Inequitable access to assisted reproductive technology for the low-income Brazilian population: a qualitative study

dc.creatorMakuch, MY
dc.creatorde Padua, KS
dc.creatorPetta, CA
dc.creatorOsis, MJD
dc.creatorBahamondes, L
dc.date2011
dc.dateAUG
dc.date2014-07-30T14:33:23Z
dc.date2015-11-26T16:29:42Z
dc.date2014-07-30T14:33:23Z
dc.date2015-11-26T16:29:42Z
dc.date.accessioned2018-03-28T23:10:46Z
dc.date.available2018-03-28T23:10:46Z
dc.identifierHuman Reproduction. Oxford Univ Press, v. 26, n. 8, n. 2054, n. 2060, 2011.
dc.identifier0268-1161
dc.identifierWOS:000292837300016
dc.identifier10.1093/humrep/der158
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/60123
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/60123
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1269796
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionBACKGROUND: In Brazil, access to infertility care, including assisted reproductive technology (ART) is restricted. This is a second report of a study which evaluated the availability and access of low-income couples to ART services. The objective was to assess the perspective of health professionals and patients with respect to access to ART procedures within the public health network METHODS: Qualitative case studies were conducted in five centres offering ART in the public sector. Semi-structured interviews were conducted with 19 health professionals based at these centres and 48 patients (men and women). Data were analysed using thematic content analysis. RESULTS: All services implemented ART procedures using resources already available. In all except one centre, patients had to pay for the drugs used for the procedures and, in some cases, a fee to cover operative costs and supplies. These charges were incompatible with the financial possibilities of the majority of the low-income Brazilian population. The waiting time for access to ART varied between 3 months and 6 years. In the perspective of both patients and health professionals, the government should help centres to offer ART procedures at no cost to low-income populations. CONCLUSIONS: The low-income Brazilian population has limited access to ART procedures at the public services. The implementation of ART services cannot be based only on initiatives of the professionals involved but must be part of public health policies. One possible solution is to provide ART at lower cost, making it accessible for a large part of the population.
dc.description26
dc.description8
dc.description2054
dc.description2060
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.descriptionConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.descriptionFAPESP [07/00055-9]
dc.descriptionCNPq [573747/2008-3]
dc.languageen
dc.publisherOxford Univ Press
dc.publisherOxford
dc.publisherInglaterra
dc.relationHuman Reproduction
dc.relationHum. Reprod.
dc.rightsfechado
dc.rightshttp://www.oxfordjournals.org/access_purchase/self-archiving_policyb.html
dc.sourceWeb of Science
dc.subjectassisted reproductive technology
dc.subjectequity
dc.subjectaccess
dc.subjectsocial class
dc.subjectpublic healthcare
dc.subjectDeveloping-countries
dc.subjectInfertility Prevalence
dc.subjectServices
dc.subjectHealth
dc.subjectCare
dc.subjectFertility
dc.subjectChildren
dc.subjectAfrica
dc.subjectIvf
dc.titleInequitable access to assisted reproductive technology for the low-income Brazilian population: a qualitative study
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución