Saúde nas fronteiras: Análise quantitativa e qualitativa da clientela do Centro Materno Infantil de Foz do Iguaçu, Brasil

Translated title of the contribution: Health at the border: Quantitative and qualitative analysis of patients treated at the Maternal and Child Care Center in Foz do Iguaçu, Brazil

Fabio de Mello, Cesar Gomes Victora, Helen Gonçalves

Research output: Contribution to journalArticlepeer-review

Abstract

Foz do Iguaçu participates in the SIS-Fronteiras program and installed the Maternal and Child Care Center (CMI) to offer prenatal care service to pregnant Brazilian women resident in Paraguay (Brasiguaias). To analyze the characteristics of the CMI and compare the profile of Brasiguaias with pregnant Brazilian women resident in Brazil, a quantitative and qualitative approach in methodology was applied. It was found that Brasiguaias go to the CMI because of the precariousness of services of the Paraguayan Health System. They tend to be younger, bear more children, have lower education and are unmarried compared with pregnant Brazilian woman resident in Brazil. They omit where they live to avoid being denied the right or receiving inferior treatment than local pregnant Brazilian women and seek obstetric treatment later to avoid being denied attendance. Pregnant Brazilian women resident in Paraguay are onerous to the municipality, especially due to misinformation about their reproductive and pregnancy history, which increases the chances of undergoing cesarean delivery and hospitalization of the mother and/or infant due to complications. Effective actions in relation to maternal and child health in the border areas need to be prioritized.

Translated title of the contributionHealth at the border: Quantitative and qualitative analysis of patients treated at the Maternal and Child Care Center in Foz do Iguaçu, Brazil
Original languagePortuguese
Pages (from-to)2135-2145
Number of pages11
JournalCiencia e Saude Coletiva
Volume20
Issue number7
DOIs
StatePublished - Jul 3 2015
Externally publishedYes

Keywords

  • Health at the border
  • Health care system
  • Maternal and child health
  • Maternal and child health care services
  • Public health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

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