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INTERFERENCES IN PRIMARY CARE FOR PUERPERAL WOMEN IN A BORDER REGION DURING THE COVID-19 PANDEMIC

Rosenilda Duartes Fernandes Novakowiski, Ana Paula Contiero, Marli Terezinha Stein Backes, Adriana Zilly, Maria Aparecida Baggio

Resumo


Objective: To identify factors that have interfered with puerperal care in a border region during the COVID-19 pandemic.

Method: qualitative research, using Grounded Theory as a methodological reference. It was developed in primary care in the triple border region of Brazil, Argentina, and Paraguay, with 30 participants, including puerperal women, health professionals, and managers. According to the Straussian perspective, data collection and analysis were collected between August 2021 and May 2022, following the stages of open, axial, and selective coding.

Results: four subcategories were identified: "accessing health units", "understanding home visits and active search", "having insufficient information sharing in the care network" and "showing an overloaded health system".

Conclusion: it was found that most of the factors that interfered with puerperal women's care already existed and were aggravated by the pandemic. It is recommended that measures be put in place to guarantee the sharing of information and timely counter-referrals.


Palavras-chave


Border Areas; Primary Health Care; COVID-19; Postpartum Period; Grounded Theory.

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DOI: http://dx.doi.org/10.1590/ce.v29i0.94168