CONFERENCE PROCEEDING
Access to long-acting reversible contraception for Brazilian women
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1
Universidade Federal de Mato Grosso do Sul / Fundação Oswaldo Cruz, Programa de Pós-Graduação ProfSaúde, Campo Grande, Brazil
2
Fundação Oswaldo Cruz, Programa de Pós-Graduação ProfSaúde, Campo Grande, Brazil
3
Universidade Federal de Mato Grosso do Sul, Campus de Três Lagoas, Três Lagoas, Brazil
Eur J Midwifery 2026;10(Supplement 1):A430
ABSTRACT
BACKGROUND:
The intrauterine device is the one of Long-Acting Reversible Contraception (LARC) method most widely used in the world. In the Brazil, it is offered by the Unified Health System (UHS). This method are safe and highly effective for birth control; however, it is still underutilized by Brazilian women. At the national level, more than 50% of pregnancies are unplanned, and the prevalence of maternal mortality is an important public health problem. Aiming to contribute to strengthening public policies governing family planning and clarifying the gaps that may limit sexual and reproductive rights, research entitled "Study of Long-Acting Reversible Contraception in Mato Grosso do Sul" is currently under development.
OBJECTIVES:
The objective is to evaluate how access to LARCs is provided to women using the UHS in one of the 26 Brazilian states.
METHODS:
This is an evaluative research conducted in 79 municipalities in the state of Mato Grosso do Sul, Brazil. Health managers and professionals working in Primary Health Care participate. An electronic form is used for data collection. The research was approved by the Ethics Committee of the Oswaldo Cruz Foundation and follows the theoretical evaluative model of Donabedian, organized into the dimensions: structure, process, and outcome. The data is entered into an Excel spreadsheet and undergoes statistical treatment.
RESULTS:
Preliminary results were obtained through two master's theses from the Postgraduate Program ProfSaúde of the Fiocruz Pantanal institution and revealed that access to LARCs is limited by structures with a scarcity of materials, supplies, and qualified personnel; furthermore, the work process needs a review for its organization.
CONCLUSIONS:
The context requires investments in the continuing education of nurses and doctors; acquisition of materials and supplies, in order to reorganize reproductive assistance, thus increasing the number of women who use some type of LARC.
KEY MESSAGE:
Family Planning Policy. Long Acting Reversible Contraception. Primary Health Care.
Poster session 1 (Group A)