O planejamento reprodutivo na percepção das mulheres no município de Caldas Novas - Goiás

Abstract

Advancements in reproductive health rights are the result of feminist struggles, but access to quality public services and the full exercise of reproductive autonomy have yet to be realized. Primary Health Care, as the gateway to Brazil’s Unified Health System (SUS), plays a crucial role in addressing and ensuring care related to reproductive health. This study aims to analyze the reproductive planning offered by Family Health Strategy (ESF) teams in Caldas Novas (GO) from the perspective of women. We conducted a crosssectional study using triangulation in two stages: first, a closed form was administered to 205 women to assess access to and quality of services offered in 17 ESF units in the city; then, a qualitative study based on interviews using a semi-structured form conducted individually, aimed at studying autonomy, adherence, and safety regarding the decision, prescription, and use of contraceptive methods. In this stage, 17 women participated. The material from the interviews was systematized and categorized according to the principles and guidelines of content analysis, generating three thematic categories: “Knowledge and experiences regarding reproductive planning”, “Autonomy and decision-making in usage”, and “Access to reproductive planning services and availability of contraceptive methods”. The results indicate that women’s knowledge of reproductive planning is linked to personal and financial planning and the number of children, with difficulties in accessing sterilization procedures. A lack of information on body knowledge, sexuality, and contraceptive methods in the municipality’s Primary Health Care was identified. The research highlights the need for improvements in services, including health education activities and professional training on the topic. The absence of educational actions jeopardizes women’s autonomy and the quality of reproductive health care, making it necessary to adjust care to improve women’s satisfaction and adherence, thus ensuring the fulfillment of sexual and reproductive rights.