Inventando cuidados em tempo de pandemia: relato de experiência / Inventing care in a time of a pandemic: experience report / Inventar el cuidado en tiempos de pandemia: informe de experiencia

Durante a pandemia de Covid-19, ações grupais de cuidado realizadas nos cursos de formação superior brasileiros tiveram de ser adaptadas para o ambiente virtual. Apresenta-se a experiência formativa realizada em 2020 por alunos da Universidade Federal de São Paulo juntamente com um grupo de mulheres em situação de vulnerabilidade, participantes do "Projeto Delicadas Coreografias", um projeto de extensão de cuidado em saúde por meio de práticas corporais. Considerando o sofrimento causado pelo momento pandêmico e as barreiras comunicacionais de acesso vivido pelos estudantes e pelas mulheres, foram realizados encontros remotos na busca de promover cuidado a partir da produção de um espaço de confiança, que fosse também lúdico, vincular e inventivo. Os encontros no ambiente virtual permitiram dar visibilidade e dizibilidade a processos singulares, configurando, então, em outros modos de produzir cuidado e tecer uma formação em saúde em tempos de pandemia.(AU)

Durante la pandemia de Covid-19, las acciones de atención grupal realizadas en los cursos de educación superior brasileña tuvieron que adaptarse al entorno virtual. Presentamos la experiencia formativa realizada en 2020 por estudiantes de la Universidad Federal de São Paulo, campusBaixada Santista junto a un grupo de mujeres en situación de vulnerabilidad, participantes del "Proyecto Delicadas Coreografias", un proyecto de extensión del cuidado de la salud a través de prácticas corporales. Considerando el sufrimiento causado por elmomento de la pandemiay las barreras comunicacionales de acceso que viven estudiantes y mujeres, se realizaron encuentros a distancia en la búsqueda de promover el cuidado a partir de la producción de un espacio de confianza, también lúdico, vinculante e inventivo. Los encuentros en el ambiente virtual permitieron dar visibilidad y deciridad procesos singulares, configurándose, entonces, en otras formas de producir cuidado y tejer una educación en salud en tiempos de pandemia. (AU)

During the Covid-19 pandemic, group care actions carried out in Brazilian higher education courses had to be adapted to the virtual environment. We present the training experience carried out in 2020 by students from Federal University of São Paulo, campusBaixada Santista together with a group of women in situations of vulnerability, participants of the "Project Delicates Choreographies", a project to extend health care through corporeal practices. Considering the suffering caused by the pandemic moment and the communicational barriers of access experienced by students and women, remote meetings were held in the search to promote care from the production of a space of trust, which was also playful, bonding and inventive. The meetings in the virtual environment allowed to give visibility and sayability to singular processes, configuring, then, in other ways of producing care and weaving a health education in times of pandemic. (AU)

Knowledge & attitudes toward fertility preservation (Medical and social freezing) among Lebanese women between the ages of 18 and 39 years.

Egg freezing is a relatively new and controversial procedure in the Arab region, challenging traditional perceptions of fertility and motherhood. This study aims to assess Lebanese women's awareness and acceptance of egg freezing and how these attitudes differ according to vary with age, socio-demographic characteristics, and educational level. We conducted a cross-sectional survey targeting Lebanese females aged between 18 and 39, involving 402 Lebanese women from six different institutions representing diverse cultural backgrounds. 65% of the respondents had heard of egg freezing. Younger women (18-30 years old) were 2.09 times more likely to consider egg freezing than those aged 31-39. Single women were 4.31 times more likely to consider egg freezing than women in relationships, while childless women were 5.00 times more likely compared to women who already had children. Overall, medical egg freezing was more widely accepted than social egg freezing. The most supported indication for social egg freezing was to enable women who struggled to find the right partner during their peak fertile years to have children in the future (41.5%). The most common concern that affected women's decision to undergo egg freezing was whether the procedure would be proven safe for their future children and whether it would affect their future fertility. Interestingly, in a relatively conservative country, concerns about hymenal disruption were the least prevalent, (19%). The most common concern by far was limited information on the procedure (62%). In conclusion, the study reveals that awareness and acceptance of social egg freezing among Lebanese women were higher than expected. Limited information on the procedure's details was the main impediment to higher acceptance rates, highlighting the importance of physicians and primary healthcare providers in providing reproductive-aged women with the necessary information to safeguard their reproductive potential.

Self-loving in the epidemic years: Carmen Machado's rhetoric of woundedness.

This article explores Carmen Machado's Her Body and Other Parties (2017) as articulating generative unmaking of bodies. Mobilizing that which I examine as rhetoric of woundedness, a thread of Latina rhetoric wherein wounds are strategically positioned to emphasize flesh as space of conflict, Machado writes body horrors to provoke dis-ease in audiences. Specifically, Machado highlights pervasive discursive discomforts that decentralize narratives about women's body (un)wellness. It is important to note, however, that Machado's attention to the corporal becomes, in part, rejection of body, a de-composition of physicality-sometimes reached through sexual ecstasy, other times through violence and epidemics-to re-compose self. Such a tactic recalls conversations advanced in Cherríe Moraga's writings and Yvonne Yarbro-Bejarano's embodied theories, both included in Carla Trujillo's landmark anthology, Chicana Lesbians: The Girls Our Mothers Warned Us About (1991). Moraga and Yarbro-Bejarano investigate textual dismemberment of female physique to re-imagine and reclaim body for enactments of Chicana desire. What marks Machado as distinct is her resistance to reclaim body. Often, Machado's characters manifest phantom states that quarantine body from toxic physical and social spaces. Concurrently, characters lose rights to body due to self-hate within that toxicity. Machado's characters find clarity only when freed from physicality, at which point they may re-compose themselves according to their testified truths. I see this distinction as a progression of works contained in Trujillo's anthology as Machado envisions a worldmaking process that one composes through autonomous self-love and self-partnership to nurture female narrative and solidarity.

Ernest Dichter's fur coat models: Fashioning a therapeutic culture.

Discussions of the rise of therapeutic culture have tended toward the abstract, in part due to a focus on theory. This article looks at the case of Ernest Dichter's motivational research, particularly a study conducted on fur coats in the late 1950s, to locate this broader cultural shift more materially. Motivational research was a broad project of study that aimed to uncover unconscious consumer desires using the tools of psychology and psychoanalysis. This project materialized culture first through the pen-and-paper projective test created for the study, which sorted styles of fur into different classifications of womanhood, and second through the fur coats themselves, which were granted by Dichter a psychological agency of their own in their relationship with middle-class women. Through this study, Dichter observed a shift in Americans' understanding of the self, a movement away from meeting physiological needs to addressing their inner lives; changing economic conditions had granted more income and free time with which to look inward, and Americans wanted consumer goods to aid in such self-discovery. Dichter suggested that the fur industry capitalize on this change by emphasizing the versatility of fur and the role of objects more generally in fostering creative self-expression. The advertising office was where theory was put into practice. In that way, it is a uniquely generative though often overlooked space from which to look into the rise of the therapeutic culture.

Construção mulher-mãe: dispositivos que envolvem maternidade, mídia e seus movimentos atuais / Construcción de la madre-mujer: dispositivos que involucran la maternidad, medios de comunicación y sus movimientos actuales / Mother-woman construction: devices which involve maternity, media and their current movements

RESUMO. O pré-natal tornou-se um modo de investir na gestação, porém, a forma como cada mulher vai exercer o cuidado envolve um conjunto heterogêneo de práticas. O objetivo deste artigo é problematizar como os discursos se articulam nas redes sociais e direcionam a mulher a um modelo específico de maternidade. O percurso metodológico dá-se pela cartografia, com apoio de ferramentas foucaultianas: verdade, poder e subjetividade. Nas discussões e resultados, percebemos que o discurso de medicalização do corpo se desdobra em um investimento na família moderna, que seria um agente privilegiado de medicalização, e que as mulheres são interpeladas diretamente por este processo. Concluiu-se que o processo de medicalização atua, no corpo, por meio de uma série de saberes e discursos e compõe uma política normativa de um modelo de maternidade a partir de diferentes enunciações.

RESUMEN. El prenatal se hizo una manera de invertir en la concepción, sin embargo, la forma en que cada mujer ejercita el cuidado involucra un grupo heterogéneo de las prácticas. El objetivo de este artículo es problematizar como todos los discursos que se articulan en las redes sociales y van dirigiendo a la mujer hacia un modelo específico de maternidad. El itinerario metodológico se da por la cartografía, con el soporte de herramientas foucaultianas: la verdad, el poder y la subjectividad. En las discusiones y los resultados, nos dimos cuenta de que el discurso de medicalización del cuerpo se desdobla en una inversión en la familia moderna, que sería un agente privilegiado de medicalización, y que las mujeres son interpeladas directamente por este proceso. Se concluyó que el proceso de medicalización actúa en el cuerpo a través de una serie de saberes y discursos y compone una política normativa de un modelo de maternidad basado en diferentes enunciados.

ABSTRACT. Prenatal care has become a way to invest in gestation, but the way each woman will carry it out involves a heterogeneous set of practices. This article is aimed to problematize how the discourses are articulated in the social networks and may direct the woman to a specific model of maternity. The methodological course is given by cartography, having as a basis the Foucauldian tools: truth, power and subjectivity. In the discussions and the results, it is possible to realize that the medicalization discourse of the body unfolds in an investment for the modern family, which would be a privileged agent of medicalization, and that women are directly interpellated by this process. It was concluded that the medicalization process acts in the body through a series of knowledge and discourses and composes a normative policy of a maternity model based on different enunciations.

Fear of COVID-19, food insecurity and anxiety in women dwelling in João Pessoa, Paraíba: a cross-sectional study / Medo da COVID-19, insegurança alimentar e ansiedade em mulheres residentes em João Pessoa, Paraíba: um estudo transversal

ABSTRACT Objective: To describe the fear caused by the COVID-19 pandemic and to analyze the association of food insecurity and fear of COVID-19 as anxiety predictors in women who are Sistema Único de Saúde users. Method: A cross-sectional study was conducted in 2021 with 73 women out of 118 who were followed up in a cohort study in the municipality of João Pessoa, Paraíba, Brazil. The women were selected in health units before the pandemic and their telephone contact enabled remote data collection. Socioeconomic and demographic information, food insecurity, fear of COVID-19, and anxiety were assessed. The Brazilian Food Insecurity Scale, the State-Trait Anxiety Inventory, and the Fear of COVID-19 Scale were used. An association between variables was performed using the chi-square test and a logistic regression verified the independent effect of variables concerning anxiety. A 5% significance level was considered. Results: The median age of the women was 33 years and the median per capita family income was BRL 665.33. Most of them lived with a partner and declared themselves mostly black or brown. Lower income and greater severity of food insecurity were associated with greater fear of COVID-19, and this feeling increased the probability of women being in a high anxiety state (OR=3.167). Conclusion: The most vulnerable women, with lower income and greater food insecurity had more fear of COVID-19 which increased their anxiety. Even after the pandemic is over, the effects of these events can maintain a state of mental distress that must be considered and properly cared for.

RESUMO Objetivo: O estudo teve como objetivo descrever o medo causado pela pandemia da COVID-19 e analisar a associação da insegurança alimentar e do medo da COVID-19 como preditores da ansiedade em mulheres usuárias do Sistema Único de Saúde. Métodos: Trata-se de um estudo transversal realizado em 2021 com 73 mulheres de um total de 118 que foram acompanhadas em um estudo de coorte no município de João Pessoa, Paraíba, Brasil. As mulheres foram selecionadas em unidades de saúde antes da pandemia, e o contato telefônico possibilitou a coleta de dados de forma remota. Informações socioeconômicas e demográficas, sobre insegurança alimentar, medo da COVID-19 e ansiedade foram avaliadas. Utilizou-se a Escala Brasileira de Insegurança Alimentar, o Inventário de Ansiedade Traço-Estado e a Escala de Medo de COVID-19. A associação entre variáveis foi realizada com teste qui-quadrado, e a regressão logística verificou o efeito independente das variáveis com relação à ansiedade. Considerou-se significância de 5%. Resultados: A mediana da idade das mulheres foi de 33 anos, e a renda familiar per capita foi de R$ 665,33. As mulheres, em sua maioria, conviviam com companheiro e se autodeclararam pretas ou pardas. Menor renda e maior severidade da insegurança alimentar estiveram associadas a maior medo da COVID-19, e esse sentimento aumentou as chances de as mulheres estarem em estado de alta ansiedade (OR=3,167). Conclusão: As mulheres mais vulneráveis, com menor renda e maior insegurança alimentar tiveram mais medo da COVID-19, e isso colaborou para o aumento da ansiedade dessas mulheres. Mesmo com o fim da pandemia, os efeitos dessa fase podem manter um estado de sofrimento mental que precisa ser considerado e cuidado apropriadamente.

"uma casa e uma sanfona para sonhar": grupo multifamiliar musicoterapêutico na comunidade / "una casa y un acordeón para soñar": grupo de musicoterapia multifamiliar en la comunidad / "a house and an accordion to dream": multifamily music therapy group in a community

RESUMO. Esta pesquisa tem por objetivo investigar o uso do Grupo Multifamiliar Musicoterapêutico (GMM) junto a famílias socialmente vulneráveis. Trata-se de uma pesquisa-intervenção realizada em uma região administrativa do Distrito Federal. Participaram do estudo 30 famílias inscritas no Cadastro Único do governo federal e atendidas no Centro de Referência em Assistência Social. Os instrumentos de coleta de dados foram as visitas domiciliares, as entrevistas semiestruturadas e os registros dos encontros e das supervisões. O GMM foi realizado em seis encontros, com duração de 03 horas cada, com periodicidade quinzenal, intercalados com as supervisões da equipe, formada por 15 profissionais das áreas de psicologia, pedagogia, assistência social e musicoterapia. Após a análise foram identificados dois temas: 1) música, afetos e reminiscências; 2) música e sonhos. Percebeu-se que as experiências musicais auxiliaram as famílias na conscientização das formas violentas de comunicação e na transformação por meio de expressões afetuosas mediadas pela música e seu potencial de evocar memórias e sonhos. A capacidade imaginativa das famílias foi uma estratégia de enfrentamento às adversidades e se constituiu como ponte entre o real e o imaginário, nutrindo a esperança de uma vida melhor. Destaca-se o valor da música que, com rapidez e emocionalidade, acessa e comunica com o tal público, por favorecer intervenções musicoterapêuticas comunitárias.

RESUMEN. Este trabajo tiene como objetivo investigar el uso del Grupo Musicoterapéutico Multifamiliar (GMM) con familias socialmente vulnerables. Se trata de una intervención-investigación realizada en una Región Administrativa del Distrito Federal. Participaron del estudio 30 familias que se encuentran inscritas en el Registro Único del Gobierno Federal y que son atendidas en el Centro de Referencia de Asistencia Social. Los instrumentos de recolección de datos fueron: visitas domiciliarias, entrevistas semiestructuradas y registros de reuniones y supervisiones. El GMM fue realizado en seis encuentros, con una duración de tres horas cada uno. Los encuentros se realizaron cada dos semanas, intercalados con la supervisión del equipo, formado por 15 profesionales en las áreas de psicología, pedagogía, asistencia social y musicoterapia. Después del análisis temático, se identificaron dos temas: 1) música, afectos y reminiscencias; 2) y música y sueños. Se observó que las experiencias musicales ayudaron a las familias en la concientización de las formas violentas de comunicación y en la transformación por medio de expresiones afectuosas mediadas por la música y su potencial para evocar recuerdos y sueños. La capacidad imaginativa de las familias fue una estrategia para enfrentar las adversidades y se constituye como un puente entre lo real y lo imaginario, alimentando la esperanza de una vida mejor. Se destaca el valor de la música que, con rapidez y emotividad, accede en y se comunica con esa población, favoreciendo las intervenciones de musicoterapia comunitaria.

ABSTRACT: This research aims to investigate the use of Multi-family Music Therapy Group (MMG) with socially vulnerable families. This is an intervention research carried out in an Administrative Region in the Federal District of Brazil. The study included 30 families enrolled in the Federal Government's Single Registry and assisted at the Social Assistance Reference Center. The data collection instruments were: home visits, semi-structured interviews, and records of meetings and supervisions. The MMG was carried out in six meetings, lasting three hours each, every two weeks, interspersed with the supervision of the team, which was formed by 15 professionals from the fields of psychology, pedagogy, social assistance, and music therapy. After the thematic analysis, two themes were identified: 1) music, affections, and reminiscences; and 2) music and dreams. It was noticed that the musical experiences helped the families in the awareness of violent forms of communication and in the transformation through expressions of affection mediated by music and its potential to evoke memories and dreams. The families imaginative capacity was a strategy to face adversities and constitutes a bridge between the real and the imaginary, nurturing the hope of a better life. The value of music is highlighted, which quickly and emotionally accesses and communicates with that audience, favoring community music therapy interventions.

Avaliação da qualidade de vida de mulheres submetidas a Sling para incontinência urinária / Assessment of the quality of life of women undergoing Sling for urinary incontinence

Introdução: A incontinência urinária é caracterizada como a perda involuntária de urina, atingindo uma proporção de 2 mulheres para 1 homem. Aspectos psicológicos, sociais e sexuais são afetados pela incontinência urinária. Mulheres com essa condição apresentam-se deprimidas, angustiadas ou irritadas. O afastamento das atividades sociais pelo receio do estigma contribui para a procura tardia por auxílio. A avaliação do impacto na qualidade de vida em mulheres com incontinência urinária pode ser feita através de questionários validados. Objetivo: O objetivo deste estudo é avaliar o impacto do tratamento cirúrgico suburetral para incontinência urinária na qualidade de vida de pacientes atendidas no Ambulatório de Urologia do HSPM. Metodologia: Trata-se de um estudo observacional, prospectivo e retrospectivo envolvendo pacientes com mais de 18 anos e incontinência urinária de esforço submetida a tratamento cirúrgico por técnica suburetral. Foi aplicado o questionário Quality of Life in Persons with Urinary Incontinence (I-QoL), validado em língua portuguesa, no pré-operatório e 6 (seis) meses após a cirurgia. Resultados e Discussão: O aumento na qualidade de vida observado foi estatisticamente significante pelo Teste T pareado (p<0,001). A avaliação da percepção da qualidade de vida das pacientes através do questionário I-QoL demonstrou resultados semelhantes aos verificados na literatura. Conclusão: Nesse estudo foi observada melhora na percepção da qualidade de vida das mulheres submetidas ao tratamento cirúrgico suburetral para incontinência urinária de esforço. Palavras-chave: Incontinência urinária. Qualidade de Vida. Slings Suburetrais.

Divisão sexual do trabalho no contexto da Polícia Militar: uma análise no campo da psicodinâmica do trabalho / Sexual division of labor in the context of the Military Police: an analysis in the field of work psychodynamics / División sexual del trabajo en el contexto de la Policía Militar: un análisis en el campo de la psicodinámica del trabajo

Este artigo é uma pesquisa teórica que visa a identificar aspectos da divisão sexual do trabalho na inserção de mulheres à Polícia Militar brasileira, articulando-os ao campo teórico da Psicodinâmica do Trabalho. Para isso, nos pautamos em produções acerca da inserção e do cotidiano de mulheres na Polícia Militar. Compreendemos que a forma com que as mulheres policiais dão sentido as suas experiências laborais podem estar atravessadas por uma ideia de exaltação da virilidade, além de outros atributos que são tidos socialmente como masculinos, visto que as instituições militares brasileiras, historicamente, são compostas por um grande valor social, atrelado a uma concepção de bravura, virilidade, força física, heroísmo, entre outras; características que foram associadas à masculinidade e, contemporaneamente, ainda perpassam nosso meio social. Ressaltamos que as experiências no trabalho estão intima-mente relacionadas à produção de subjetividade, consequentemente, às formas com que os trabalhadores e trabalhadoras se reconhecem enquanto sujeitos em determinado contexto socio-histórico. (AU)

This article is a theoretical study that aims to identify aspects of the sexual division of labor in the incorporation of women into the Brazilian Military Police, linking them to the theoretical field of Work Psychodynamics. To do so, we rely on research on the insertion and daily experiences of women in the Military Police. We understand that the way in which women in the police interpret their work experiences may be shaped by an ideal of exalting virility, as well as other attributes that are socially seen as masculine. This is because Brazilian military institutions, historically, have been associated with values, such as bravery, virility, physical strength, heroism, among others, characteristics that are traditionally associated with masculinity and that continue to influence our social environment. We emphasize that work experiences are closely related to the production of subjectivity, and therefore to the way in which male and female workers recognize themselves as subjects in a particular socio-historical context. (AU)

Este artículo es una investigación teórica que tiene como objetivo identificar aspectos de la división sexual del trabajo en la inserción de las mujeres en la Policía Militar Brasileña, vinculándolas al campo teórico de la Psicodinámica del Trabajo. Para ello, nos guiamos por producciones sobre la inserción y la vida cotidiana de las mujeres en la Policía Militar. Entendemos que la forma en que las mujeres policías dan sentido a sus experiencias laborales puede estar atravesada por una idea de exaltación de la virilidad, además de otros atributos que se consideran socialmente masculinos, ya que las instituciones militares brasileñas, históricamente, están compuestas por una gran valor social, ligado a una concepción de valentía, virilidad, fuerza física, heroísmo, entre otras; características que estaban asociadas con la masculinidad y, al mismo tiempo, aún impregnan nuestro entorno social. Destacamos que las experiencias laborales están estrechamente relacionadas con la producción de subjetividad, en consecuencia, con las formas en que los trabajadores se reconocen a sí mismos como sujetos en un contexto socio-histórico determinado. (AU)

Bem-estar na escola e percepção da discriminação de gênero por meninas / School well-being and perception of gender discrimination by girls / Bienestar en la escuela y percepción de la discriminación de género por las niñas

Este artigo analisa, a partir da pesquisa "Ser Menina no Brasil", o bem-estar na escola e a (pouca) percepção da discriminação de gênero por meninas de 6 a 14 anos. Foram utilizados os dados quantitativos da Amostra-Escola, que envolve 1.609 meninas, de 21 municípios brasileiros, referente à dimensão "Escola e Escolarização" e que aponta a percepção das meninas sobre a frequência às aulas, os motivos de faltar à escola, os níveis de aprovação e reprovação, a interrupção dos estudos, os motivos de expulsão, as tarefas escolares, as relações de gênero no contexto escolar e a satisfação e bemestar na escola. A análise indicou uma percepção favorável ao bem-estar na escola e relações de gênero benéficas para as meninas. Estudos assim devem focar o contexto educativo, o qual possibilita a inserção e a construção de um lugar de pertencimento e a ruptura com uma cultura de desigualdade social que ainda mascara a exclusão. (AU)

This article analyzes, from the research "Being Girl in Brazil", the welfare in the school and the (low) perception of the gender discrimination by girls of 6 to 14 years. We used the quantitative data of the School-Sample, involving 1,609 girls from 21 Brazilian municipalities, referring to the "School and Schooling" dimension and which points out the girls perception about the attendance at school, reasons for missing school, levels of approval and disapproval, interruption of studies, reasons for expulsion, school tasks, gender relations in the school context, and school satisfaction and well-being. The analysis indicated a favorable perception of well-being in school and gender relations beneficial to girls. Such studies should focus on the educational context, which enables the insertion and construction of a place of belonging and the rupture with a culture of social inequality that still masks exclusion. (AU)

Este artículo analiza, a partir de la investigación "Ser niña en Brasil", el bienestar en la escuela y la (poca) percepción de la discriminación de género por niñas de 6 a 14 años. Hemos utilizado los datos cuantitativos de la Muestra-Escuela, que involucra a 1.609 niñas, de 21 municipios brasileños, referente a la dimensión "Escuela y Escolarización" y que apunta la percepción de las niñas sobre la frecuencia a las clases, los motivos de faltar a la escuela, los niveles de aprobación y reprobación, la interrupción de los estudios, los motivos de expulsión, las tareas escolares, las relaciones de género en el contexto escolar y la satisfacción y bienestar en la escuela. El análisis indicó una percepción favorable al bienestar en la escuela y relaciones de géneros beneficiosos para las niñas. Los estudios así deben enfocar el contexto educativo, lo cual posibilita la inserción y la construcción de un lugar de pertenencia y la ruptura con una cultura de desigualdad social que aún enmascara la exclusión. (AU)

Saberes e sentimentos de mulheres mastectomizadas sobre o câncer de mama / Knowledge and feelings of mastectomized women about breast cancer / Conocimientos y sentimientos de las mujeres mastectomizadas sobre el cáncer de mama

O câncer de mama é o segundo tipo de câncer mais incidente no mundo. Após o diagnóstico, inúmeras são as alterações e os sentimentos que vêm à tona na vida da mulher, desde a descoberta até a recuperação. Diante disso, objetivou-se analisar os saberes e sentimentos de mulheres mastectomizadas sobre o câncer de mama. Trata-se de estudo descritivo com abordagem qualitativa, realizado no Grupo Amigos do Peito, localizado na cidade de Cajazeiras, estado da Paraíba, Brasil. As participantes do estudo foram dez mulheres que compõem o grupo. Para a coleta de dados utilizou- se de entrevista semiestruturada que foram posteriormente analisadas por meio do Discurso do Sujeito Coletivo. A análise dos discursos permitiu a compreensão de três categorias que norteavam sobre saberes e sentimentos vivenciados por mulheres mastectomizadas frente ao câncer, a saber: Fragilidades na definição do câncer de mama; Sentimentos originados pela descoberta da doença; e Sentimentos negativos decorrentes da mastectomia. A própria mulher diagnosticada com a neoplasia não apresenta conhecimento sobre o assunto, porém, expõe características negativas à doença. Além disso, o impacto causado pelo diagnóstico da doença e pelo tratamento cirúrgico é imenso, tendo em vista que a doença traz consigo uma série de transformações na vida, corpo e mente da mulher. Destarte, as mulheres entrevistadas não conseguiam definir a neoplasia da mama com precisão e apresentaram sentimentos negativos relacionados ao câncer e a realização da mastectomia. Contudo, os resultados das ações educativas mostraram-se satisfatórios, e possibilitaram que a mulher se sentisse mais segura e acolhida.

Breast cancer is the second most common type of cancer in the world. After the diagnosis, there are countless changes and feelings that come to light in a woman's life, from discovery to recovery. Therefore, the objective was to analyze the knowledge and feelings of mastectomized women about breast cancer. This is a descriptive study with a qualitative approach, carried out at Grupo Amigos do Peito, located in the city of Cajazeiras, state of Paraíba, Brazil. The study participants were ten women who make up the group. For data collection, semi-structured interviews were used, which were later analyzed through the Collective Subject Discourse. The analysis of the speeches allowed the understanding of three categories that guided the knowledge and feelings experienced by mastectomized women in the face of cancer, namely: Weaknesses in the definition of breast cancer; Feelings caused by the discovery of the disease; and Negative feelings resulting from the mastectomy. The woman diagnosed with the neoplasm does not have knowledge on the subject, however, she exposes negative characteristics to the disease. In addition, the impact caused by the diagnosis of the disease and the surgical treatment is immense, given that the disease brings with it a series of transformations in the woman's life, body and mind. Thus, the women interviewed were not able to define breast cancer precisely and had negative feelings related to cancer and the performance of mastectomy. However, the results of the educational actions proved to be satisfactory, and made it possible for the woman to feel more secure and welcomed.

El cáncer de mama es el segundo tipo de cáncer más frecuente en el mundo. Tras el diagnóstico, son innumerables las alteraciones y sentimientos que afloran en la vida de la mujer, desde el descubrimiento hasta la recuperación. Por lo tanto, este estudio tuvo como objetivo analizar el conocimiento y los sentimientos de las mujeres mastectomizadas sobre el cáncer de mama. Se trata de un estudio descriptivo con enfoque cualitativo, realizado en el Grupo Amigos do Peito, ubicado en la ciudad de Cajazeiras, estado de Paraíba, Brasil. Las participantes en el estudio fueron diez mujeres que componen el grupo. Para la recolección de datos, se utilizaron entrevistas semiestructuradas que posteriormente fueron analizadas a través del Discurso del Sujeto Colectivo. El análisis de los discursos permitió comprender tres categorías que orientaron sobre el conocimiento y los sentimientos experimentados por las mujeres mastectomizadas que se enfrentan al cáncer, a saber Fragilidades en la definición del cáncer de mama; Sentimientos originados por el descubrimiento de la enfermedad; y Sentimientos negativos derivados de la mastectomía. La propia mujer diagnosticada con la neoplasia no presenta conocimientos sobre el tema, sin embargo, expone características negativas a la enfermedad. Además, el impacto causado por el diagnóstico de la enfermedad y el tratamiento quirúrgico es inmenso, teniendo en cuenta que la enfermedad trae consigo una serie de transformaciones en la vida, el cuerpo y la mente de la mujer. Por lo tanto, las mujeres entrevistadas no fueron capaces de definir el cáncer de mama con precisión, y presentaron sentimientos negativos relacionados con el cáncer y con la realización de la mastectomía. Sin embargo, los resultados de las acciones educativas fueron satisfactorios y permitieron a la mujer sentirse más segura y aceptada.

Enhanced women's decision-making power after the Suchana intervention in north-eastern Bangladesh: a cluster randomised pre-post study.

OBJECTIVES: Women's decision-making power is a dimension of empowerment and is crucial for better physical and psychosocial outcomes of mothers. Suchana, a large-scale development programme in Bangladesh, actively provided social interventions on behaviour change communication to empower women belonging to the poorest social segment. This paper aims to assess the impact of the Suchana intervention on various indicators related to women's decision-making power. DESIGN, SETTING AND PARTICIPANTS: The evaluation design was a cluster randomised pre-post design with two cross-sectional surveys conducted among beneficiary women with at least one child aged <23 months from randomly selected poor or very poor beneficiary households in Sylhet division. OUTCOME MEASURE: Decision-making indicators included food purchases, major household purchases, food preparation, children's healthcare as well as women's own healthcare and visiting family and relatives. RESULTS: Our findings suggest that 45% of women were able to make decisions on food purchases, 25% on major household purchases, 78% on food preparation, 59% on children's healthcare, 51% on their own healthcare and 43% on visiting family and relatives at baseline in the intervention group, whereas the results were almost the same in the control group. In contrast, at the endline survey, the respective proportions were 75%, 56%, 87%, 80%, 77% and 67% in the intervention group, which were significantly improved when compared with the control group. The prevalence of those outcome indicators were 64%, 41%, 80%, 71%, 68% and 56%, respectively, in the control group. As per multiple logistic regression analysis and structural equation modelling, the Suchana intervention had a substantial influence on the latent variable of women's decision-making power. CONCLUSION: In terms of food purchases, major household purchases, children's healthcare, their own healthcare and visiting family and relatives, the Suchana intervention favourably influenced the decision-making power of rural women living in a vulnerable region of Bangladesh. TRIAL REGISTRATION NUMBER: RIDIE-STUDY-ID-5d5678361809b.

Strategies to Improve Women's Leadership Preparation for Early Career Global Health Professionals: Suggestions from Two Working Groups.

Background: Despite advances in gender equality, women still experience inequitable gaps in global health leadership, and barriers to women's advancement as leaders in global health have been well described in the literature. In 2021, the Johns Hopkins Center for Global Health conducted two virtual working groups for emerging women leaders to share challenges and suggest solutions to advance women's leadership in global health. In this paper, we present emerging themes from the working groups, provide a framework for the results, and discuss strategies for advancing women's leadership in global health. Objectives: The objective of this paper is to synthesize and share the themes of the two working group sessions to provide strategies for improving women's leadership training and opportunities in the field of global health. Methods: Approximately 182 women in the global health field participated in two virtual working group sessions hosted by the Johns Hopkins Center for Global Health using the Zoom platform. Participants were divided into virtual breakout rooms and discussed pre-assigned topics related to women's leadership in global health. The participants then returned to share their ideas in a plenary session. Notes from the breakout rooms and transcripts from the plenary session were analyzed through a participatory and iterative thematic analysis approach. Findings: We found that the working group participants identified two overarching themes that were critical for emerging women leaders to find success in global health leadership. First, the acquisition of individual essential skills is necessary to advance in their careers. Second, the institutional environments should be setup to encourage and enable women to enter and succeed in leadership roles. The participants also shared suggestions for improving women's leadership opportunities such as including the use of virtual technologies to increase training and networking opportunities, intersectionality in mentorship and sponsorship, combatting impostor syndrome, and the importance of work-life balance. Conclusions: Investing in women and their leadership potential has the promise to improve health and wealth at the individual, institutional, and community levels. This manuscript offers lessons and proposes solutions for increasing women's leadership through improving individual level essential skills and fostering environments in which women leaders can emerge and thrive.

Large-scale rollout of extension training in Bangladesh: Challenges and opportunities for gender-inclusive participation.

Despite the recognized importance of women's participation in agricultural extension services, research continues to show inequalities in women's participation. Emerging capacities for conducting large-scale extension training using information and communication technologies (ICTs) now afford opportunities for generating the rich datasets needed to analyze situational factors that affect women's participation. Data was recorded from 1,070 video-based agricultural extension training events (131,073 farmers) in four Administrative Divisions of Bangladesh (Rangpur, Dhaka, Khulna, and Rajshahi). The study analyzed the effect of gender of the trainer, time of the day, day of the week, month of the year, Bangladesh Administrative Division, and venue type on (1) the expected number of extension event attendees and (2) the odds of females attending the event conditioned on the total number of attendees. The study revealed strong gender specific training preferences. Several factors that increased total participation, decreased female attendance (e.g., male-led training event held after 3:30 pm in Rangpur). These findings highlight the dilemma faced by extension trainers seeking to maximize attendance at training events while avoiding exacerbating gender inequalities. The study concludes with a discussion of ways to mitigate gender exclusion in extension training by extending data collection processes, incorporating machine learning to understand gender preferences, and applying optimization theory to increase total participation while concurrently improving gender inclusivity.