Não é uma realidade de todo mundo: acesso ao SUS por pessoas trans do município de Santa Maria a partir da normativa 2.803/2013

Abstract

In 1997, the Federal Council of Medicine, through resolution 1,482, authorized the performance of transgenitalization surgeries in transgender patients, but only with Ordinance No. 2,836 of December 1, 2011, access to this service was offered by SUS. The need to expand the gender transition process was observed. This scenario made possible the emergence of normative n°2,803/2013, which ensures access to treatment (outpatient and inpatient) free of charge through the ICD (International Code of Diseases). Access to hormone treatment is hindered in basic health units due to the stigmatization of transgender people by health professionals. The objective of the study is to discover how the trans population of the municipality of Santa Maria uses the single health system for the gender transition, and finally identify which social parameters facilitate access to hormone treatment by the SUS, private health network and self-hormonization. The body becomes the central arena of a health system that includes to exclude, struggle for recognition and to modify its body according to its gender identity. The methodology consists of qualitative research with non-directive interviews applied to transgender people.