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13 - PROMOÇÃO DA SAÚDE EM REGIÃO RIBEIRINHA AMAZÔNICA: RELATO DE EXPERIÊNCIA

Doi: 10.47094/978-65-284-0427-8/13

PALAVRAS CHAVE: População Ribeirinha. Saúde Reprodutiva. Saúde Sexual. Diversidade de Gênero. Assistencia Integral à Saúde.

KEYWORDS: Riverside Population. Reproductive Health. Sexual Health. Gender Diversity. Comprehensive Healthcare Assistance.

ABSTRACT:
INTRODUCTION: Riverside populations face geographical barriers that hinder access to healthcare. Thus, volunteer work contributes to preventive and educational care, promoting health. OBJECTIVE: To present an experience report on a health action carried out in a riverside community in northern Brazil. METHOD: This is an experience report on a health action carried out in the district of São Carlos, a riverside region of the state of Rondônia. The activities were conducted by a multidisciplinary team within the extension project entitled "Acolher" in 2024. The stages included a situational diagnosis of local needs, planning meetings, and distribution of demands. RESULTS: To promote access to and welcoming of sexual and reproductive health services, the "Acolher" project develops actions in Primary Health Care (PHC) and in schools in urban, rural, and riverside communities in the municipality of Porto Velho, including the districts of São Carlos, Nazaré, and Calama. In the São Carlos district, the activities took place over two days, conducted by 10 nurses, 2 physiotherapists, 2 psychologists, and 3 psychology students. On the first day, popular health education was carried out with adolescents aged 15 to 19 at the local school. Before the intervention, a questionnaire was applied to identify the students' main areas of interest, with bullying being listed among those under 18, and gender diversity among those over 18. For the approach, the professionals divided themselves into different rooms according to the age range of the groups. Active methodologies were used, such as discussion circles, problem tree construction, expository panels, and videos, promoting dialogue and listening as learning tools. In the discussion circles, issues related to cyberbullying on social networks emerged, which is especially sensitive in small communities where exposure is greater and anonymity is reduced; anxiety and doubts regarding the terminologies gender identity, biological sex, gender expression, and sexual orientation. At the end, the students listed the positive points, improvements, and suggestions. On the second day, the professionals provided care in the Primary Health Care Unit, including cervical cytology collection, rapid testing for HIV, syphilis, hepatitis B and C, gynecological consultations, and psychological support sessions. FINAL CONSIDERATIONS: It was an important strategy to address issues related to sexuality, reproductive planning, sexually transmitted infections, and mental health. The use of participatory methodologies fostered dialogue among peers, generating identification and acceptance. In addition to stimulating reflections on bullying and gender diversity, it promoted the confrontation of violence and prejudices related to misinformation. The challenges faced by riverside populations in obtaining basic care were also observed, reinforcing the need for interdisciplinary and territorialized health promotion strategies aimed at equity.

Autores

  • Ellen de Moraes Guedes

  • Lyene Aparecida Jorge dos Santos

  • Marcuce Antônio Miranda dos Santos

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