Abstract
OBJECTIVES: to characterize maternal and neonatal healthcare provided to Brazilian population, assessing key factors: access, use and quality of care received during this period. The goal was to assess possible differences regarding women's perceptions regarding the quality and appropriateness of care received, providing qualitative information, as part of a holistic perspective. METHODS: the present study adopted a qualitative methodology (semi-structured interviews) for collecting and analyzing data. Possible differences in women's perceptions regarding the quality and appropriateness of care received were assessed, providing qualitative information, as part of a holistic perspective. The present study was based on privileged information obtained from Brazilian women, residing in the metropolitan area of Porto, regardless of their legal status. RESULTS: a certain dissatisfaction emerged among Brazilian women regarding the quality of information provided by health professionals, the communications skills of these professionals, in addition to a perception of reduced access to medical specialties, especially in primary care. Misinformation about legal rights and inappropriate clarification during medical appointments were frequently reported and interacted with social determinants to result in poorer medical care. CONCLUSIONS: special attention should be given to the specific needs and understanding of immigrants during pregnancy and motherhood in order to improve healthcare. New challenges tend to lie not only in ensuring access, but mostly in promoting equity, as away of providing high-quality care for all.
Highlights
Migration presents compelling development opportunities for the European Union, given the specific needs of the labor market, essential to the maintenance of their social structure, and the resumption of economic and cultural development
Objectives: to characterize maternal and neonatal healthcare provided to Brazilian population, assessing key factors: access, use and quality of care received during this period
It was possible to group the information collected into eight major themes: a) health status, b) perceptions of access and quality of care, in comparison with those in the country of origin, c) barriers to and facilitators of the use of healthcare services, d) perceived gaps in the health system and suggestions for improvement, e) mother and child healthcare (i. pregnancy and postpartum; ii. baby follow up; iii. family planning); f) strategies for managing difficulties; g) the quality and consequences of the care provided by health professionals; h) contraception - information, decision and use
Summary
Migration presents compelling development opportunities for the European Union, given the specific needs of the labor market, essential to the maintenance (reconfiguration?) of their social structure, and the resumption of economic and cultural development. In Portugal, in recent years, the census shows that migration has played an important role in countering the aging population (declining birth rate among native Portuguese women, with migrants contributing most to the maintenance of fertility rates, fertility and births).[1,2]. One of the greatest challenges posed by migration concerns the provision of universal and equitable healthcare, core accessibility and quality of services, regardless of gender, ethnicity or country of origin - healthcare as a universal right.[3,4] Health and guaranteed access to healthcare are cornerstones of social inclusion of immigrants, consisting of the main routes of entry into participatory citizenship and civil rights.[5,6] The most recent migration flows (preceding the global economic crisis, as there are no updated data other than the purely empirical framework of contemporary reality) demonstrate the feminization of migration and the increasing participation of women migrants in European demography.[5,7,8]. Migrants have a higher risk of contracting infectious diseases such as tuberculosis, HIV / AIDS and hepatitis.[4,10,11] They show a higher risk of suffering from mental illness, including depression, schizophrenia and post-traumatic stress as a result of the interaction of specific psychosocial determinants.[12]
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