT; LOTTA, GABRIELA; MARCHESINI DA COSTA, MARCELO. Working through the fog of a pandemic: Street-level policy entrepreneurship in times of crises. PUBLIC ADMINISTRATION, MAY 2021. (19/13439-7)

LOTTA, GABRIELA; PIRES, ROBERTO; HILL, MICHAEL; MOLLER, MARIE OSTERGAARD. econtextualizing street-level bureaucracy in the developing worl. PUBLIC ADMINISTRATION AND DEVELOPMENT, v. 42, n. 1, SI, DEC 2021. (19/13439-7)

DE MENEZES, ANA; NUNES, ANA CAROLINA; PIMENTA, DENISE NACIF; LOTTA, GABRIELA; NKYA, THERESIA; KRIEGER, MORGANA MARTINS; SCHALL, BRUNAH; WENHAM, CLARE. Examining the Intersection between Gender, Community Health Workers, and Vector Control Policies: A Text Mining Literature Review. American Journal of Tropical Medicine and Hygiene, v. 106, n. 3, p. 7-pg., 2022-03-01. (19/13439-7, 19/24495-5)

LOTTA, GABRIELA; KRIEGER, MORGANA G. MARTINS; COHEN, NISSIM; KIRSCHBAUM, CHARLES. Not separate, but certainly unequal: The burdens and coping strategies of low-status street-level bureaucrats. GOVERNANCE-AN INTERNATIONAL JOURNAL OF POLICY ADMINISTRATION AND INSTITUTIONS, v. N/A, p. 20-pg., 2023-07-27. (19/24495-5, 17/24750-0, 19/13439-7)

EIRO, FLAVIO; LOTTA, GABRIELA. On the Frontline of Global Inequalities: A Decolonial Approach to the Study of Street-Level Bureaucracies. JOURNAL OF PUBLIC ADMINISTRATION RESEARCH AND THEORY, v. N/A, p. 13-pg., 2023-08-24. (19/13439-7)

LOTTA, G.; CORTEZ, A. C.; MAGRI, G.; COSTA, M. I. SANCHES; ROSA, T. BARCELLOS; ALMEIDA, D. N.. "Jesus Speaks Better": Interactions Between State and Faith-Based Organizations in Service Implementation (MAY, 10.1177/08997640231165525, 2023). NONPROFIT AND VOLUNTARY SECTOR QUARTERLY, v. N/A, p. 1-pg., 2023-05-29. (20/13977-6, 19/13439-7)

LOTTA, GABRIELA; COELHO, VERA S. P.; BRAGE, EUGENIA. How COVID-19 Has Affected Frontline Workers in Brazil: A Comparative Analysis of Nurses and Community Health Workers. JOURNAL OF COMPARATIVE POLICY ANALYSIS, v. 23, n. 1, p. 11-pg., 2020-11-06. (19/13439-7)

NUNES, JOAO; LOTTA, GABRIELA. Are community health programmes always benign? Community health worker perceptions and the social construction of users in Brazil's primary healthcare policy. GLOBAL PUBLIC HEALTH, v. N/A, p. 14-pg., 2022-02-25. (19/13439-7, 19/24495-5, 17/24750-0)

KRIEGER, MORGANA G. MARTINS; WENHAM, CLARE; NACIF PIMENTA, DENISE; NKYA, THERESIA E.; SCHALL, BRUNAH; NUNES, ANA CAROLINA; DE MENEZES, ANA; LOTTA, GABRIELA. How do community health workers institutionalise: An analysis of Brazil's CHW programme. GLOBAL PUBLIC HEALTH, JUN 2021. (19/24495-5, 19/13439-7)

LOTTA, GABRIELA; COELHO, VERA S. P.; BRAGE, EUGENIA. How COVID-19 Has Affected Frontline Workers in Brazil: A Comparative Analysis of Nurses and Community Health Workers. JOURNAL OF COMPARATIVE POLICY ANALYSIS, v. 23, n. 1, SI, NOV 2020. (19/13439-7)

GABRIELA LOTTA; CHARLES KIRSCHBAUM. Dois pesos e duas medidas na sala de aula: análise das redes sociossemânticas de categorização operadas por professores. Rev. Adm. Pública, v. 56, n. 1, p. 100-133, 2022-03-21. (19/13439-7, 13/07616-7)

LOTTA, GABRIELA; KIRSCHBAUM, CHARLES. How street-level bureaucrats use conceptual systems to categorise clients. POLICY AND POLITICS, v. 49, n. 4, p. 531-551, OCT 2021. (19/13439-7, 17/24750-0)

SPINK, PETER; LOTTA, GABRIELA; BURGOS, FERNANDO. Institutional vulnerability and trust in public agencies: Views from both sides of the street. GOVERNANCE-AN INTERNATIONAL JOURNAL OF POLICY ADMINISTRATION AND INSTITUTIONS, v. 34, n. 4, JUL 2021. (19/13439-7, 17/24750-0)

GOFEN, ANAT; LOTTA, GABRIELA; MARCHESINI DA COSTA, MARCELO. Working through the fog of a pandemic: Street-level policy entrepreneurship in times of crises. PUBLIC ADMINISTRATION, v. 99, n. 3, SI, p. 484-499, SEP 2021. (19/13439-7)

KRIEGER, MORGANA G. MARTINS; WENHAM, CLARE; NACIF PIMENTA, DENISE; NKYA, THERESIA E.; SCHALL, BRUNAH; NUNES, ANA CAROLINA; DE MENEZES, ANA; LOTTA, GABRIELA. How do community health workers institutionalise: An analysis of Brazil's CHW programme. GLOBAL PUBLIC HEALTH, v. 17, n. 8, p. 18-pg., 2021-06-22. (19/13439-7, 19/24495-5)

ALCADIPANI, RAFAEL; LOTTA, GABRIELA; COHEN, NISSIM. Natural born violence? Understanding street-level bureaucrats' use of violence: Police officers and protests. PUBLIC ADMINISTRATION REVIEW, v. N/A, p. 15-pg., 2023-06-15. (19/24495-5, 19/13439-7)

STORY, JOANA; LOTTA, GABRIELA; TAVARES, GUSTAVO M.. (Mis)Led by an Outsider: Abusive Supervision, Disengagement, and Silence in Politicized Bureaucracies. JOURNAL OF PUBLIC ADMINISTRATION RESEARCH AND THEORY, v. N/A, p. 14-pg., 2023-03-29. (19/24495-5, 19/13439-7)

LOTTA, GABRIELA; NIETO-MORALES, FERNANDO; PEETERS, RIK. "Nobody wants to be a dead hero": Coping with precarity at the frontlines of the Brazilian and Mexican pandemic response. PUBLIC ADMINISTRATION AND DEVELOPMENT, v. 43, n. 3, p. 13-pg., 2023-05-15. (17/24750-0, 19/13439-7)