Barriers to implementing childbirth recommendations in Brazil: the women’s perspective
Objective. To identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. Methods. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based...
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ftdoajarticles:oai:doaj.org/article:a576c1ed6404461395d51ea53bd3fd7a 2023-05-15T15:10:46+02:00 Barriers to implementing childbirth recommendations in Brazil: the women’s perspective Ávila Teixeira Vidal Jorge Otávio Maia Barreto Daphne Rattner 2021-02-01T00:00:00Z https://doi.org/10.26633/RPSP.2021.17 https://doaj.org/article/a576c1ed6404461395d51ea53bd3fd7a EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53279 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.17 https://doaj.org/article/a576c1ed6404461395d51ea53bd3fd7a Revista Panamericana de Salud Pública, Vol 45, Iss 17, Pp 1-7 (2021) parturition clinical protocols implementation science brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.26633/RPSP.2021.17 2022-12-31T04:05:16Z Objective. To identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. Methods. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based on the contribution of users to a public online consultation about the National Childbirth Guidelines in Brazil, performed in 2016 by the National Committee for Health Technology Incorporation into the Unified Health System (CONITEC). Content analysis techniques were used to examine the answers provided to the following specific question: “Considering your local reality, what would hinder the implementation of this protocol or guideline?” Results. Of 396 contributions recorded by CONITEC, 55 were included in the content analysis. The mean age of women was 31 years, with most self-declared as white (69%) and living in the Southeast of Brazil (56.3%). Coding revealed seven barrier categories, which were grouped into three families — barriers related to 1) professional training and culture (which highlighted the centrality of physicians, not women, in childbirth), 2) social culture (general population not well informed), and 3) political and management issues (little interest on the part of managers, lower physician compensation for vaginal childbirth vs. cesarian section, and poor hospital infrastructure). Conclusions. Aspects of professional training and culture, social culture, and political as well as management issues are critical points to be considered in future interventions aiming at overcoming or weakening the barriers to implementing childbirth recommendations in Brazil. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 45 1 |
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parturition clinical protocols implementation science brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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parturition clinical protocols implementation science brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Ávila Teixeira Vidal Jorge Otávio Maia Barreto Daphne Rattner Barriers to implementing childbirth recommendations in Brazil: the women’s perspective |
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parturition clinical protocols implementation science brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To identify barriers to the implementation of National Childbirth Guidelines in Brazil from the women’s perspective. Methods. A descriptive exploratory study was performed using a qualitative approach and an interpretive perspective. The hermeneutic unit of analysis was established based on the contribution of users to a public online consultation about the National Childbirth Guidelines in Brazil, performed in 2016 by the National Committee for Health Technology Incorporation into the Unified Health System (CONITEC). Content analysis techniques were used to examine the answers provided to the following specific question: “Considering your local reality, what would hinder the implementation of this protocol or guideline?” Results. Of 396 contributions recorded by CONITEC, 55 were included in the content analysis. The mean age of women was 31 years, with most self-declared as white (69%) and living in the Southeast of Brazil (56.3%). Coding revealed seven barrier categories, which were grouped into three families — barriers related to 1) professional training and culture (which highlighted the centrality of physicians, not women, in childbirth), 2) social culture (general population not well informed), and 3) political and management issues (little interest on the part of managers, lower physician compensation for vaginal childbirth vs. cesarian section, and poor hospital infrastructure). Conclusions. Aspects of professional training and culture, social culture, and political as well as management issues are critical points to be considered in future interventions aiming at overcoming or weakening the barriers to implementing childbirth recommendations in Brazil. |
format |
Article in Journal/Newspaper |
author |
Ávila Teixeira Vidal Jorge Otávio Maia Barreto Daphne Rattner |
author_facet |
Ávila Teixeira Vidal Jorge Otávio Maia Barreto Daphne Rattner |
author_sort |
Ávila Teixeira Vidal |
title |
Barriers to implementing childbirth recommendations in Brazil: the women’s perspective |
title_short |
Barriers to implementing childbirth recommendations in Brazil: the women’s perspective |
title_full |
Barriers to implementing childbirth recommendations in Brazil: the women’s perspective |
title_fullStr |
Barriers to implementing childbirth recommendations in Brazil: the women’s perspective |
title_full_unstemmed |
Barriers to implementing childbirth recommendations in Brazil: the women’s perspective |
title_sort |
barriers to implementing childbirth recommendations in brazil: the women’s perspective |
publisher |
Pan American Health Organization |
publishDate |
2021 |
url |
https://doi.org/10.26633/RPSP.2021.17 https://doaj.org/article/a576c1ed6404461395d51ea53bd3fd7a |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 45, Iss 17, Pp 1-7 (2021) |
op_relation |
https://iris.paho.org/handle/10665.2/53279 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2021.17 https://doaj.org/article/a576c1ed6404461395d51ea53bd3fd7a |
op_doi |
https://doi.org/10.26633/RPSP.2021.17 |
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Revista Panamericana de Salud Pública |
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45 |
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