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Barreras y facilitadores para el control prenatal en adolescentes: resultados de un estudio cualitativo en Chile / Barriers and facilitators to antenatal care in adolescents: results of a qualitative study in Chile
Poffald, Lucy; Hirmas, Macarena; Aguilera, Ximena; Vega, Jeanette; González, María José; Sanhueza, Gabriel.
Affiliation
  • Poffald, Lucy; Universidad del Desarrollo. Facultad de Medicina. Centro de Epidemiología y Políticas de Salud. Santiago. CL
  • Hirmas, Macarena; Universidad del Desarrollo. Facultad de Medicina. Centro de Epidemiología y Políticas de Salud. Santiago. CL
  • Aguilera, Ximena; Universidad del Desarrollo. Facultad de Medicina. Centro de Epidemiología y Políticas de Salud. Santiago. CL
  • Vega, Jeanette; Universidad del Desarrollo. Facultad de Medicina. Centro de Epidemiología y Políticas de Salud. Santiago. CL
  • González, María José; Universidad del Desarrollo. Facultad de Medicina. Centro de Epidemiología y Políticas de Salud. Santiago. CL
  • Sanhueza, Gabriel; Universidad del Desarrollo. Facultad de Medicina. Centro de Epidemiología y Políticas de Salud. Santiago. CL
Salud pública Méx ; 55(6): 572-579, nov.-dic. 2013. ilus, tab
Article in Spanish | LILACS | ID: lil-705994
Responsible library: BR1.1
RESUMEN
Objetivo. Analizar barreras y facilitadores de acceso a control prenatal en adolescentes urbanas de 15-19 años en Santiago, Chile. Material y métodos. Estudio cualitativo con 17 madres adolescentes basado en la teoría fundamentada. Se realizaron 11 entrevistas semiestructuradas y un grupo focal. Resultados. La negación y ocultamiento del embarazo es la principal barrera para ingresar a control en el grupo de acceso tardío; no se identificaron facilitadores. Para mantenerse en control, todas las participantes identifican como facilitador contar con una figura de apoyo. La vulnerabilidad familiar y social explica que algunas adolescentes ingresen a control tardíamente. Conclusión. La presencia de facilitadores es determinante para el ingreso oportuno y mantenerse en control, ya que reduce o anula el efecto de las barreras. El sistema de salud debe constituirse en un facilitador que acompañe desde muy temprano a las adolescentes favoreciendo un vínculo de confianza y respeto.
ABSTRACT
Objective. Analyze barriers and facilitators of access to prenatal care in pregnant urban adolescents between 15-19 years of age in Santiago, Chile. Materials and methods. Qualitative study based on grounded theory with 17 adolescent mothers. Eleven semi-structured interviews and one focus group were conducted. Results. The denial and concealment of pregnancy is the main barrier to start the prenatal care in the "delayed access group". This group does not identify facilitators. For maintenance in antenatal care, all participants identified a support figure as a facilitator. Family and social vulnerabilities explain why some adolescents start the prenatal care late. Conclusion. The presence of facilitators is crucial for both, the timely entry and the maintenance in antenatal care because they reduce or nullify the effect of barriers. The health system must become a facilitator to accompany adolescents and promote a bond of trust and respect.
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.1 Reduce Maternal Mortality Health problem: Adolescent Pregnancy / Safe Abortion Services / Goal 11: Inequalities and inequities in health / Target 3.8 Achieve universal access to health / Target 3.7: Universal access to health services related to reproductive and sexual health / Maternal Care Database: LILACS Main subject: Prenatal Care / Adolescent Health Services / Reproductive Health Services / Health Services Accessibility Type of study: Qualitative research Aspects: Social determinants of health / Equity and inequality Limits: Adolescent / Female / Humans / Pregnancy Country/Region as subject: South America / Chile Language: Spanish Journal: Salud pública Méx Journal subject: Public Health Year: 2013 Document type: Article Affiliation country: Chile Institution/Affiliation country: Universidad del Desarrollo/CL

Full text: Available Collection: International databases Health context: SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.1 Reduce Maternal Mortality Health problem: Adolescent Pregnancy / Safe Abortion Services / Goal 11: Inequalities and inequities in health / Target 3.8 Achieve universal access to health / Target 3.7: Universal access to health services related to reproductive and sexual health / Maternal Care Database: LILACS Main subject: Prenatal Care / Adolescent Health Services / Reproductive Health Services / Health Services Accessibility Type of study: Qualitative research Aspects: Social determinants of health / Equity and inequality Limits: Adolescent / Female / Humans / Pregnancy Country/Region as subject: South America / Chile Language: Spanish Journal: Salud pública Méx Journal subject: Public Health Year: 2013 Document type: Article Affiliation country: Chile Institution/Affiliation country: Universidad del Desarrollo/CL
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