Women in Vulnerability: Perceptions About Family and Reproductive Planning Policy
Keywords:Family planning, Women's health, Social vulnerability, Perception
Introduction: The family and reproductive planning program is offered in the instances of the Unified Health System (SUS), and makes free contraceptive methods and devices available to the entire population, seeking to make people aware of the advantages and disadvantages of each method. Despite citizens' rights, some communities live in a situation of vulnerability and have greater difficulty in accessing public services, as in that program. Objective: To analyze the knowledge and adherence of women to the family and reproductive planning program and contraceptive methods, in addition to carrying out health education activities on the subject, focusing on the copper IUD. Methodology: This is an action research, with random sampling and a quantitative-descriptive approach for data analysis and description. The target population is made up of women of childbearing age, or who have already started sex. The collection was carried out in the field by means of a questionnaire prepared by the researchers based on a literature review. Results: 195 (98%) women reported not knowing the reproductive planning program and, of these, 116 (59.5%) had at least one unwanted pregnancy; The contraceptive method of most frequent choice among women is ligation, of the 200 women 60 (30.5%) opted for it; and 30% of the population has had at least one abortion in their lifetime. Conclusion: There was little knowledge and low adherence to reproductive planning and contraceptive methods in this population, possibly due to the segregation of low-income, mixed-race and black women, with low education, who are marginalized, suggesting difficulty in accessing health services, lack knowledge and family structure, in addition to demonstrating gaps in the health system.
ABÍLIO, R. A. F. Contribution of Reproductive Planning to the sexual and reproductive health of men and women in Brazil: Integrative Review. Available on:https://www.bdm.unb.br/bitstream/10483/23314/1/2018_RenatoAugustFerreiraAbilio_tcc.pdf>. Accessed on: 05 Jun. 2020.
BACEAR, S. G.; CUNHA, J. M. P. Housing in the Favela: A Sociodemographic View of the Subnormal Clusters in Campinas. ENANPUR. Mai. 2019. Available at:http://anpur.org.br/xviiienanpur/anaisadmin/capapdf.php?reqid=393>. Access at:
BELIZZE, S.; MANNAVA, P.; NAGAI, M.; SOBELL, H. L. Reasons for the interruption of contraception among women with a current unwanted pregnancy in 36 low- and middle-income countries. Contraception, v. 101(1): 26-30, Jan. 2020. Available at:https://reader.elsevier.com/reader/sd/pii/S0010782419304305?token=0802743C6606F664F2D580189E61C631CFB983389355FDEF7CE76B224DE10B405B4CFEA4036E0AD396330F10FA84F2A>. Accessed in: 13 Jul.2020.
BRAZIL. João Pinheiro Foundation. Housing deficit in Brazil. Directorate of Statistics and Information, n. 6, p. 78, Belo Horizonte, 2018. Available at:http://novosite.fjp.mg.gov.br/deficit-habitacional-no-brasil/>. Accessed on: 20 Jan. 2020.
BRAZIL. Ministry of health. Primary health care notebooks: sexual health and reproductive health. 1. ed. Brasília: Ministry of Health, 2013. Available at: http://bvsms.saude.gov.br/bvs/publicacoes/saude_sexual_saude_reprodutiva.pdf>. Accessed at: 05 Jan. 2020.
BRAZIL. Ministry of Health. Technical manual for health professionals: IUD with copper Cu 380 A. 1. ed. Brasília: Ministério da Saúde, 2018. Available on: http://portaldeboaspraticas.iff.fiocruz.br/wp-content/uploads/2018/12/manual_diu_08_2018.pdf. >. Accessed on: 23 Feb. 2020.
FAUL, Franz et al. G*Power 3: a Flexible Statistical power analysis program for the social, behavioral, and Biomedical Sciences. Behavior research methods, v. 39, n. 2, p.175-191, 2007. Available at: https://www.ncbi.nlm.nih.gov/pubmed/17695343>. Accessed at: 10 Feb. 2020.
FERRERA, A. P. C.; BARRETO, A. C. M.; SANTOS, J. L.; COUTO, L.L.; KNUPP, V. M. A. O. (Des) knowledge of women about the use of contraceptive methods / (Lack of) Knowledge of Women on the use of Contraceptive methods. Rev. Enferm. UFPE on line ; 13(5): 1354-1360, May 2019. Available at:https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1024408>. Accessed: 12 Jul. 2020.
FERNANDES, I. A. C.; FAGUNDES, K. E.A.; CORRÊA, G. P. R.; DIAS, C. L. O. Women’s reproductive health: determining factors in the choice of contraceptive methods. Revista Norte Mineira de Enfermagem, Montes Claros, v. 5(2):88-107, 2016. Available on:https://www.periodicos.unimontes.br/index.php/rename/article/view/2429/2483>. Accessed on: 05 Aug. 2020.
GERHARDT, T. E.; SILVEIRA, D. T. Research methods. 1st ed. Rio Grande do Sul: UFRGS Publisher, 2009. Available at: https://www.google.com/url?sa=t&source=web&rct=j&url=http://www.ufrgs.br/cursopgdr/downloadsSerie/derad005.pdf&ved=2ahUKEwjQs8v0t_3nAhURJ7kGHVBgCakQFACegQIBxAC&usg=Aovvaw3w30iv3ocwqjbt_5qq>. Accessed: 15 Dec. 2019.
GUEDES, T. A. Descriptive statistics. Maringá, 2020. Available at: http://www.each.usp.br/rvicente/Guedes_etal_Estatistica_Descritiva.pdf>. Accessed on 27 Jan. 2020.
HALL, K. S.; ELA, E.; ZOCHOWSLI, M. K.; CALDWELL, A.; et al. "I don’t know enough to be comfortable with them:" Women’s knowledge and perceived barriers to long-term reversible contraceptives on a university campus. Contraception. June 2016; 93 (6): 556-564. Available at:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4853253/>. Accessed: 20 Jul. 2020.
BIGS - BRAZILIAN INSTITUTE OF GEOGRAPHY AND STATISTICS. Census 2010: population of Brazil is 190,732,694 people. Official Gazette of the Union, 2010. Available at: https://censo2010.ibge.gov.br/noticias-censo.html?busca=1&id=3&idnoticia=1766&t=censo-2010-populacao-brasil-190-732-694-pessoas&view=noticia>. Accessed in: 5 Dec.2019
IPEA. Characterization and typology of Precarious Settlements; Brazilian case studies. Brasília: Ipea, 2016. Available at: https://www.ipea.gov.br/portal/index.php?option=com_content&view=article&id=28182>. Accessed at: 10 Jan. 2020.
IPEA. Living and living conditions in precarious Brazilian settlements. Available at:https://www.ipea.gov.br/desafios/index.php?option=com_content&id=1107:conditions-of->. Accessed: 15 Jun. 2020.
KESSLER, Gabriel. The successes of territorial stigmatization. Reflections from a particular case. Espacios en Blanco - Serie indagaciones, vol.22, nº1, (165-197), Tandil-Argentina, 2012. Available at: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1515- 94852012000100007>. Accessed on 12 Jan. 2020.
MINISTRY OF HEALTH. Miscarriage. Available at:https://www.msdmanuals.com/pt/professional/gynecology- e-obstetr%C3%Adcia/gestal abnormalities%C3%A7%C3%A3o/abortion-espont%C3%A2neo? query=abortion%20spontaneo>. Accessed on 22 Jul. 2020.
MONTEIRO, C. F. S.; MOREIRA, M. R. C.; et al. Action research: contribution to the nurse’s investigative practice. Rev Gaúcha Enfermagem: Porto Alegre, v. 31, n.1, p. 167-74, March 2010. Available at: https://seer.ufrgs.br/RevistaGauchadeEnfermagem/article/view/14581/8487>. Accessed at: 15 Dec. 2019.
MORAIS, M. P.; KRAUSE, C.; NETO, V. C. L. Characterization and Typology of Precarious Settlements: Brazilian Case Studies. IPEA, Brasília, 2016. Available at:https://www.ipea.gov.br/portal/index.php?option=com_content&view=article&id=28182>. Accessed on: 18 Jul. 2020.
WHO - WORLD HEALTH ORGANIZATION. Safe abortion: technical and policy guidance for health systems. 2nd ed. Switzerland, 2013. Available at: https://apps.who.int/iris/bitstream/handle/10665/70914/9789248548437_por.pdf?sequence=7>. Accessed at: 12 Jan. 2020.
WHO - WORLD HEALTH ORGANIZATION. Every day, there are 1 million new cases of curable sexually transmitted infections. Brasília, 2019. Available at: https://www.paho.org/bra/index.php?option=com_content&view=article&id=5958:a-every-day-ha-1-million-new-sexually-transmitted-curable infection-cases. Accessed: 12 Jan. 2020.
WHO - WORLD HEALTH ORGANIZATION. WHO: 222 million women who do not want to get pregnant do not have access to contraceptives. Sustainable development. 2014. Available at:https://nacoesunidas.org/oms-222-milhoes-demulheres-que-nao-querem-engravidar-nao-tem-acesso-a-contraceptives/amp/>. Accessed: 25 Now. 2020.
PEREIRA, F. C. Family planning: strategy for a conscious act of planning the birth of children. Available on:https://ares.unasus.gov.br/acervo/handle/ARES/11736>. Accessed on: 08 Jul. 2020.
RITT, C.; OLIVEIRA, C. Public policies that guarantee fundamental rights: The necessary social control to avoid countering corrupt practices in its execution. XII National Seminar Social demands and public policies in contemporary society. 2016. Available at: https://online.unisc.br/acadnet/anais/index.php/snpp/article/view/14711/3547>. Accessed at: 20 Jan. 2020.
SANTOS, A. IBM SPSS as a Quantitative Research Tool. São Pailo, 2018. Available at: https://www.pucsp.br/sites/default/files/download/posgraduacao/programas/administraca/IBM-SPSS-asa tool%20de-pesquisa-quantitativa-Alexandra-santos.pdf>. Accessed in: 29 Jan
TOMIZAKI, K.; SILVA, H. H. C.; SILVA, M. G. V. Political socialization and politicization among families of the homeless workers movement. Rev. Educação e Sociedade: Campinas, v. 37, n. 137, Oct/Dec. 2016. Available at: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-73302016000400935>. Accessed: 5 Jan. 2020.
UNFPA. Almost half of the pregnancies in Brazil are not planned, highlights the UN Population Fund. Available at:https://nacoesunidas.org/quase-metade-das-gestacoes-brasil-nao-planed-fundo-populacao-da-onu/>. Accessed: 22 Jul. 2020.
How to Cite
Copyright (c) 2020 Geovana Marcolino Silva
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Submission of an article implies that the work described has not been published previously (except in the form of an abstract or as part of a published lecture or academic thesis), that it is not under consideration for publication elsewhere, that its publication is approved by all authors and tacitly or explicitly by the responsible authorities where the work was carried out, and that, if accepted, will not be published elsewhere in the same form, in English or in any other language, without the written consent of the Publisher. The Editors reserve the right to edit or otherwise alter all contributions, but authors will receive proofs for approval before publication.
Copyrights for articles published in IJIER journals are retained by the authors, with first publication rights granted to the journal. The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.