Low priority for infertility services in Brazil's public health sector.
Article Type: Clinical report
Subject: Fertility clinics (Usage)
Pub Date: 05/01/2010
Publication: Name: Reproductive Health Matters Publisher: Reproductive Health Matters Audience: General Format: Magazine/Journal Subject: Family and marriage; Health; Women's issues/gender studies Copyright: COPYRIGHT 2010 Reproductive Health Matters ISSN: 0968-8080
Issue: Date: May, 2010 Source Volume: 18 Source Issue: 35
Geographic: Geographic Scope: Brazil Geographic Code: 3BRAZ Brazil
Accession Number: 236247736
Full Text: This cross-sectional study assessed the availability of public sector infertility services, including assisted reproduction technology (ART), in Brazil. Between June 2008 and June 2009, telephone interviews were conducted with 24 of the 26 authorities from the State Health Secretariats and authorities from the Federal District and 39 of the 42 authorities from the Municipal Health Secretariats, including 25 from the 26 state capitals and 14 from the 16 other cities with more than 500,000 inhabitants. 26 directors of referral centres and teaching hospitals providing government-funded infertility care and ART were also interviewed. In 19/25 states (76%) and 26/39 cities (66.7%), no infertility treatment was available free of charge. No ART was available at 84% and 97% of the state and municipal levels, respectively. In contrast, 56 infertility clinics were registered in the private sector. 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 included the fact that patients needed to purchase medication, and there was a more than one-year waiting list. Lack of political commitment results in inequity in the access of low-income couples in Brazil to infertility treatment. (1)

(1.) Makuch MY, Petta CA, Osis MJD, et al. Low priority level for infertility services within the public health sector: a Brazilian case study. Human Reproduction 2010;25(2):430-35.
Gale Copyright: Copyright 2010 Gale, Cengage Learning. All rights reserved.