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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleLow priority level for infertility services within the public health sector: a Brazilian case studypt_BR
dc.contributor.authorMakuch, MYpt_BR
dc.contributor.authorPetta, CApt_BR
dc.contributor.authorOsis, MJDpt_BR
dc.contributor.authorBahamondes, Lpt_BR
unicamp.author.emailmmakuch@cemicamp.org.brpt_BR
unicamp.authorMakuch, Maria Y. Duarte Osis, Maria Jose Ctr Res Reprod Hlth Campinas CEMICAMP, BR-13084971 Campinas, SP, Brazilpt_BR
unicamp.authorPetta, Carlos A. Bahamondes, Luis Natl Inst Hormones & Women Hlth, Campinas, SP, Brazilpt_BR
unicamp.authorPetta, Carlos A. Bahamondes, Luis Univ Estadual Campinas, Fac Med Sci, Dept Obstet & Gynaecol, Human Reprod Unit, Campinas, SP, Brazilpt_BR
dc.subjectinfertilitypt_BR
dc.subjectinequitypt_BR
dc.subjectlow-income populationpt_BR
dc.subjectBrazilpt_BR
dc.subjectpublic healthpt_BR
dc.subject.wosAssisted Reproductive Technologypt_BR
dc.subject.wosIn-vitro Fertilizationpt_BR
dc.subject.wosCountriespt_BR
dc.subject.wosCarept_BR
dc.subject.wosDisparitiespt_BR
dc.subject.wosPrevalencept_BR
dc.subject.wosChildrenpt_BR
dc.subject.wosMenpt_BR
dc.description.abstractIn view of the lack of information on availability of public sector infertility services and in order to contribute to the debate on access to these services, we assessed the availability of public sector infertility services, including assisted reproduction technology (ART), in Brazil. We conducted a cross-sectional study with telephone interviews using a semi-structured questionnaire with Health Secretariats' authorities from the 26 States, the Federal District, 26 Municipal state capitals and another 16 cities with more than 500 000 inhabitants. Also, directors of 26 referral centres and teaching hospitals provide ART procedures supported by the state or university teaching hospitals. Authorities from 24/26 State Secretariats and the Federal District, from 39/42 cities and 26 directors of referral centres and teaching hospitals offering government-funded infertility care and ART were interviewed. In 19/25 states (76%) and 26/39 cities (66.7%), no infertility treatment was available free of charge. The most common reason for lack of services at the state and municipal levels was 'lack of any political decision to implement them', followed by 'lack of human and financial resources'. When ART was available, barriers to access included the fact that patients needed to purchase medication and the more than 1-year waiting list for treatment. Lack of political commitment results in inequity in the access of low-income couples in Brazil to infertility treatment, including ART.pt
dc.relation.ispartofHuman Reproductionpt_BR
dc.relation.ispartofabbreviationHum. Reprod.pt_BR
dc.publisher.cityOxfordpt_BR
dc.publisher.countryInglaterrapt_BR
dc.publisherOxford Univ Presspt_BR
dc.date.issued2010pt_BR
dc.date.monthofcirculationFEBpt_BR
dc.identifier.citationHuman Reproduction. Oxford Univ Press, v. 25, n. 2, n. 430, n. 435, 2010.pt_BR
dc.language.isoenpt_BR
dc.description.volume25pt_BR
dc.description.issuenumber2pt_BR
dc.description.firstpage430pt_BR
dc.description.lastpage435pt_BR
dc.rightsfechadopt_BR
dc.rights.licensehttp://www.oxfordjournals.org/access_purchase/self-archiving_policyb.htmlpt_BR
dc.sourceWeb of Sciencept_BR
dc.identifier.issn0268-1161pt_BR
dc.identifier.wosidWOS:000273703400020pt_BR
dc.identifier.doi10.1093/humrep/dep405pt_BR
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)pt_BR
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt_BR
dc.description.sponsorship1Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)pt_BR
dc.description.sponsorship1Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt_BR
dc.description.sponsordocumentnumberFAPESP [07/00055-9]pt
dc.description.sponsordocumentnumberCNPq [573747/2008-3]pt
dc.date.available2014-11-16T14:05:19Z
dc.date.available2015-11-26T16:23:17Z-
dc.date.accessioned2014-11-16T14:05:19Z
dc.date.accessioned2015-11-26T16:23:17Z-
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dc.description.provenanceMade available in DSpace on 2015-11-26T16:23:17Z (GMT). No. of bitstreams: 2 WOS000273703400020.pdf: 181730 bytes, checksum: 6d98177f6725df749669b966e3a64748 (MD5) WOS000273703400020.pdf.txt: 32242 bytes, checksum: 735cef5f814ded38f6de20e1d4c084d4 (MD5) Previous issue date: 2010en
dc.identifier.urihttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/52741pt_BR
dc.identifier.urihttp://www.repositorio.unicamp.br/handle/REPOSIP/52741
dc.identifier.urihttp://repositorio.unicamp.br/jspui/handle/REPOSIP/52741-
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