Transportation problems are dramatic. Because ro are unpaved, the heavy and continual traffic is in a constant state of calamity.
When it rains, no matter how lightly, people have to wade through dxperience mud in order to cross most streets. Moreover, the city bus system is, for the most part, privately owned, and only a few buses service the whole area. Even to travel relatively short distances people have to take two or three buses and wait for long intervals between each.
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A direct trip to Rio de Married men seeking men is caaxias expensive for most people, and they resort to crowded and poorly maintained trains that are always running off schedule. These problems affect the health care delivery system, because people need mass transportation to reach the two low-income health clinics. Even for those who live within walking distance, it is not always easy to traverse the muddy, flooded streets. During the study period in earlyheavy rains totally flooded Jardim Primavera and other parts of Duque de Caxias, destroying homes, and leaving the lld isolated.
People resorted to canoes in order to go through streets that had literally become rivers. Serious illnesses afflicted the population including diarrhoea, dehydration, high fevers, whooping cough and pneumonia.
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Medicines and oral rehydration solution packets were sent as gifts to the flood-stricken local population and the leader of one of the Neighbourhood Associations dispensed them from her house. Public health officers and governmental people had to resort to helicopters.
A female informant put it very simply: "Our basic health problem here is lack of food. Except for middle-class families, there is very little scientific knowledge about nutrition.
Food restrictions or food taboos were considered only in relation to certain of illnesses and caxiss relation to herbal remedies that place them into "cold or hot". Such exist throughout Latin America especially in lower income, indigenous areas2 and for more than half of the interviewed families. Mothers tended to worry more - and therefore treat as "illnesses" - health problems like asthma, bronchitis, vomiting, and "nervousness3.
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Go fishing. The cocaine and crack users were predominantly single with juvenile children, no paid employment, presented psychotic or looknig disorders, and used other drugs besides cocaine and crack. Psychosocial care was directed to the women's psychic, social and clinical problems, but with the emphasis on individual actions, psychiatric treatment and strengthening the social support network.
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Considering the occupation and income, studies have found that the crack and similar users present unemployment situation and come from broken and low-income families3. Rio de Janeiro: Sebrae; In the records analyzed, eyar The unique psychosocial care considers the individual fot citizen within his life story, in his economic, social and cultural context, and psychological structure.
Cienc Cuid Saude. Gender is a sociocultural construct4, so it is essential in the psychosocial approach.
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Gender is structuring of power relations and determines the health-disease process4. Female issues involved in the complexity of the drug use phenomenon, producing challenges for the care of cocaine and crack users.
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