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Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil
Background: In Brazil, access to infertility care, including assisted reproductive technologies (ARTs), is restricted. This is the third report of a study on access to infertility care and ARTs within the public sector, focusing on the barriers to these services. Methods: The study was anchored on q...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Universa Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987475/ https://www.ncbi.nlm.nih.gov/pubmed/24753912 |
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author | Makuch, M.Y. Bahamondes, L. |
author_facet | Makuch, M.Y. Bahamondes, L. |
author_sort | Makuch, M.Y. |
collection | PubMed |
description | Background: In Brazil, access to infertility care, including assisted reproductive technologies (ARTs), is restricted. This is the third report of a study on access to infertility care and ARTs within the public sector, focusing on the barriers to these services. Methods: The study was anchored on quantitative and qualitative methods. For the quantitative study interviews were conducted with health authorities in each of the 26 states, the Federal District, the state capitals and 16 cities with ≥ 500,000 inhabitants and directors of infertility referral centres within the public sector. Qualitative case studies were conducted in five ART centres. Results: Overall, 63.5% of the authorities reported that complex infertility treatments were unavailable. Barriers identified consisted of “lack of political decision to implement them”, and “lack of financial resources”. In addition, 75% reported to have “no plans to implement them over the next 12 months”. At the facilities offering ART, the barriers to these procedures were the high costs, long waiting times, complex scheduling processes and lack of initiative to implement low cost ARTs. Conclusions: Infertile couples’ access to ART procedures is restricted due to the insufficient services and lack of political commitment to support existing and new services.. |
format | Online Article Text |
id | pubmed-3987475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Universa Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-39874752014-04-21 Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil Makuch, M.Y. Bahamondes, L. Facts Views Vis Obgyn Original Paper Background: In Brazil, access to infertility care, including assisted reproductive technologies (ARTs), is restricted. This is the third report of a study on access to infertility care and ARTs within the public sector, focusing on the barriers to these services. Methods: The study was anchored on quantitative and qualitative methods. For the quantitative study interviews were conducted with health authorities in each of the 26 states, the Federal District, the state capitals and 16 cities with ≥ 500,000 inhabitants and directors of infertility referral centres within the public sector. Qualitative case studies were conducted in five ART centres. Results: Overall, 63.5% of the authorities reported that complex infertility treatments were unavailable. Barriers identified consisted of “lack of political decision to implement them”, and “lack of financial resources”. In addition, 75% reported to have “no plans to implement them over the next 12 months”. At the facilities offering ART, the barriers to these procedures were the high costs, long waiting times, complex scheduling processes and lack of initiative to implement low cost ARTs. Conclusions: Infertile couples’ access to ART procedures is restricted due to the insufficient services and lack of political commitment to support existing and new services.. Universa Press 2012 /pmc/articles/PMC3987475/ /pubmed/24753912 Text en Copyright: © 2012 Facts, Views & Vision http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Paper Makuch, M.Y. Bahamondes, L. Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil |
title | Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil |
title_full | Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil |
title_fullStr | Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil |
title_full_unstemmed | Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil |
title_short | Barriers to access to infertility care and assisted reproductive technology within the public health sector in Brazil |
title_sort | barriers to access to infertility care and assisted reproductive technology within the public health sector in brazil |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987475/ https://www.ncbi.nlm.nih.gov/pubmed/24753912 |
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