Equity and women's health services for contraception, abortion and childbirth in Brazil.
作者： Simone G Diniz , Ana Flávia Pires Lucas d'Oliveira , Sonia Lansky
DOI: 10.1016/S0968-8080(12)40657-7
关键词:
摘要: This paper addresses equity in health and care Brazil, examining unjust disparities between women men, from different social strata, with a focus on services for contraception, abortion pregnancy. In 2010 women's life expectancy was 77.6 years, men's 69.7 years. Women are two-thirds of public hospital users assess their status less positively than men. The total fertility rate 1.8 2011, contraceptive prevalence has been high among at all income levels. proportion sterilizations decreased; lower-income more frequently sterilized. Abortions mostly illegal; money have better access to safe abortions private clinics. Poorer generally self-induce misoprostol, seeking treatment complications Institutional violence the part professionals is reported by half receiving quarter during childbirth. Maternity virtually universal. sector fewer caesarean sections, low birthweight babies, rooming-in, but excessive episiotomies inductions. Privacy, continuity companionship birth common sector. To achieve equity, system must go beyond universal, unregulated technology, move towards safe, effective transparent care.
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