Inserção e retirada de DIU com cobre na APS: experiência na cidade de Santa Maria, RS

• Ano de defesa: 2024
• Autor(a) principal: Bonafé, Renato Holkem
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Santa Maria; Brasil; Ciências da Saúde; UFSM; Programa de Pós-Graduação em Ciências da Saúde; Centro de Ciências da Saúde
• Palavras-chave em Português: Dispositivo intrauterino (DIU); Atenção Primária à Saúde (APS); Curso de extensão; Planejamento reprodutivo; Preceptoria médica; Intrauterine device (IUD); Primary Health Care (PHC); Extension course; Reproductive planning; Medical preceptorship; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: http://repositorio.ufsm.br/handle/1/34572

Introduction: The copper-bearing intrauterine device (IUD) is an effective and safe contraceptive method, widely recommended by the Brazilian Ministry of Health. However, there are barriers to its use, especially in the context of Primary Health Care (PHC), such as limited knowledge on the part of users and lack of training of health professionals. Objectives: To understand the evaluation of different interest groups regarding the implementation of the action of insertion and removal of copper-bearing IUD in the PHC of Santa Maria, RS, in addition to analyzing the impacts on public health and medical preceptorship. Method: The research adopted a qualitative approach based on the Fourth Generation Assessment. Data were collected through semi-structured interviews with physicians, managers, students and users, in addition to document analysis. Data coding was performed with the help of Atlas.ti® software. Results and Discussion: The course contributed significantly to expanding access to the IUD in PHC units and to the training of physicians and preceptors. Challenges were identified, such as user resistance due to myths about the IUD and fear of adverse effects. The implementation of the course also generated greater resolution in health units and improved the quality of preceptorship. Conclusion: The training of health professionals promoted greater access to the IUD, contributing to the decentralization of health services and the strengthening of PHC and medical preceptorship. The continuity of actions tends to bring benefits to public health and medical education.