Confronting Violence against Children and Adolescents:
lessons learned from the Research, Assistance and
Surveillance Programme on Violence at the State
Department of Health of the Federal District in Brazil
Isabella Telles Kahn Stephan
Social Worker &
Coordinator of the Research, Assistance and Surveillance
Programme on Violence in Paranoá, Federal District of Brazil

Art. 227 – Federal constitution and establishment of Universal Health System
(SUS), 1988

Convention on the Rights of the Child, 1989

Statute of the Child and Adolescent (ECA) 1990

Brazil’s committments to the Millennium Development Goals (MDGs), 2000

National Policy for Reduction of Morbidity and Mortality from Violence and
Accidents, 2001 – SUS

National Humanization Policy, 2003 - SUS

National Pact for Reduction of Maternal and Neonatal Mortality Rates, 2004

Agenda for Commitment to Comprehensive Child Health, 2005

National Policy of Health Promotion, 2006 - SUS
MISSION
The overall purpose of the
programme
is
to
Plan,
implement, coordinate and
evaluate – on a Regional level
– actions aiming to promote
health, violence prevention
and
services
to
the
population in situations of
violence, in relation to the
Principles and Guidelines of
the Universal Health System
and other relevant policies, in
order to decrease morbidity
and mortality rates.
Evaluate
Plan
Implement
Impact
Coordinate
Overall objective
Contribute, in an integrated manner, to reducing morbidy rates related to situations of
violence in the Federal District of Brazil.
Specific objectives

Promote notification to give visibility to situations of violence as an issue of public health.


Train health proffesionals in identifying/perceiving situations of violence.
Provide people in situations of violence with comprehensive and intersectorial care to
contribute to overcome conditions and problems due to situations of violence.


Contribute to reducing the recurrence of violence.
Develop integrated and intersectorial actions that promote health and violence
prevention, involving the community.
Territorial Coverage in numbers - Paranoá, Itapoã and rural areas of the
surroundings
TOTAL
Demographics
Territory
Population
Paranoá
46.527
Itapoã
50.339
96.886 inhabitants
only in urban
areas
Rural Areas
Núcleo Rural Jardim II, PAD-DF,
Três Conquistas, Sobradinho dos
Melos, Sussurano, Lamarão Jardim
II, Cariru, Boquerão, Altiplano
Leste, Capão da Eva.
Not identified
Source: District Household Survey / CODEPLAN 2010-2011
From this
total, 37.986
are children
and
adolescents
39,2% of the
total
population
Territorial ranking according to Social Vulnerability in the Federal District (%)
Administrative Region
Percentage
Administrative Region
Percentage
Ceilândia – Chácara
74,2%
54,1%
2º) Itapoã – Fazendinha
72,1%
Santa Maria – Quadras Acima
de 10
Ceilândia – QNM
65,7%
Brazlândia – Vila São José
54,0%
Brasília – Varjão
64,7%
Santa Maria – Condomínio
Porto Rico
53,7%
Planaltina – Buritis
63,9%
Samambaia – Sul Ímpar
53,7%
Estrutural
60,1%
Samambaia – Norte Ímpar
59,6%
Ceilândia - QNP
53,3%
8º) Itapoã - I e II
59,4%
São Sebastião
53,3%
9º) Itapoã - Condomínios
58,7%
53,2%
Brasília – Vila Tele Brasília
58,5%
Planaltina – Cond. Estância
Mestre Darmas
São Sebastião – Residencial Oeste
57,6%
Recanto das Emas – Final 6 ou
mais
53,0%
Brazlândia
56,5%
Planaltina – Setor Tradicional
52,9%
Ceilândia – Setor O
55,9%
Planaltina - Arapoanga
55,6%
São Sebastião Residencial
Bosque
52,8%
Recanto das Emas – Final até 5
55,1%
27º) Paranoá
52,6%
Taguatinga - Areal
54,7%
São Sebastião – São José
52,5%
Brazlândia – Setor Veredas
52,1%
Gama – Setor Central
51,8%
Source DIEESE /SEDEST /2010
Socio-economic study in territories of Social
Vulnerability in the Federal District
INCIDENCE OF VIOLENCE AGAINST CHILDREN
AND ADOLESCENTS (0 -19 YEARS)
“Try not to doubt the word of a child, because
you can really hurt his/her feelings and he/she
will never forget ... ( L. 16 years)
100
95
80
60
40
20
32
29
15
13
4
0
2009
7
3
2010
0 - 14 years
2011
15 - 19 years
2012 (partial)
Types of violence reported amongst children and
adolescents (0 – 19 years):
Sexual Violence (54 cases)
2) Physical Violence (44 cases)
Psychological Violence (33 cases)
4) Neglection (31 cases)
1)
3)

Most affected group: Girls at the age of 10 to 14

Cases of violence most often occurs in the home of
the victim.

Aggressor – most often caregiver of the victim
Acheivements so far

Inaguration of specific physical space/ Establishement
of play room

Professional team tasked exclusively with attending
people in situations of violence: 01 social worker, 01
psychologist and 01 nurse

Colaboration
with
epidemiological
survellience
department  Increase in notifications  More
realistic diagnosis

Psycosocial care, dedicated to children, adolescents
and their families.

Actions of violence prevention and health promotion
integrated with intra- and intersectorial network

Actions of training development for the intra- and
intersectorial network
SOCIAL SERVICE
PSYCOLOGICAL CARE
SUPPORT/REFLECTIVE GROUPS
- For parents/guardians of children
- For parents/guardians of adolescents
“ All types of violence destroy
human life”
( G., 16 years)
THANK YOU!
Sunflower Program
E-mail: [email protected]
Coordinator: Isabella T. K. Stephan
E-mail: [email protected]