Migration - health system - caesarean

• Grant number: 13/17840-1
• Support Opportunities: Scholarships abroad - Research
• Start date: December 15, 2013
• End date: February 14, 2014
• Field of knowledge: Health Sciences - Collective Health - Public Health
• Principal Investigator: Maria Silvia de Moraes
• Grantee: Maria Silvia de Moraes
• Host Investigator: Beatriz Padilla
• Host Institution: Faculdade de Medicina de São José do Rio Preto (FAMERP). Secretaria de Desenvolvimento Econômico (São Paulo - Estado). São José do Rio Preto , SP, Brazil
• Institution abroad: Instituto Universitário de Lisboa (ISCTE-IUL), Portugal

Abstract

Health is a right of every citizen in Brazil. The state must ensure access to the services to the entire population through the Unified Health System (SUS). One of the major problems faced in the region of São José do Rio Preto by SUS is the medicalization of women's reproductive process with a high number of surgical delivery.Due to the increase in process of migration among regions, the differences in the care of women's reproductive health tends to be clear. The migrants bring with them an amount of knowledge that was provided and interpreted by them, and in the process of contacting a new health service there is a reorganization of some meanings.Brazilian women have become important in Portugal from the year of 2007. Since then, it was the most significant foreign nationality in that country and the issue of migrant health, although a law field and conceived as a universal issue in Portugal through access of the National Health Service (NHS), it is no guarantee of access, since social, economic and cultural factors affect the access to health services.Our work aims to analyze the perception of women from the state of São Paulo resident in Lisbon on the access to health services in dealing with sexual and reproductive health care . Afterwards, comparing the perception of women returned from Lisbon to Sao Paulo state on differences in the care of their sexual and reproductive health care .We have chosen to conducting interviews with women and health professionals who make attendances to these women. The choice of interviews, part of individual stories, and then to extract a social history, that is, to study a collective reality through singular facts.With regard to health professionals, the interviews will be focused on doctors and nurses who are directly involved in the care of these women. Thus, we will seek information through interview outlines, centered on the practice of treating migrant women (Brazilian women in Lisbon) and the Brazilian returned from Lisbon. Our purpose is to reconstruct the route that distinguishes the service for Brazilian women (in Lisbon) and the returned women (state of São Paulo). (AU)