Low priority for infertility services in Brazil's public health sector.
|Article Type:||Clinical report|
|Subject:||Fertility clinics (Usage)|
|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|
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.|