A satisfação com o serviço de esterilização cirúrgica entre os usuários do sistema único de saúde em um município paulista

Abstract

Objectives: To evaluate the satisfaction with the surgical sterilization performed by Unified Health System (SUS) and to detect factors that can influence the choice between tubal ligation and vasectomy. Methods: A total of 235 women and 78 men who were sterilized in a five years time period were interviewed. The studied variables included their socio-demographic features, their reason for sterilization, their opinion on the access to the surgery, the counseling, hospital services and the satisfaction with the procedure. Results: Most were married or lived together, had an average of 3.4 living children and a mean of 6.7 years of schooling. They declared that the average monthly per capita income was R$ 212.81. The most of them belonged to the social status C. They were white and Catholics. The most of them found easy to obtain the surgery and the waiting time was appropriate. They become satisfied with the counseling and 99% were satisfied with sterilization. However, one fourth, incorrectly, found that sterilization was easy to reverse. A study on the couples showed important differences on choosing vasectomy or tubal ligation. Conclusions:The results show that it is necessary for improvement in the information provided to the candidates to sterilization. Although they are satisfied now, they could not be in the future. The evaluation from the perspective of the health service user should take into account not only their opinion, but also their interests.

Women’s reproductive health knowledge, attitudes and practices in relation to the Zika virus outbreak in northeast Brazil

“…Indeed, surveys conducted among specific populations in Brazil point to the contrary [ 8 , 9 ], suggesting multilevel barriers to the uptake of more effective methods, such as LARC, from policies to programs, to women’s decision making. Such barriers include unavailability of certain methods (implants and hormonal IUD are not available in Brazilian public health services), stock outs, and lack of trained professionals [ 9 , 10 ]. The lack of efficiency of the Brazilian contraceptive model has particular resonance in the face of restricted abortion policies, with unsafe terminations contributing 12% of maternal mortality in Brazil [ 11 ].…”

Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil

“…These relatively high rates of discontinuation are likely related to the method mix that are shown to have higher discontinuation rates [26]. Lack of professional training and limited contraceptive options [30, 31] reflect the difficulty for women to maintain contraceptive use or to adopt a new method after stopping their previous method. In addition, theses factors also contribute to a skewed method mix favoring short acting user dependent methods, especially among youth in Brazil who are at the peak of their fertility [30].…”

Descontinuidades contraceptivas e sua relação com o uso da anticoncepção de emergência entre jovens universitárias

“…In Brazil, the lack of trained professionals and limited contraceptive options (Heilborn et al, 2009;Vieira, Souza, 2011) contribute to skewed contraceptive distribution favoring user dependent methods among young women, such as found in our study (Moura, Silva, Galvão, 2007). Unfortunately, suboptimal efficiency of contraceptive practices in Brazil (favoring moderate instead of highly effective methods) is a missed opportunity to ensure successful reproductive planning.…”

“…While very effective if used consistently, these methods are subject to failure because of inconsistent or errors of use (failure rates among pill and condom users are 9% and 18%, respectively) (Trussell, 2011). In Brazil, the lack of trained professionals and limited contraceptive options (Heilborn et al, 2009;Vieira, Souza, 2011) contribute to skewed contraceptive distribution favoring user dependent methods (Moura, Silva, Galvão, 2007). Long-acting reversible contraception (LARC) such as implant or intrauterine device (IUD) are more effective (failure rates are 0.05% and 0.8%, respectively (Trussell, 2011), but they are seldom used in Brazil (0.1% and 1.9%, respectively) (Brasil, 2008a).…”