Escrevivências no atendimento de crianças negras: relato de uma médica de família em formação na comunidade do Jacarezinho

Abstract

This study addresses structural racism and its implications for the care and health of Black children in primary health care, particularly in the Jacarezinho community, through the experience report. Focusing on the author's experience, it is structured using the methodology of escrevivência proposed by Conceição Evaristo, which blends personal and collective experiences, making visible the narratives and challenges faced by these children and their families. The study seeks to discuss the approach to cases of racism identified by the author as a hidden demand in the care of Black children in primary health care in a favela in the municipality of Rio de Janeiro. The discussion includes escrevivências from consultations over two years of medical residency, which personally impacted a family doctor in training and highlighted how racism affects the mental and emotional health of children. It emphasizes the importance of integrating anti-racist practices in health care, challenging the traditional approach that overlooks the intersection of race and health in the care of Black children. It is concluded that the experience of medical residency from the perspective of a Black woman in a clinical space with other Black doctors, who reinforce antiracist healthcare, influences the healthcare of children by making race a fundamental part of this care. There is a noticeable need for family and community medicine, especially in child healthcare, to more assertively incorporate racial issues as a key aspect of this care