pregnancy resulting from sexual abuse: a challenge for professionals and managers execution:...
TRANSCRIPT
Pregnancy resulting from sexual abuse: Pregnancy resulting from sexual abuse: a challenge for professionals and a challenge for professionals and
managersmanagers
Execution: Furtherance:Execution: Furtherance:
Roberta Matassoli Duran Flach Ludmila Fontenele CavalcantiRejane Santos FariasMaisa Almeida de Lima Laisa Maia Sant’anaCamila Rebouças Fernandes
Violence against women is considered as a serious public health problem by the World Health Organization (WHO, 2002).
A pregnancy resulting from sexual violence is considered a second violence and is still a difficult aspect of coping.
The prevention of unwanted pregnancy, abortion and its consequences should be elements of high priority for health professionals.
Health professionals and managers have a responsibility to ensure availability and adequate access to emergency contraception to prevent pregnancy forced.
IntroductionIntroduction
Evaluate health care services for women in situations of sexual violence in the State of Rio de Janeiro.
Analyze the incorporation of parameters suggested in the Technical Standard “Prevention and Treatment of Diseases Resulting from Sexual Violence against Women and Adolescent” (Ministry of Health, 2007) regarding the notification process by health services.
ObjectiveObjective
MethodologyMethodology
Qualitative research with the health services in the 19 (nineteen) cities in 8 (eight) regions of the State of Rio de Janeiro.
Semi-structured interviews, based on a screenplay, with 112 (a hundred twelve) health professionals and 34 (thirty four) managers.
AREAS OF GOVERNMENTAREAS OF GOVERNMENT
Regions Cities Cities with more than
25,000 inhabitants
Cities providing assistance
Cities visited
Cities that responded to
the survey
Managers interviewed
Professionals interviewed
Metropolitana 17 17 6 5 9 5 29
Noroeste Fluminense
13 4 3 1 9 1 4
Norte Fluminense
9 5 3 2 6 4 15
Centro Sul Fluminense
10 3 1 1 5 3 4
Serrana 14 4 3 3 11 6 17
Médio Paraíba 12 6 4 2 6 3 12
Baía da Ilha Grande
4 4 4 2 1 4 9
Baixada Litorânea
13 10 9 3 5 8 22
TOTAL 92 53 33 19 52 34 112
About Services
Aspects Managers Results Professionals Results
Routing in the case of pregnancy resulting from
sexual violence
Non-existent Reference services
within the municipality Service that performs
the abortion laid down in law
Judicial system
Antenatal assistence and PAISM
Non-existent Reference services within
the municipality Service that performs the
abortion laid down in law Judicial system and
antenatal assistance Psychological care
ResultsResults
ResultsResults There was a reduced supply of emergency anti-conception in health
services.
The few respondents who reported that the referral is made mention referral services within the municipality.
We recommend measures for the inclusion of the topic in the training of professionals.
The prejudice against abortion laid down in law, aggravated by the existence of just 1 (one) referral service for abortion under the law in all the 92 (ninety two) cities in State of Rio de Janeiro.
ConclusionsConclusions
The abortion issue is still very controversial.
Cultural issues still influence the performance of the health care team in time to provide this health care.
It is necessary to expand courses and workshops that address the topic of access to legal abortion by the health team from the perspective of sexual and reproductive rights.
www.ess.ufrj.br/prevencaoviolenciasexual
