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Access to mental health in the Maré favelas in Rio: a fight that comes from within

Health professionals, residents and local institutions in Maré, Rio de Janeiro, fight the precariousness of psychological services with local initiatives. The slum complex has the most cases of COVID-19 in the city.

A man holds a phone amid the shanty buildings of the Maré favela in Rio de Janeiro
Local initiatives have emerged during the pandemic in the favelas, where insufficient investment in mental health came to light since the 2019 salary delays and layoffs in the health sector
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Empty streets, full minds. The fear of the new coronavirus occupies the thoughts of the residents of Maré, a favela complex in Rio de Janeiro, Brazil, with more intensity than the rest of the city, the country or even the world. Other daily threats also permeate life in the favela, such as unemployment, armed violence and lack of basic rights. For those dealing with psychological illnesses, the arrival of COVID-19 made mental health care even more necessary. After six months, economic activities are returning to normal, even though there are more than 14,000 cases of the disease in the informal settlements of Rio de Janeiro, according to a mapping of the Painel Unificador Covid-19 Nas Favelas (Unifying Panel of COVID-19 in the Favelas), released on October 5. 

The challenges of this crisis were predicted by the World Health Organization (WHO), which treated the pandemic not only as a health and humanitarian issue, but also as a mental health one. About 30% to 50% of those in socioeconomic and psychosocial vulnerability, such as slum dwellers, are more likely to develop some form of mental disorder or face worsening symptoms.