The Preferred/Social Name Eletronic form (e-form) implementation in the Health Units in Rio de Janeiro: Enforcement of Human Rights to Transvestites and transsexual peolple.
Description
The Rio de Janeiro Town Hall Sexual Diversity Coordination (CEDS-Rio) was created by the Decree no. 33376/2011.The city of Rio de Janeiro instituted the Decree no. 33816/2011 that provided the possibilty of having the right to use the preferred/social name of transvestites and transsexual people in the scope of the government services. Starting in 2017, the implementation of the Preferred/Social Name Eletronic form brought the possibility to have a eletronic field on the e-form to be fullfilled by the preferred/social name at the health units.
The population of transvestites, transmasculine and transfeminine people avoid seeking health units, mainly due to the fear of being embarrassed not to have their preferred/social name respected. Although the legal name and gender change is ensured by the Supreme Court determination, many face difficulties to face the steps brought by the Supreme Court Judgement. Many transgender, either for personal reasons or they cannot change due to other legal constraints. So, they prefer not to legally change their names and gender . In these cases, respecting the preferred/social name guarantees the access without embarrassment to the government services, in this case health services. They have to access the government health services in order to avoid aggravation of existing diseases, prevention of various diseases, including STI diseases, for example. In the cases of more serious diseases, the absence of the adequate treatment can lead them to death. CEDS-Rio within Rio Saude (that is an NGO for health administration contracted by the Municipal Health Department) built together the Preferred/Social Name field (gap) in the e-form. To this end, it promoted awareness-raising meetings for those of whom is responsible for the e-form in health units. In this way, everyone has the right to be called by his or her preferred/social name. Thus, this action aims to ensure the effectiveness of the Decree no. 33816/2011 providing the respect to the transgender population human rights enforcement in the health units covered by the reported practice. In this way, this action contributes to the effectiveness of goal 03 by providing the access to health in a humanized way, ensuring healthy living and promoting well-being for all, at all ages.
The partnership was established between Rio de Janeiro Town Hall Sexual Diversity Coordination and Municipal Health Department and Rio Saude NGO.
CEDS-Rio, in partnership with the Municipal Health Department decided to have a pilot project in the implementation of the Preferred/Social Name Eletronic form (e-form) in the health units administred by Rio Saude, that are: Barra Regional Emergency Center, Rocha Faria Municipal Hospital, Emergency Care Units of Santa Cruz, Rocha Miranda and Cidade de Deus.
From the choice of venues, meetings were organized at CEDS-Rio with Rio de Janeiro health and administrative personnel to understand the importance of the Preferred/Social Name so we could organize the best way to implement the e-form. Thus, we can compare the numbers before and after the implementation of the Preferred/Social Name Eletronic form (e-form) in the health units.
Before the implementation of the Preferred/Social Name Eletronic form (e-form) the health units before mentioned showed the following numbers concerning medical assistence. The numbers are displayed in the following organization: Health Unit, Number of Transvestites o Transgender assistence. The period tracked for this pilot study is from January and 2017 until June of 2017:
• CER Bar: 04
• UPA Santa Cruz: 06
• UPA Rocha Miranda: 06
• UPA Cidade de Deus: 0
• Municipal Hospital Rocha Faria: 0
After the implementation of the Preferred/Social Name Eletronic form (e-form) the health units before mentioned showed the following numbers concerning medical assistence. The numbers are displayed in the following organization: Health Unit; Number of Transvestites o Transgender assistence. The period tracked for this pilot study is from July 2017 to September of 2018:
• CER Bar: 55
• UPA Santa Cruz: 60
• UPA Rocha Miranda: 32
• UPA Cidade de Deus: 48
• Municipal Hospital Rocha Faria: 13
The implementation of the e-form and the consequent discussions around the thematic, ratified the importance of having laws that regulate the use of the social name, thus the elaboration of the Law no. 6329/18 in Rio de Janeiro.
The practice that CEDS-Rio developed in the city of Rio de Janeiro with the Preferred/Social Name Eletronic form (e-form) implementation in the emergency units managed by the Rio Saude Social NGO comes from the ODS perspective of not leaving anyone behind. The LGBT population was not explicitly included in the ODS targets. Thus, it is extremely important to present public actions that consider this population minority, and especially the transvestites and transgender population.<br />
The population of transvestites, transsexual women and transsexual men avoid accessing to the health units mainly because of the fear of not having their preferred/social name respected. The legal change of name and gender was only possible through a lawsuit based on numerous medical reports completely disconnected to the real social needs of this population. In 2018, the Federal Supreme Court authorized the civil registry offices to legal change name and gender only with the request of the interested party, without judicial/medical proceedings. Thus, it is latent that respect for the preferred/social name is the fastest way to meet the right to identity of transgender people.<br />
Thus, in order to ensure a healthy life and promote well-being for all, at all ages it is imperative that we seek objective ways of respecting gender identity for transvestites and transgenders. The Preferred/Social Name Eletronic form (e-form) implementation in the Rio de Janeiro health uinits guarantees the right to the identity of these people by expanding access to health assistence and contributing to the treatment of diseases and the end of epidemics addressed by goal 3 in sub-item 3.3.<br />
With the expansion of access to health assistence, municipal public policy can access part of the LGBT population that suffers most from depression and violence, resulting in a large number of suicides. Resorting often to alcohol and other drug abuse. In this way, a simple practice that respects identity through the use of the preferred/social name contributes to sub-item 3.5. Finally, from the access to transvestites, transsexual women and trans men in health assistence, it will be possible to know and recognize their demands that go beyond the sexual reassignment surgery. For transvestites and transgender people are also exposed to all the diseases that afflict the rest of the population, but they find obstacles to access public health due to prejudice to their gender identity as proclaimed by heteronormative society. This prejudice also includes the organization of public services. Thus, public policies that develop actions and practices that guarantee the right of the LGBT population are urgent so that the Sustainable Development Goals are achieved.
http://prefeitura.rio/web/cedsrio/exibeconteudo?id=9079428
http://prefeitura.rio/web/cedsrio/a-coordenadoria
http://www.rio.rj.gov.br/web/riosaude/nome-social
http://www.srzd.com/brasil/campanha-chama-atencao-direito-uso-nome-soci…
https://exame.abril.com.br/brasil/transexuais-podem-usar-nome-social-em…
https://www1.folha.uol.com.br/colunas/monicabergamo/2017/06/1893561-tra…
http://www.rio.rj.gov.br/dlstatic/10112/8528204/4225954/DossieLGBT1.pdf
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Nelio Georgini, Special Coordinator