Accessibility to prenatal care at the Street Outreach Office: nurse perceptions in northern Brazil

Author:

Barbosa Nayara Gonçalves1ORCID,Netto Karoline Cardoso2ORCID,Mendes Lise Maria Carvalho3ORCID,Gozzo Thaís de Oliveira4ORCID,Jorge Herla Maria Furtado5ORCID,Paiva Andyara do Carmo Pinto Coelho2ORCID,Amorim Thaís Vasconcelos2ORCID,Gomes-Sponholz Flávia Azevedo4ORCID

Affiliation:

1. Universidade Federal de Juiz de Fora, Brazil; Universidade de São Paulo, Brazil

2. Universidade Federal de Juiz de Fora, Brazil

3. Universidade Federal do Amapá, Brazil; Universidade de São Paulo, Brazil

4. Universidade de São Paulo, Brazil

5. Universidade Federal do Piauí, Brazil

Abstract

ABSTRACT Objectives: to understand nurse perspectives regarding homeless pregnant women’s accessibility to prenatal care. Methods: a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil. Results: nurses are faced with geographic barriers and dangerous situations in border regions, recognizing that there is a context of physical, sexual and psychological violence that involves homeless pregnant women who seek care at the Street Outreach Office. Street Outreach Office nurses’ work occurs in conjunction with other services in the Health Care Network. The implementation of educational measures is a powerful strategy, as is establishing links with women. Final Considerations: the Street Outreach Office’s work provides meetings with pregnant women on site in the territory, which can provide geographic and socio-organizational accessibility to prenatal care.

Publisher

FapUNIFESP (SciELO)

Reference36 articles.

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3. Project20: does continuity of care and community-based antenatal care improve maternal and neonatal birth outcomes for women with social risk factors? a prospective, observational study;Rayment-Jones H;PLoS One,2021

4. Social determinants of inadequate prenatal care utilization in sheltered homeless mothers in the Greater Paris area in France;Richard E;Front Public Health,2023

5. Decreto nº 7.053, de 23 de dezembro de 2009, institui a Política Nacional para a População em Situação de Rua e seu Comitê Intersetorial de Acompanhamento e Monitoramento, e dá outras providências,2009

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