-Neoplasias do Colo do Útero -Saúde Pública. RESUMO Este estudo se trata do relato de uma experiência vivenciada por graduandos de Medicina e Enfer ABSTRACT This case report describes the experience of undergraduate medical and nursing students participating in the Educational Program for Health Work (PET-Saúde) at the University of Brasília, the objective of which was to conduct health education activities in cervical cancer prevention in Ceres and

Spanish youngsters have enough knowledge regarding contraception. Condoms are mostly used on the occasion of a first sexual intercourse. However, the frequency of sexually-risky behaviour is still high due to the limited use of condoms in successive sexual relations with the same partner. Sexually-risky behaviour is also related to a high number of partners and to alcohol consumption on weekends.

Atualmente, intensificam-se as discussões a respeito da educação em saúde, principalmente em relação aos agentes comunitários de saúde (ACS), para os quais a capacitação deve ser constante. Este estudo tem como objetivo relatar a experiência de capacitação de ACSs a respeito do tema câncer cérvico-uterino. A escolha do tema abordado baseou-se em sua relevância e na necessidade concreta dos ACSs observados, que não se sentiam empoderados com relação ao assunto. Diante disso, nove acadêmicos de Medicina e Enfermagem, monitores do PET-Saúde da Universidade de Brasília (UnB), realizaram encontros com ACSs dos municípios de Ceres e Santa Isabel (GO), com o intuito de fornecer a esses profissionais mais informações e técnicas para que a abordagem das usuárias em relação ao exame colpocitologico fosse bem-sucedida. A metodologia utilizada foi a integração entre educação bancária e educação dialógica, a fim de que elas se complementassem para alcançar melhores resultados. Foi evidenciado êxito, uma vez que os ACSs demonstraram ter assimilado o conteúdo e ter organizado os conceitos e puderam aplicá-los de forma criativa, envolvendo-se com o aprendizado e acrescentando a ele as suas vivências próprias em relação ao conhecimento aprendido.

Study question What degree of reproductive health knowledge have oocyte donors? Summary answer The results of this study reveal that although oocyte donors are aware of the risks of possible fertility disorders, reproductive health knowledge is insufficient What is known already Sterility affects approximately 15% of the population of reproductive age, that is, young people. However, the information that young people have about fertility is scarce. Gamete donors are a group especially involved in reproductive issues since they help many people to solve their fertility problems and must undergo numerous tests before being accepted as such. However, there are no studies in Spain that deal with the knowledge that young people and, more specifically, donors, have about reproductive health and fertility Study design, size, duration A prospective, cross-sectional multicenter study including oocyte donors at ten fertility clinics performing gamete donation treatment in Spain. During a 2-month period (September-October 2020), 63 donors aged between 19 and 35 years old were recruited consecutively and a total of 63 oocyte donors were included as sample population. Most of them (78%) had not donated before Participants/materials, setting, methods 54% oocyte donors had secondary education and 43% have achieved university studies. Participants anonymously completed a questionnaire containing 41 questions divided into three sections: sociodemographic characteristics (11 items), knowledge on fertility and reproduction (22 items) and with a Likert scale, response to determine general reproductive health information as well as known risks for fertility disorders (8 items). Besides descriptive statistics, statistical analysis was performed with Chi square test. p < 0.05 was considered significant Main results and the role of chance In the survey 96.8% of the participants reported that they had already known the tests for fertility disorders. The increasing age of the women was correctly assessed by the participants of the study as a decisive risk factor for fertility, but it was found that exact knowledge was lacking: the decrease of a woman’s fertility by 39.7% was stated to occur on average at the age of 35–40 and by 30% at 40–45. Nevertheless, 66% of donors considered that fertility preservation should be carried out before the age of 35. 61.1% of the non-university donors reported that fertility can drop as a woman ages due to the decreasing number and quality of the remaining eggs. Among university donors, this percentage increases to 92,6% (p:0,034). Merely 47% of the participants informed what they understood that ovarian reserve is and 47.6% of donors believed that women create new eggs every month. Regarding the known risk factors for fertility, lifestyle was mentioned most frequently by all participants (91,2%), followed by chemo/radiotherapy (83,8%) and smoking, alcohol, and drugs (82,4%). Concerning the influence of the body mass index on fertility, differences were found between non-university (61%) and university donors (88,9%) (p:0,012). Limitations, reasons for caution Financial compensation has been found to be a motivating factor for oocyte donors and therefore one could question the representativeness of the participating oocyte donors. It would be of great interest to explore the significance of the financial compensation further. Wider implications of the findings: The present study reveals an existing requirement for information among oocyte donors, which is not only important for the success of prevention plans but also provides a foundation for possible strategies for the prevention of fertility disorder. Trial registration number Not applicable

Study question To what extent do infertility patients in Spain support different forms of anonymity for oocyte and sperm donation? Summary answer Most patients who undergo treatment with donated gametes in Spain consider that their children should not know the identity of the donors. What is known already Spain has a large tradition of gamete donation, probably influenced by its law that requires gamete donation to be anonymous for the donor and the recipient. Although there is a growing support for openness and identity-release in gamete donation, Spanish Society of Fertility has generated an Anonymity in Donations Framework Document which recommends revelation to the donor-conceived children their biological origin preserving the identity. However, there is no information on what the preferences of the patients are regarding the disclosure of the origins to their children. Study design, size, duration A prospective, cross-sectional multicenter study that includes all eleven clinics in Spain and involves women who had used donated gametes. From September to October 2020, a self-administered questionnaire was sent out to a total of 57 women which were asked to indicate their responses on a 7-point Likert. 57 (100%) women anonymously completed the questionnaire. Participants/materials, setting, methods The participants were asking for their socio-demographic characteristics, their opinions concerning secrecy or disclosure of the method of conception towards the child, what type of information should the child have access to – identifying or non-identifying – and whether they intend to inform their child and relatives about his/her origin. Statistical analysis was performed with Chi square test for dichotomous variables and one-sample T-Student for Likert items. p < 0.05 was considered significant. Main results and the role of chance Unlike homosexual or single women, 60% of heterosexual couples refuse to inform their offspring about the origin of their gametes and 47,5% would not tell anyone. Patients do not want to know the identity of donors (0,276 p˂0,001) and they consider that knowledge about the origin of the gametes (0,278 p˂0,001) or the identity of the donor (0,178 p˂0,001) is not important to a child. Patients do not believe that the donor has the right to know the identity of the offspring (0.098 p < 0.001) but they agree with his/her right to anonymity (0.679). Limitations, reasons for caution While the multicenter study design and the extraction of a complete time series from the population under study strengthens validity, the study is limited to women, without being able to extrapolate the results to men or children born by gamete donation, which constitutes a limitation. Wider implications of the findings: The findings of this study can be used as a basis for further discussion between regulators and professionals with respect to anonymity related to donor conception. These opinions should be considered carefully in legal and ethical discussions on gamete donation. Trial registration number Not applicable