“Parto humanizado” no Brasil: avaliação política do Programa de Humanização no Pré-Natal e Nascimento

Detalhes bibliográficos
Ano de defesa: 2021
Autor(a) principal: DUAILIBE, Elza Galvão Bergê Cutrim lattes
Orientador(a): DIAS, Marly de Jesus Sá lattes
Banca de defesa: DIAS, Marly de Jesus Sá lattes, PEREIRA, Maria Eunice Ferreira Damasceno lattes, LIMA, Cristiana Costa lattes, RODRIGUES, Zulimar Márita Ribeiro lattes, RIBEIRO, Marizélia Rodrigues Costa lattes
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal do Maranhão
Programa de Pós-Graduação: PROGRAMA DE PÓS-GRADUAÇÃO EM POLÍTICAS PÚBLICAS/CCSO
Departamento: DEPARTAMENTO DE SERVIÇO SOCIAL/CCSO
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: https://tedebc.ufma.br/jspui/handle/tede/3321
Resumo: The formulation and implementation of policies directed to the humanization of obstetric and neonatal care demonstrate that there is an urgency and demand for factual interventions in this area. This thesis has as its object, the Program of Humanization in Prenatal and Birth (PHPN), instituted in 2000 by the Ministry of Health, which was the first specifically directed to the humanization of childbirth in Brazil, aiming to reduce maternal and child mortality and to ensure a welcoming quality service for women based on the assurance of citizenship rights. This is a qualitative research with a theoretical-critical character, bibliographic and documentary inserted in the evaluative research field, within the line of political evaluation of the policy. The objective is to evaluate the PHPN based on the political and socio-cultural assumptions that support it and considering the management of Brazil’s Unified Health System (SUS) and the context of health in Brazil in the period from 2000 to 2017. It highlights the matter related to the concept of humanization and childbirth humanization, Brazil’s Unified Health System management, neoliberalism, obstetric violence and technocracy. It quested to analyze the structuring of health in Brazil and the process of constructing the logic of childbirth and the structural and contextual determinants that led to the formulation of policies for the humanization of childbirth. PHPN engineering, its tenor and its objectives were evaluated in the view of Brazilian health neoliberal conjuncture. It was found that the PHPN puts the term humanization as the central focus of its proposal, but directs its actions towards technical protocols to be followed, which does not undo the technocratic model, nor does it promote assistance to prenatal care and humanized birth and does not favor the strengthening of women during the care process, since actions, initiatives and decision making remain under the responsability of health professionals.