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Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil
Access to quality and affordable healthcare is central to the fulfilment of women’s reproductive and sexual health needs and rights. For this reason, the World Health Organization declared access to appropriate healthcare services during pregnancy and childbirth a fundamental women’s right. Prenatal...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9928028/ https://www.ncbi.nlm.nih.gov/pubmed/36787329 http://dx.doi.org/10.1371/journal.pone.0281581 |
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author | Rodrigues, Camila Brito Thomaz, Erika Barbara Abreu Fonseca Batista, Rosângela Fernandes Lucena Riggirozzi, Pía Moreira, Dina Stefany de Oliveira Gonçalves, Laura Lamas Martins Lamy, Zeni Carvalho |
author_facet | Rodrigues, Camila Brito Thomaz, Erika Barbara Abreu Fonseca Batista, Rosângela Fernandes Lucena Riggirozzi, Pía Moreira, Dina Stefany de Oliveira Gonçalves, Laura Lamas Martins Lamy, Zeni Carvalho |
author_sort | Rodrigues, Camila Brito |
collection | PubMed |
description | Access to quality and affordable healthcare is central to the fulfilment of women’s reproductive and sexual health needs and rights. For this reason, the World Health Organization declared access to appropriate healthcare services during pregnancy and childbirth a fundamental women’s right. Prenatal care is a recognized human right to women’s health in Brazil, as declared by the 1988 Constitution and many Brazilian policies. However, implementing the rights to health in Brazil presents a fundamental performance gap between legal rights and their delivery concerning reproductive health. Through extensive fieldwork including focus groups, interviews with women and participate observation in two municipalities in northeastern Brazil, this article addresses these issues and explores women’s lived experience of access to and their fulfilment of the right to health regarding prenatal healthcare. We offer and account of the experience of women regarding what they identified as barriers that trample their right to health, that is: a) limited personnel and medical equipment as a perception of neglect; b) timely delivery of services: time matters for perception and experience of rights; c) misinformation as a barrier to the exercise of health rights; and d) socioeconomic barriers. These barriers particularly affect the right of women in rural communities, with lower socioeconomic levels and education, as well as brown and black women, from an intersectionality perspective, who are already at greater health risk and inadequate prenatal care. As such, we argue there is a performance gap between what the normative and legal frameworks encourage the health system to do and what the system actually provides in terms of access, equality, respect and continuity of treatment amongst certain groups in society whose right to health are denied while their health risks increase. |
format | Online Article Text |
id | pubmed-9928028 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-99280282023-02-15 Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil Rodrigues, Camila Brito Thomaz, Erika Barbara Abreu Fonseca Batista, Rosângela Fernandes Lucena Riggirozzi, Pía Moreira, Dina Stefany de Oliveira Gonçalves, Laura Lamas Martins Lamy, Zeni Carvalho PLoS One Research Article Access to quality and affordable healthcare is central to the fulfilment of women’s reproductive and sexual health needs and rights. For this reason, the World Health Organization declared access to appropriate healthcare services during pregnancy and childbirth a fundamental women’s right. Prenatal care is a recognized human right to women’s health in Brazil, as declared by the 1988 Constitution and many Brazilian policies. However, implementing the rights to health in Brazil presents a fundamental performance gap between legal rights and their delivery concerning reproductive health. Through extensive fieldwork including focus groups, interviews with women and participate observation in two municipalities in northeastern Brazil, this article addresses these issues and explores women’s lived experience of access to and their fulfilment of the right to health regarding prenatal healthcare. We offer and account of the experience of women regarding what they identified as barriers that trample their right to health, that is: a) limited personnel and medical equipment as a perception of neglect; b) timely delivery of services: time matters for perception and experience of rights; c) misinformation as a barrier to the exercise of health rights; and d) socioeconomic barriers. These barriers particularly affect the right of women in rural communities, with lower socioeconomic levels and education, as well as brown and black women, from an intersectionality perspective, who are already at greater health risk and inadequate prenatal care. As such, we argue there is a performance gap between what the normative and legal frameworks encourage the health system to do and what the system actually provides in terms of access, equality, respect and continuity of treatment amongst certain groups in society whose right to health are denied while their health risks increase. Public Library of Science 2023-02-14 /pmc/articles/PMC9928028/ /pubmed/36787329 http://dx.doi.org/10.1371/journal.pone.0281581 Text en © 2023 Rodrigues et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Rodrigues, Camila Brito Thomaz, Erika Barbara Abreu Fonseca Batista, Rosângela Fernandes Lucena Riggirozzi, Pía Moreira, Dina Stefany de Oliveira Gonçalves, Laura Lamas Martins Lamy, Zeni Carvalho Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil |
title | Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil |
title_full | Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil |
title_fullStr | Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil |
title_full_unstemmed | Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil |
title_short | Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil |
title_sort | prenatal care and human rights: addressing the gap between medical and legal frameworks and the experience of women in brazil |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9928028/ https://www.ncbi.nlm.nih.gov/pubmed/36787329 http://dx.doi.org/10.1371/journal.pone.0281581 |
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