
Contents
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The Development of Brazil’s Unified Health System The Development of Brazil’s Unified Health System
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Race-Conscious Public Policies in Brazil Race-Conscious Public Policies in Brazil
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Conceptualizing Racial Health Equity in Brazil Conceptualizing Racial Health Equity in Brazil
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Beyond “Pior Ainda”: Developing an Intersectional Framework for Health Equity in Brazil Beyond “Pior Ainda”: Developing an Intersectional Framework for Health Equity in Brazil
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Outline of the Book Outline of the Book
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Cite
Extract
In 2002, Alyne da Silva Pimentel, a twenty-eight-year-old Afro-Brazilian woman, died several days after experiencing complications resulting from a stillbirth that was inadequately treated at a public health center. The circumstances leading to her death highlighted gross inadequacies and failures in the quality of maternity care and emergency obstetric care provided to poor, Afro-descendant women in Brazil. A number of missteps and instances of medical neglect led to Alyne’s premature and preventable death, including inadequate provision of services to pregnant women and a lack of high-quality emergency obstetric care in the region where she lived.
Since her death in 2002, Alyne da Silva Pimentel has become a symbol of the disparate medical treatment Afro-Brazilian women receive. In 2011, the Committee for the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) issued a ruling in the case Alyne da Silva Pimentel v. Brazil. The Committee found that the Brazilian state violated the right to life, as enshrined in the International Covenant on Civil and Political Rights,1Close which is a foundational human rights treaty, as well as the right to effective protection of women’s rights and the right to health under CEDAW (CEDAW 2011, 13). In addition, the Committee found that, as a maternal mortality case, Alyne Pimentel’s death was gendered and was also compounded by the discrimination she experienced due to her race. As I discuss in chapter 5, this case highlighted the intersecting forms of discrimination that led to the death of Alyne Pimentel and set a precedent for both recognizing and calling for reparations to address intersectional health inequities as they impact racially marginalized women in Brazil as well as in other countries.
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