"A principal dificuldade é conseguir fazer mais": desafios encontrados no cotidiano de trabalho em um serviço de saúde especializado no atendimento de pessoas trans

Abstract

Some public policies were developed to reduces lacks related to Trans people access to health services, such as the gender reassingnment process in the Unified Helath System (SUS), instituted by Ministerial Directive n° 2.803/2013 of the Ministry of Health, which provides a caring line with an integrative aproach between al levels of attention of the SUS to the people who needs corporal modifications. However, the fulfillment of public policies aimed to Trans people health does not succed only through legislative decisions and ordinances, but mainly from actions in the every day work of health services and in the relationschip between professionals nad user ones. Based on this aasumption, the general aim of this research is to understand the difficulties meet by health professionals who work in a specialized service in the care of Trans people. To reach this aim, we did a qualitative research with the professionals of an outpatient clinic service specialized in the care of Trans people, located in Southern Brazil. We use interviews by guidelines as a tool for information gathering and, after this, we did the data analysis through content analysis procedures. The participants of the research reported difficulties in team consolitation as well as gaps in professional training processes and obstacles on the articulation of the service with other levels of pulblic health network attention of region.