The provision of female sterilization in São Paulo, Brazil: a study among low income women.
This paper examines some problems involved in the provision of female sterilization procedures in Brazil, mainly those concerned with the ways in which this operation is offered. Female sterilization provision is analysed by reference to the broader institutional context and from the client's perspectives. These themes are discussed in the light of some recent survey findings. A survey was carried out between March and July, 1992 in two selected poor areas of São Paulo Metropolitan Region. 3149 women were asked about contraceptive use including 407 sterilized women under 40 years old who were also interviewed about their adaptation to sterilization. Further information was also obtained through in-depth interviews with 15 sterilized women who regretted the operation. The findings highlight a complex network of interests and misunderstandings which shape the nature of choice of female sterilization by Brazilian low income women.
Vieira
E M
EM
Institute of Population Studies, University of Exeter, England.
Ford
N J
NJ
D000293:Adolescent; D000328:Adult; D001938:Brazil; D002585:Cesarean Section / Q000191:economics / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000208:ethnology*; D004180:Direct Service Costs / Q000706:statistics & numerical data; D004992:Ethics, Medical; D005193:Family Planning Services / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008875:Middle Aged; D009042:Motivation; D011203:Poverty; D011247:Pregnancy; D012494:Sampling Studies; D012926:Social Control, Formal; D013245:Sterilization, Reproductive / Q000191:economics / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data*; D013483:Superstitions; D017664:Uncompensated Care / Q000706:statistics & numerical data