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[满足利马委内瑞拉移民妇女的性健康和生殖健康需求 对利马委内瑞拉移民的性健康和生殖健康需求作出回应]

[Responding to the sexual and reproductive health needs of Venezuelan migrant women in LimaResposta às necessidades de saúde sexual e reprodutiva de migrantes venezuelanas em Lima].

作者信息

Pesantes M Amalia, Cortez Leonardo, Scaramutti Carolina, Portocarrero Jill, Haghparast-Bidgoli Hassan, Miranda J Jaime

机构信息

Universidad Peruana Cayetano Heredia Lima Perú Universidad Peruana Cayetano Heredia, Lima, Perú.

University of Miami Miami Estados Unidos de América University of Miami, Miami, Estados Unidos de América.

出版信息

Rev Panam Salud Publica. 2023 Apr 19;47:e69. doi: 10.26633/RPSP.2023.69. eCollection 2023.

Abstract

OBJECTIVES

To present and analyze the Peruvian health system's response to the sexual and reproductive health needs of Venezuelan women living in the city of Lima, Peru, and to identify some of the reasons underlying this response.

METHODS

Information was collected through semi-structured, in-depth telephone interviews with 30 Venezuelan women, 10 healthcare workers, and two Ministry of Health officials.

RESULTS

Based on the experiences of Venezuelan women who sought care through these services during 2019-2020 and the perspectives of healthcare personnel and health authorities, we present an analysis of the public health services' capacity and limitations in meeting the sexual and reproductive health needs of this population. Migrant women's testimonies reported a positive experience with a health system that, despite shortcomings, responds to the most common sexual and reproductive health needs. These perspectives parallel the testimonies of healthcare personnel and authorities who emphasized the existence of priority policies for sexual and reproductive health care.

CONCLUSION

This study shows how a national priority framework (reducing maternal mortality), accompanied by operational mechanisms for social protection (such as the Comprehensive Health Insurance program), represent complementary instruments that have a positive impact on and extend benefits to migrants, even though this population was not considered when designing these policies.

摘要

目标

介绍并分析秘鲁卫生系统对居住在秘鲁利马市的委内瑞拉妇女的性健康和生殖健康需求所做出的回应,并找出这一回应背后的一些原因。

方法

通过对30名委内瑞拉妇女、10名医护人员和两名卫生部官员进行半结构化深度电话访谈来收集信息。

结果

基于2019 - 2020年期间通过这些服务寻求护理的委内瑞拉妇女的经历以及医护人员和卫生当局的观点,我们对公共卫生服务满足这一人群性健康和生殖健康需求的能力及局限性进行了分析。移民妇女的证词表明她们在一个尽管存在缺陷但仍能满足最常见性健康和生殖健康需求的卫生系统中有积极体验。这些观点与医护人员和当局的证词一致,他们强调存在性健康和生殖健康护理的优先政策。

结论

本研究表明,一个国家优先框架(降低孕产妇死亡率),再加上社会保护的运作机制(如综合健康保险计划),是具有互补性的工具,对移民产生积极影响并为其带来福利,尽管在设计这些政策时并未考虑这一人群。

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