ETHICAL DILEMMAS IN MEDICAL CARE FOR WOMEN IN SITUATIONS OF SOCIAL VULNERABILITY: BROADENING THE DEBATE ON MARGINALIZED POPULATIONS IN EDUCATION

Abstract

The present work addresses reflections and discussions on the female figure in the scenario of social marginalization, linked to human rights threats, with a focus on access to health and quality longitudinal follow-up. This debate analyzes the historical process of marginalization and oppression amplified when women are inserted as street dwellers, enhancing the fragilities of helplessness and substance abuse, thus aggravating violence and stigma. It is a narrative literature review, of a reflective nature, associated with a report of educational experience in the construction of a teaching methodology based on a fictitious case that triggers the discussion and resolution of problems linked to human rights violations of marginalized women, in the light of philosophies of law and the study of public policies for undergraduate medical students. The development of the work shows the importance of expanding studies on this theme, focusing on historically invisible people, in a problematizing narrative, using the construction of clinical cases containing not only health needs for a medicalization resolution, strictly based on biological diagnoses, but that challenge the reflective thinking of social medicine, directing the debate to human rights lines,  in a context of interprofessional dialogues and public policy studies, as essential in the training of physicians engaged with the guarantee of equity and access to the most neglected population segments in Brazil.