Low priority level for infertility services within the public health sector: a Brazilian case study

Human Reproduction
María Y MakuchLuis Bahamondes

Abstract

In view of the lack of information on availability of public sector infertility services and in order to contribute to the debate on access to these services, we assessed the availability of public sector infertility services, including assisted reproduction technology (ART), in Brazil. We conducted a cross-sectional study with telephone interviews using a semi-structured questionnaire with Health Secretariats' authorities from the 26 States, the Federal District, 26 Municipal state capitals and another 16 cities with more than 500 000 inhabitants. Also, directors of 26 referral centres and teaching hospitals provide ART procedures supported by the state or university teaching hospitals. Authorities from 24/26 State Secretariats and the Federal District, from 39/42 cities and 26 directors of referral centres and teaching hospitals offering government-funded infertility care and ART were interviewed. In 19/25 states (76%) and 26/39 cities (66.7%), no infertility treatment was available free of charge. The most common reason for lack of services at the state and municipal levels was 'lack of any political decision to implement them', followed by 'lack of human and financial resources'. When ART was available, barriers to access i...Continue Reading

References

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Citations

Oct 12, 2011·Human Reproduction·T K AleyammaKorula George
Sep 10, 2014·Reproductive Biology and Endocrinology : RB&E·Luis Bahamondes, Maria Y Makuch
Sep 28, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Marcia Pantoja, Arlete Fernandes
Nov 19, 2011·Public Health Nursing·Chikako Takabayashi, Keiko Shimada
Dec 11, 2014·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·B B DamianD D G Horovitz
Jan 6, 2018·PloS One·Sujha SubramanianUNKNOWN East African Economics and Implementation Group (EAEIG)

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