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Barriers to implementing childbirth recommendations in Brazil: the women’s perspective
Artículo en Inglés | PAHO-IRIS | ID: phr-53279
Biblioteca responsable: US1.1
ABSTRACT
[ABSTRACT]. Objective. To identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. Methods. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based on the contribution of users to a public online consultation about the National Childbirth Guidelines in Brazil, performed in 2016 by the National Committee for Health Technology Incorporation into the Unified Health System (CONITEC). Content analysis techniques were used to examine the answers provided to the following specific question “Considering your local reality, what would hinder the implementation of this protocol or guideline?” Results. Of 396 contributions recorded by CONITEC, 55 were included in the content analysis. The mean age of women was 31 years, with most self-declared as white (69%) and living in the Southeast of Brazil (56.3%). Coding revealed seven barrier categories, which were grouped into three families — barriers related to 1) professional training and culture (which highlighted the centrality of physicians, not women, in childbirth), 2) social culture (general population not well informed), and 3) political and management issues (little interest on the part of managers, lower physician compensation for vaginal childbirth vs. cesarian section, and poor hospital infrastructure). Conclusions. Aspects of professional training and culture, social culture, and political as well as management issues are critical points to be considered in future interventions aiming at overcoming or weakening the barriers to implementing childbirth recommendations in Brazil.
Asunto(s)

Texto completo: Disponible Colección: Bases de datos de organismos internacionales Base de datos: PAHO-IRIS Asunto principal: Brasil / Protocolos Clínicos / Parto / Ciencia de la Implementación Tipo de estudio: Guía de práctica clínica / Investigación cualitativa / Revisión sistemática de estudios observacionales Aspecto: Investigación de implementación País/Región como asunto: America del Sur / Brasil Idioma: Inglés Año: 2021 Tipo del documento: Artículo

Texto completo: Disponible Colección: Bases de datos de organismos internacionales Base de datos: PAHO-IRIS Asunto principal: Brasil / Protocolos Clínicos / Parto / Ciencia de la Implementación Tipo de estudio: Guía de práctica clínica / Investigación cualitativa / Revisión sistemática de estudios observacionales Aspecto: Investigación de implementación País/Región como asunto: America del Sur / Brasil Idioma: Inglés Año: 2021 Tipo del documento: Artículo
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