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Objective: discuss the reality of ensuring the health care of LGBTQ + people while striving for solidification of human rights against public health policies in the brazilian prison system. Methodology: theoretical research, analyzing books, articles and official documents of the government. Results: LGBTQ+ people, political minorities, have historically been placed on the sidelines of social media, such as family, school, work, leisure, access to justice and health, finding in peripheral experiences, prostitution and crime, the remaining spaces to abjection and the denial of their bodies and styles/ways of life. When we encounter this Population in the prison system, even institutionalized-understate protection, these subjects continue to be suffering, with their bodies and souls vulnerable and vulnerability. Thus, in extra environments as intrentrals, there is limitation of basic rights, highlighting the right to health, permanent marks of inequality, marginalization and precariousness of resources for the construction of public policies, pointing a triple burden of deprivation of rights: right to be who they are; right to be where they are; right to receive what they need. Conclusion: in the prison system, aspects of sexual and reproductive health, social, civil and political rights these people should be considered. Access to health services, both in prevention and treatment issues, should be ensured, as well as to ensure the autonomy individuals in relation to the experience of their sexuality and gender, without discrimination, neglect and violence. To ensure these aspects is to understand that a fundamental principle of the State is, aboveall, to live.

Direito à saúde das pessoas LGBTQ+ em privação de liberdade: o que dizem as políticas sociais de saúde no Brasil?