Atendimento da mulher brasiguaia no ciclo gravídico-puerperal: percepções de gestores brasileiros em tríplice fronteira

• Ano de defesa: 2024
• Autor(a) principal: Dias, Bruna Pasquali
• Orientador(a): Zilly, Adriana
• Banca de defesa: Contiero, Ana Paula , Benito, Gladys Amelia Velez
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual do Oeste do Paraná; Foz do Iguaçu
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Pública em Região de Fronteira
• Departamento: Centro de Educação Letras e Saúde
• País: Brasil
• Palavras-chave em Português: Cuidado pós-natal; Cuidado pré-natal; Saúde da mulher; Saúde na fronteira; Saúde pública
• Palavras-chave em Inglês: Postnatal care; Prenatal care; Women's health; Border health; Public health
• Palavras-chave em Espanhol: Atención posnatal; Atenoín prenatal; Salud de la mujer; Salud en la frontera; Salud pública
• Área do conhecimento CNPq: SAUDE COLETIVA::MEDICINA PREVENTIVA
• Link de acesso: https://tede.unioeste.br/handle/tede/7435

The pregnancy-puerperal cycle encompasses the gestational period, childbirth, and the postpartum phase. The Unified Health System (SUS) must ensure free and quality healthcare for the population, including care during all stages of pregnancy. In border municipalities, there is often a disproportion between the availability and demand for health services, as people from neighboring countries seek these services, overloading systems designed to meet the needs of local residents. One group that seeks health services in Brazil comprises Brazilian women residing in Paraguay, who, when pregnant, return to their country of origin to receive prenatal and childbirth care, aiming to secure both quality, free care and Brazilian nationality for their newborns. Thus, this research aimed to understand the healthcare management for Brazilian women residing in Paraguay who are attended in prenatal, childbirth, and postpartum services in Brazil. This study used a qualitative and descriptive approach, applying Bardin's content analysis as the research method. Interviews were conducted with managers of women's health services in primary healthcare, specialized care, and hospital care in the municipality of Foz do Iguaçu, which provides services to Brazilian women residing in Paraguay during prenatal, childbirth, and postpartum stages. Bardin's content analysis was applied to the collected data. Among the 13 interviewees, seven were from primary healthcare and six from hospital care. The findings supported the construction of two articles with the following categories: Care for Brazilian Pregnant Women Residing in Paraguay: (Un)defined Care Pathway and Challenges in Prenatal Follow-up for "Brasiguaia" Pregnant Women (article 1); and Management of "Brasiguaia" Pregnant Users in Brazilian Health Services: Service Funding vs. Financial Impact (article 2). Thus, the challenges faced by health managers in border municipalities are complex; however, given the ongoing demand, it is essential to formulate strategies that not only ensure the provision of services but also support their sustainability for the municipality.