Desigualdades sociais de saúde e acesso a mamografia na fronteira entre o Brasil e a França na região do Rio Oiapoque

Abstract

Goals: The goal of the study is an analyze of the implantation of health care public polities for mammography access in the Oiapoque river frontier between France and Brazil where there is several social inequalities in health care. Justifications: The interest to this subject has two influences: The work realized at the coordination of the Regional Cancer Network of French Guiana in collaboration with health care professionals, a social worker and a psychologist in the support to patients and their dose relatives. The knowledge of the frontier zone with the richness of the population and the challenges they take up in the everyday life by living far away from the main cities. Hypotheses: Two questions will be analyzed to answer the main problematic: Are the social determinants on health care for the frontier population regarded for the implantation of polities for breast cancer detection access? Which are the strategies of the public powers, institutional actors and the professionals to facilitate the access to mammography for the frontier population? Teorico-metodological aspects: The analyze of the social inequalities on health care influence will be based on the economist Amartya Sen theory on the link between social inequalities and individual freedom. A documental research and interviews of professionals working on the frontier had been realized to understand the specific context of the region, the brazilian and french health care system, the organization of the breast cancer detection for the frontier population. Results: We can conclude that the territorial inequalities has most impact on the access of mammographyfor the women living on frontier. The inequalities needs a coordination of the public action to realized the structural modifications, and also local actions promoting more interaction between professionals and population