Gynecology & Obstetrics Case report Open Access

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Short Communication - (2022) Volume 8, Issue 11

Women's Sexual and Reproductive Health is Highlighted at the Street Outreach Office
Azevedo Gomes*
Department of Maternal-Child Nursing and Public Health, Faculty of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Brazil
*Correspondence: Azevedo Gomes, Department of Maternal-Child Nursing and Public Health, Faculty of Nursing, Federal University of Juiz de Fora, Juiz de Fora 36036-900, Brazil, Email:

Received: 25-Oct-2022, Manuscript No. IPGOCR -23-15499; Editor assigned: 27-Oct-2022, Pre QC No. IPGOCR -23-15499 (PQ); Reviewed: 09-Nov-2022, QC No. IPGOCR -23-15499 (Q); Revised: 15-Nov-2022, Manuscript No. IPGOCR -23-15499 (R); Published: 22-Nov-2022, DOI: 10.36648/2471-8165.8.11.51


The study's objective was to comprehend homeless women's care methods, with a particular focus on aspects of sexual and reproductive health from the viewpoint of Street Outreach Office strategy experts. This qualitative investigation was conducted in a sizable rural area of So Paulo, Brazil. Semistructured interviews were used to collect the data between, and content analysis and theme modality were used to derive the findings. In this study, nine health professionals took part. The analysis of the interview data led to the identification of three main themes: female and sex on the streets (violence and oppression); gynaecology as a doorway to comprehensive care for homeless women; and pregnancy, puerperium, and motherhood in the context of the streets. This research aids in the evaluation of business. In a violent environment, homeless women are among the most vulnerable demographic groups.


Inequalities in gender and social rights, as well as marginalisation, exploitation, stigma, and invisible. In Brazil, homelessness is a problem for the public's health. In Brazil, there were 96,560 homeless people in 2010, and by 2020, that number had increased by in a similar trend, epidemiology has changed in recent years to include higher proportions of women, who now make up 18% of homeless people and are concentrated in the 18-45 age groups, during the reproductive period. Women who live on the streets are exposed to difficult circumstances that threaten the integrity of their bodies, sexuality, and health. Homeless women experience assault and a significant risk of STIs as a result of their challenging living conditions and unintended pregnancies, which help to keep the cycle of poverty, unhappiness, and social marginalisation going. Sex on the streets is associated with methods of surviving and can serve as a kind of payment for security, a promise of a place to sleep, or the acquisition of money. However, this situation belittles human dignity and demonstrates how sexual and reproductive rights are being violated. The complexity and particularity of homelessness present significant obstacles for many societal sectors and institutions, including the health system. The Brazilian National Policy for the Homeless Population marks a turning point in the defence of the homeless people's right to health in Brazil. Here, the activity of the Street Outreach Office team stands out as a method of providing health care to the homeless community.

Given that gender is a social analysis category that permeates the health-disease-care process, it is assumed that Street Outreach Office professionals are aware of how the situation of women on the street affects all aspects of social relationships and has its roots in gender inequalities. Therefore, direct strategic actions are provided to promote comprehensive health care for this population. In this regard, Scott's description of the gender perspective was taken into consideration as the study's theoretical framework since it can aid in understanding how subjective identity is constructed and ultimately differentiated into masculinity and femininity. Research on women and gender issues among the homeless population is often lacking, particularly in developing nations Consideration of homeless women is crucial to enhancing support and valuing the gender viewpoint in care. The Sustainable Development Goals of the United Nations, which include eradicating poverty in all of its forms worldwide, ensuring healthy lives, and promoting wellbeing, achieving gender equality and emancipating all women and girls, reducing inequality, and promoting just, peaceful, and inclusive societies, are in line with these difficulties.

The current study found that Brazilian Street Outreach Office staff is aware of the gendered conditions of homeless women's vulnerability, which is a violation of women's human, sexual, and reproductive rights. Grasping narratives about human interactions, decoding meanings, and understanding the function of institutions and organisations in upholding and reproducing interpersonal power relationships in the daily lives of the women studied are all made easier by the gender perspective presented here. To develop a customised treatment plan with homeless women, it is crucial to comprehend the significance and effects of these events. Consideration should be given to the gender viewpoint, social class, race, and generation throughout care. Workers approach the geographical, cultural, and existential street territory in an effort to comprehend its dynamics [1-5].

The activities realized on the streets and public places allow the development of care in an unconventional space marked by environmental exposition (sun, rain, hot, cold, odor and dirt). Additionally, the Street Outreach Office is an access gateway to the Brazilian public health system and intersectoral networks to this marginalized and invisible population in the search for guaranteeing their rights Regarding the homeless women, they are physically and sexually assaulted, leading to unwanted and high-risk pregnanciesAn American study, realized in San Francisco, carried out with 300 homeless women, found that the main forms of violence experienced in the prior 6 months were psychological violence (87%), physical violence without weapons physical violence with the use of weapons (18%) and sexual violence. A drawback of this study is that it was conducted solely with Street Outreach Office teams without considering the viewpoint of the homeless women. However, the approach utilised, intended to increase awareness of the professionals and services that make up the health care network, provided for greater appreciation of the difficulties in aiding this population. The study helped the Street Outreach Office reflect on its professional methods.


Women's exposure to violence, the requirement for gynaecological and obstetric treatment as a means of connecting them to comprehensive care, challenges associated with the pregnancy-puerperal cycle, and motherhood practise in the context of the streets were all demonstrated. The adoption of an alternative viewpoint, taking the idea of equity for the health of women living.


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Citation: Gomes A (2022) Women's Sexual and Reproductive Health is Highlighted at the Street Outreach Office. Gynecol Obstet Case Rep. Vol.8 No.11:51.

Copyright: © Gomes A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.