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      “The pandemic only gave visibility to what is invisible”: a qualitative analysis of structural violence during COVID-19 and impacts on gender-based violence in Brazil

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          Abstract

          Background

          The COVID-19 pandemic produced alarming rates of disease and mortality globally, yet few nations were as severely impacted as Brazil. The pandemic also exposed and exacerbated persistent forms of structural violence across Brazil, which complicated gender-based violence (GBV) prevention and response efforts. While structural violence is not new, the systemic pressure and uncertainty introduced by COVID-19 intensified the detrimental impact of structural violence on the lives of Brazilians impacted by GBV. This work qualitatively investigated how the COVID-19 pandemic amplified structural violence and GBV in Brazil.

          Methods

          We analyzed key informant interviews (KII) conducted with 12 service providers working in sectors related GBV prevention and response in Roraima, Boa Vista, and Rio de Janeiro. Interviews were audio-recorded, transcribed, and translated from Portuguese or Spanish into English, before applying deductive and inductive coding approaches through a collaborative data reduction process. The theoretical lens of structural violence outlined by Farmer and Rylko-Bauer guided the thematic development.

          Results

          Analyses identified three themes. First, structural violence manifests as policies of inaction and erasure, which reduce the opportunity for upward social mobility among GBV survivors including Black women, trans persons, and people who live in the favelas. Policies of inaction and erasure fail to acknowledge/adequately respond to the significant health and safety needs of these communities. Second, structural violence is a fundamental cause of violence against women and children. Finally, service providers described community driven responses that address the dire survival needs (i.e., food insecurity) imposed by COVID-19, within a context of structural violence. These community driven responses were innovative, agile, and based on dire needs expressed to, and observed by, the service providers interviewed.

          Conclusion

          This analysis highlights how the COVID-19 pandemic exacerbated existing forms of structural violence prevalent throughout Brazil. Findings stress the urgency with which the Brazilian government and international organization must act to support community driven programs that strive to address the most basic human needs.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12889-023-16675-8.

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          Most cited references31

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          Violence, Peace, and Peace Research

          J. Galtung (1969)
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            Violence against women during covid-19 pandemic restrictions

            Protections for women and girls must be built into response plans
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              Flexible Coding of In-depth Interviews

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                Author and article information

                Contributors
                seff@wustl.edu
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                23 September 2023
                23 September 2023
                2023
                : 23
                : 1854
                Affiliations
                [1 ]Brown School, Washington University in St. Louis, ( https://ror.org/01yc7t268) 1 Brookings Drive, St. Louis, MO 63130 USA
                [2 ]UNICEF Brasilia, Brasília, Brazil
                [3 ]UNICEF Geneva, Geneva, Switzerland
                [4 ]GRID grid.420318.c, ISNI 0000 0004 0402 478X, UNICEF New York, ; New York, USA
                Author information
                http://orcid.org/0000-0002-2569-995X
                Article
                16675
                10.1186/s12889-023-16675-8
                10517463
                37741981
                22a3f318-55ed-496e-85a9-21ae6c6bec83
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 16 October 2022
                : 31 August 2023
                Funding
                Funded by: U.S. State Department Bureau of Population, Refugees, and Migration
                Award ID: GR0022479
                Categories
                Research Article
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2023

                Public health
                structural violence,gender-based violence,violence against children; brazil,covid-19,food insecurity,favela

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