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[Quality of abortion care in the Unified Health System of Northeastern Brazil: what do women say?].

Authors
  • Aquino, Estela M L
  • Menezes, Greice
  • Barreto-de-Araújo, Thália Velho
  • Alves, Maria Teresa
  • Alves, Sandra Valongueiro
  • de Almeida, Maria da Conceição Chagas
  • Schiavo, Eleonora
  • Lima, Luci Praciano
  • de Menezes, Carlos Augusto Santos
  • Marinho, Lilian Fátima Barbosa
  • Coimbra, Liberata Campos
  • Campbell, Oona
Type
Published Article
Journal
Ciência & Saúde Coletiva
Publisher
SciELO
Publication Date
Jul 01, 2012
Volume
17
Issue
7
Pages
1765–1776
Identifiers
PMID: 22872338
Source
Medline
License
Unknown

Abstract

Abortion is a serious health problem in Brazil and complications can be avoided by adequate and timely care. The article evaluates the quality of care given to women admitted for abortion in hospitals operated by the Unified Health System, in Salvador, Recife and São Luis, the benchmarks being Ministry of Health norms and user satisfaction. The article analyzes 2804 women admitted to hospital for abortion complications in 19 hospitals, between August and December 2010. Four dimensions were defined: reception and guidance; inputs and physical environment; technical quality and continuity of care. There was a closer fit to norms on reception and guidance. Social support and the right to information were not well rated in all three cities. The technical quality of care was rated poor. With respect to inputs and physical environment, cleanliness was the least adequate criterion. Continuity of care was the most critical situation in all three cities, due to the lack of scheduled follow-up appointments, information about care available after hospital discharge, the risk of further pregnancy and family planning. Abortion care falls short of that advocated under Brazilian norms and by international agencies.

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