Name: Bruna Ligia Ferreira de Almeida Barbosa
Type: PhD thesis
Publication date: 17/05/2021

Namesort descending Role
Franciéle Marabotti Costa Leite Co-advisor *
Rita de Cássia Duarte Lima Advisor *

Examining board:

Namesort descending Role
Ana Paula Santana Coelho Almeida Internal Alternate *
Angela Jane Dawson External Examiner *
Angelica Espinosa Barbosa Miranda Internal Examiner *
Eliane de Fátima Almeida Lima Internal Examiner *
Franciéle Marabotti Costa Leite Co advisor *
Jerusa Araújo Dias External Examiner *
Leila Massaroni External Alternate *
Rita de Cássia Duarte Lima Advisor *

Summary: Introduction: The reality about the health problems that women have been
experiencing in Brazil, evidences the denial of comprehensiveness, insofar as it
requires embracement, sensitive listening, access, continuity, and resolution. The
existence of social markers, whether of race, economic, social, and educational status,
places women in a situation of vulnerability, reflecting on access to Primary Health
Care services. In this perspective, considering that women are the majority among the
Primary Health Care users, their experiences must be contextualized, respecting the
singularities and recognizing their conditions of vulnerability, in order to alleviate the
inequalities that interfere in the access and use of health services. Objective: Analyse
the access to and utilization of services aimed to women’s health into the Primary
Health Care system in the state of Espírito Santo. Methodology: Descriptive study,
with a qualitative approach, carried out in women users of Primary Health Care, from
October 2020 to January 2021, in five municipalities that represent the health regions
of Espírito Santo, plus the capital Vitória. A questionnaire with sociodemographic
information of the users and a script guided by the theoretical framework of access and
use of health services by McIntyre and Mooney (2007) was used. For data analysis,
the Thematic Analysis technique by Bardin (2011) was used, which consists of three
stages: data pre-analysis, resource exploration, and data interpretation. Results:
Barriers were identified with regard to availability, acceptability and ability to pay for
access to services offered in Primary Health Care. These barries are present mainly
in relation to referral to specialized services, reception, health promotion actions and
diagnostic tests. In addition, the different levels of information between the service
teams and the users, were related to a greater or lesser extent to the access and use
of health services, especially regarding mammography. Final considerations: There
are factors that interfere with access to primary care services, reflecting the inequalities
among women. The race/color, gender and social class cuts reflect and reveal the
structural/institutional racism that shapes our society, highlighting the inequalities
faced by women when accessing, among others, health services.Propositional
strategies for reorganizing women`s health policies are necessary in order to overcome
barriers and enable greater access and use of women to primary care services.

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