Both Tatianne Dos Santos Perez, de Souza Laís Alves, Teston Elen Ferraz, Júnior Antonio Rodrigues Ferreira, Ajalla Maria Elizabeth Araújo, Batiston Adriane Pires
54534Federal University of Mato Grosso do Sul, Brasil.
67843State University of Ceará, Brasil.
Nurs Ethics. 2021 Nov-Dec;28(7-8):1306-1318. doi: 10.1177/0969733021996047. Epub 2021 Apr 8.
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.
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.
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.
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.
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.
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.
健康权的概念包括体面的工作、住房和休闲条件。它可以通过评估获得卫生服务和项目的情况来进行评估。巴西统一卫生系统的建立扩大了全体巴西人口获得医疗保健的机会。
本研究旨在了解居住在巴西与巴拉圭边境的孕妇对巴西统一卫生系统的使用情况，这些居民被称为巴西瓜亚人。
我们对位于蓬塔波朗市和佩德罗·胡安·卡瓦列罗市边境的统一卫生系统单位的产前服务使用者进行了16次半结构化访谈。
南马托格罗索联邦大学研究伦理委员会批准了本研究。所有参与者均获得了项目信息并签署了知情同意书。
通过对访谈内容的分析，出现了“健康权”和“自主权、途径与获得机会”这两个反复出现的主题。这些表明巴西瓜亚妇女生活在社会脆弱的状况中。尽管她们对巴西和巴拉圭的医疗保健系统有足够的了解，可以从中选择产前护理，但她们并未充分享有医疗保健权。受访者承认使用统一卫生系统是巴西公民的一项权利，并认为其单位是安全的环境。这些妇女也了解统一卫生系统的结构以及获得医疗保健项目的机制。
我们可以得出结论，尽管存在广为人知的困难，但对于巴西瓜亚妇女而言，统一卫生系统代表着有机会获得可靠的卫生服务，以获得适当的产前和分娩援助。
