Abstract
Objective:The aim of this study was to analyze the application of assisted reproductive technologies (ART) in Brazil from the active clinics and the population served considering the changes in the last resolutions of the Federal Council of Medicine (CFM), which enabled the use of the techniques for anyone, regardless of their health insurance system, gender or marital status.Methods:This paper was based on the analysis from the “Reproductive Technologies and (in) fertility study: regulation, market and rights”. We used quantitative and qualitative methodologies. In this paper, we used the empirical data produced in the quantitative study. The quantitative online survey was carried out in 2016-2018, answered by 81 fertility clinics in Brazil about their performance in 2015-2016. We opted to use the REDCap Program, a web-based application for the construction and management of online surveys and databases. The questionnaire addressed the characteristics of services, practices performed, population served and existing forms of funding.Results:The questionnaires returned corresponded to 63.1% of the clinics in the southeast region. ART is mainly offered by 90.1% private clinics. We report that 63.8% of establishments have up to 20 employees; 44.5% have been in operation between 11 and 20 years. 85.1% of the clinics reported having treated non-Brazilian residents. Conclusions:There has been a significant increase in the provision of ART in Brazil. Access remains thoroughly dependent on its own financial resources. The new CFM resolutions have shifted from the prevailing concept of "health care" to "assisting with new family configurations”.
Highlights
Assisted Reproductive Technologies (ART) have grown significantly since the first birth through in vitro fertilization (IVF) in 1978 in the United Kingdom
This paper was based on empirical material produced in the frame of a broader research focused on assisted reproduction services in Brazil in 2016-2018, and the main implications of their practices in the field of healthcare technologies resulting from regulatory changes
Assisted reproduction clinics in Brazil were the units of analysis, and we aimed to discover their distribution, available services, technologies employed, practices performed, population served and existing forms of funding
Summary
Assisted Reproductive Technologies (ART) have grown significantly since the first birth through in vitro fertilization (IVF) in 1978 in the United Kingdom. Reproductive technologies have emerged to treat infertility by assisting infertile couples to conceive, but these technologies have brought new possibilities for those who experience other forms of relationships, with same-sex partners or without partners, to consider the possibility of reproduction. With such expansion, the techniques were no longer focused on a health issues, and became available for other situations where reproduction was not possible. In Brazil, the majority of ART services continue to be performed in the private sector as these services are not covered by the Brazilian Unified Health System (the SUS). There are, some services, most of which are linked to universities, that provide to those unable to afford a private clinic
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
