Right to health, autonomy, and access to prenatal services.
| Autor: | Both, Tatianne dos Santos Perez, de Souza, Laís Alves, Teston, Elen Ferraz, Júnior, Antonio Rodrigues Ferreira, Ajalla, Maria Elizabeth Araújo, Batiston, Adriane Pires |
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| Předmět: |
RESEARCH
PATIENT autonomy HEALTH services accessibility RESEARCH methodology PSYCHOLOGICAL vulnerability PREGNANT women EMIGRATION & immigration INTERVIEWING RIGHT to health MEDICAL care use SOCIOECONOMIC factors QUALITATIVE research EXPERIENCE HEALTH attitudes AT-risk people PRENATAL care INTEGRATED health care delivery METROPOLITAN areas CONTENT analysis STATISTICAL sampling |
| Zdroj: | Nursing Ethics; Nov/Dec2021, Vol. 28 Issue 7/8, p1306-1318, 13p |
| Abstrakt: | Background: The concept of the right to health includes decent conditions of work, housing, and leisure. It can be assessed through the evaluation of access to health services and programs. The creation of the Brazilian Unified Health System expanded access to healthcare for the entire Brazilian population. Aim: This study aimed to understand the use of the Brazilian Unified Health System by pregnant women who live on the Brazil–Paraguay border, whose residents are known as Braziguayans. Methods: We conducted 16 semi-structured interviews with users of prenatal services at Unified Health System units located at the border of the municipalities of Ponta Porã and Pedro Juan Caballero. Ethical considerations: The Research Ethics Committee of the Federal University of Mato Grosso do Sul approved of this research. All participants were provided with project information and signed an informed consent form. Findings: Through content analysis of the interviews, "right to health" and "autonomy, pathways, and access" were two recurrent themes that have arisen. These suggested that Braziguayan women live in conditions of social vulnerability. They do not fully experience the right to healthcare, despite sufficient knowledge about the Brazilian and Paraguayan healthcare systems from which to choose prenatal care. The interviewees acknowledged that Unified Health System use is a right of Brazilian citizens and considered its units to be safe environments. These women also understand the structuring of Unified Health System and the mechanisms of accessing healthcare programs. Conclusion: We can conclude that, despite widely known difficulties, Unified Health System represents, for Braziguayan women, potential access to reliable health services for adequate prenatal and childbirth assistance. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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