Black Women’s Health and Primary Health Care: Between the Coloniality of Care, Everyday Struggles, and Confronting Racism

Le résumé fourni par la source

Abstract This essay examines the social position of black women, particularly in primary health care (PHC), and highlights how racism, sexism, and inequalities of class and geography contribute to their vulnerability. Using intersectionality as a theoretical-political tool and a critique of the coloniality of care, the text demonstrates how the universalist logic, based on supposed neutrality and an insufficiently developed approach to racial equity, renders the vulnerabilities of these women invisible, along with the impacts on their living conditions, especially in contexts such as the streets, favelas, and incarceration. It questions the effectiveness of approaches that, by failing to consider the multiple layers of oppression, reinforce stereotypes and contribute to the perpetuation of social disadvantages. The essay emphasizes the leadership of black women in denouncing institutional racism and in creating collective and ancestral care technologies. It underscores the urgency of articulating and mainstreaming public policies, with emphasis on the National Policy for the Comprehensive Health of the Black Population and the National Policy for the Comprehensive Health of Lesbians, Gays, Bisexuals, Transvestites, and Transsexuals, highlighting significant ongoing initiatives. It concludes that equitable care requires confronting racism within PHC practices grounded in black feminist epistemologies and the valorization of re-existence experiences within the territories.

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