ADVANCES AND BARRIERS TO THE IMPLEMENTATION OF THE NATIONAL POLICY FOR THE COMPREHENSIVE HEALTHCARE OF LGBT PEOPLE: AN INTEGRATIVE REVIEW

Abstract

Objective: This is a integrative review aimed to analyzing the advances and barriers to the implementation of the National Policy for the Comprehensive Healthcare of Lesbians, Gays, Bisexuals, Transvestites and Transsexuals (PNSI - LGBT) since its institution by the Ministry of Health until now. Methods and Findings: Two authors independently performed systematic research on two databases (Scielo and PubMed) from articles published in the period from 2011 (policy implementation date) to 2021. The PRISMA guidelines for reviews were followed and the studies did not meet the inclusion criteria were excluded. Results: After the complete reading, six studies met the inclusion criteria and were included on the sample. The prevalence studies were in the Northeast (n=3) and Southeast of Brazil (n=3). Otherwise, we did not found studies in other regions of Brazil. In total of samples, pointed institutional discrimination as one of the primary causes of the LGBTQIA+ population invisibility public health, and the public managers unknowledge (66% articles), difficulting implementation of public policies, for this population.  Conclusion: Based on the revised data the results indicate a scarcity publication on this field, showing an immense gap of almost 10 years from the institution of this policy. In this way, it was possible to observe low or no effectiveness of health policies for the LGBT population, as well as the delay in updating the PNSI, in view of the new needs of the community, revealing prejudice as one of the determinants of the stagnation of this policy.