ATENDIMENTO DE MIGRANTES NO HOSPITAL UNIVERSITÁRIO DO OESTE DO PARANÁ DE 2010 A 2023

Abstract

In recent migration flows to Brazil, the states of São Paulo and Paraná have stood out as destinations of choice for migrants to reside. In Paraná, Cascavel is a transit route for migrants and an important receiving city, with an attractive economy for this workforce. The University Hospital of Western Paraná is the main public hospital in the region, and is a reference in several specialties. Exploratory research, with a quantitative approach that aimed to identify and analyze general data on the migration process in the municipality of Cascavel and the demographic and epidemiological profile of migrants who received care at HUOP, from 2010 to 2023. The research was developed based on data obtained from the medical records of migrants served, collected from April to October 2024 and on the Immigration Portal through the SisMigra system, from January to April 2024. The results of SisMigra show that 8,219 migrants were registered as residents in the municipality of Cascavel, with significant growth from 2010 and a peak in 2023 with 2,239 migrants. The historical series shows a migratory dynamic with continuous flows, resulting from specific situations such as political instability in 2016/2017 and the Covid-19 pandemic in 2020/2021. The migrants with the most records in SisMigra are Haitians with 45.97% (n=3778), Venezuelans with 43.72% (n=3593) and Paraguayans with 7.43% (n=611). If until 2020 the predominance of migrants was Haitian, this changed from 2021 onwards when Venezuelans surpassed Haitian migration, as in 2023, when the entry of 185 Haitians and 1891 Venezuelans into the municipality was recorded. The demographic profile found in SisMigra shows that 57.89% (n=4758) were men, 81.75% (n=6719) were single and 40.71% (n=3346) were between 25 and 40 years old. Among the occupations/professions registered in the system, the main one was student, with 16.27% (n=1337). Regarding the data of migrants served at HUOP, of the total of 753, 60.29% (n=454) were Haitian, 25.37% (n=191) Paraguayan and 5.18% (n=39) Venezuelan; 35.86% (n=270) were married; 60.29% (n=454) were between 25 and 40 years old; 61.09% (n=460) were black and 19.52% (n=147) had completed high school. It should be noted that 36.12% (n=272) of the medical records did not have the education field filled in and 46.22% (n=348) did not record the occupation. The greatest demand, in 79.28% (n=597) of the cases, was from women. For these migrants, 4667 procedures were performed, with the gynecology and obstetrics service being the most used, in 65.14% (n=3040) of the cases, followed by clinical medicine with 30.88% (n=1441). It is concluded that Brazil has become an important receiving country for Latin American migrants and that the majority of the demands for hospital care are from women, whose procedures are linked to sexual and reproductive health. Local public policies that favor the reception of migrants, investments in the training of health professionals for intercultural care, considering the cultural and linguistic specificities of this population, as well as improving the records, in the HUOP, of education and occupational data, are recommended.