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INTERFERENCES IN PRIMARY CARE FOR PUERPERAL WOMEN IN A BORDER REGION DURING THE COVID-19 PANDEMIC* * Artigo extraído da dissertação do mestrado “Atenção à saúde de puérperas em uma região de fronteira: fragilidades agravadas pela pandemia da Covid-19”, Universidade Estadual do Oeste do Paraná, Foz do Iguaçu, PR, Brasil, 2022.

ABSTRACT

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.

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

HIGHLIGHTS

1. Puerperal care in primary care with aggravated weaknesses by the pandemic.

2. The public health system in the border region is overloaded.

3. Failure to share information jeopardizes care continuity.

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