Taquette Stella Regina, Monteiro Denise Leite Maia, Rodrigues Nádia Cristina Pinheiro, Rozenberg Riva, Menezes Daniela Contage Siccardi, Rodrigues Adriana de Oliveira, Ramos José Augusto Sapienza
Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro. Av. Professor Manuel de Abreu, Maracanã. 20550-170 Rio de Janeiro RJ Brasil.
Instituto Fernandes Figueira, Fiocruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2017 Jun;22(6):1923-1932. doi: 10.1590/1413-81232017226.22642016.
We aimed to analyze the geographic distribution, the structure of healthcare services and the human resources of all units of the Sistema Único de Saúde (SUS - the Unified Health System) that provide sexual and reproductive health (SRH) services to the adolescent population in the second largest city in Brazil. We conducted a cross-sectional study with geographical mapping and data collection through a questionnaire applied in person with coordinators of the units or their representatives in 147 outpatient clinics in Rio de Janeiro that have SSR services. We found that in over 90% of the units, adolescents are treated together with the adult population, without particular shifts or rooms for this age group. In more than 10% of services, treatment is only provided with the presence of the guardian. In cases of sexual violence, this proportion is 34%. Specific educational activities for this age group are only carried out in 12.9% of units and less than one third of doctors had received some kind of training to deal with adolescent health. In conclusion, despite the wide geographic distribution of health facilities, the structure of care and the human resources do not meet the specific needs of adolescents.
我们旨在分析巴西第二大城市中为青少年人群提供性健康和生殖健康（SRH）服务的统一卫生系统（SUS）所有单位的地理分布、医疗服务结构和人力资源情况。我们开展了一项横断面研究，通过对里约热内卢147家提供性健康和生殖健康服务的门诊诊所的单位协调员或其代表进行现场问卷调查，进行地理绘图和数据收集。我们发现，超过90%的单位将青少年与成年人群一起治疗，没有针对该年龄组的特定轮班或房间。超过10%的服务仅在监护人在场时才提供治疗。在性暴力案件中，这一比例为34%。仅12.9%的单位开展了针对该年龄组的特定教育活动，不到三分之一的医生接受过某种处理青少年健康问题的培训。总之，尽管卫生设施地理分布广泛，但护理结构和人力资源并未满足青少年的特殊需求。
