Abstract

This is a qualitative research that aimed to investigate Brazilian Landless Workers Movement women's access to pre-natal care and cervical cancer prevention. Interviews were done in 2005 with five women in the city of Cajamar, Brazil. The thematic analysis of content made it possible to evidence that access barriers such as territorial delimitation and geographical distance let women use false addresses as mechanisms to receive care. Pap smear tests were performed only during pregnancy. Health care provided for these women was fragmented and they received care solely because of their reproductive condition. Access to health services must be understood as continuous and complete assistance in all phases of a woman's life and they consist of a challenge to reach rural women. Improving access to information and education for these women corresponds to the possibility of exercising the universal right of access to health care based on the principle of equity.

Highlights

  • The 1988 Federal Constitution of Brazil incorporated various concepts, principles and guidelines regarding the field of Health

  • In order to guarantee that right a Unified National Health System or Sistema Único de Saúde (UNHS/SUS) was created incorporating health as a universal social right.[2]

  • Considering that health is a right of all Brazilian citizens and that the UNHS/SUS is responsible for delivering health assistance in all national territory, it is assumed that all health problems should be resolved mainly considering population health needs

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Summary

Introduction

The 1988 Federal Constitution of Brazil incorporated various concepts, principles and guidelines regarding the field of Health. The adopted conception of health considers it a result of diverse determinants and not the absence of illness, so health was considered as resultant from the conditions of alimentation, housing, education, income, environment, work, transportation, leisure, freedom, access and property of land and access to health assistance.[1]. The major advance in Brazilian health care services occurred from the recognition that health is a right of all citizens and the responsibility of the Government. In order to guarantee that right a Unified National Health System or Sistema Único de Saúde (UNHS/SUS) was created incorporating health as a universal social right.[2]. Considering that health is a right of all Brazilian citizens and that the UNHS/SUS is responsible for delivering health assistance in all national territory, it is assumed that all health problems should be resolved mainly considering population health needs

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