Women´s Needs Related to Family Planning: Meta-Synthesis
Evelyne Nascimento Pedrosa
Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil; Universidade de Pernambuco, Recife, Brazil
https://orcid.org/0000-0003-1178-8465
Katia Virginia de Oliveira Feliciano
Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil
https://orcid.org/0000-0001-9899-4469
Maria Suely Medeiros Corrêa
Universidade de Pernambuco, Recife, Brazil
https://orcid.org/0000-0003-1241-5361
Ariani Impieri Souza
Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil; Faculdade Pernambucana de Saúde, Recife, Brazil
https://orcid.org/0000-0002-7917-5983
DOI: https://doi.org/10.20448/journal.510.2018.51.44.56
Keywords: Family planning, Qualitative research, Meta-synthesis, Needs and demands of health services, Women, Women’s health.
Abstract
To understand women´s needs related to the care in family planning, we conducted a meta-synthesis based on Noblit and Hare´s meta-ethnography. Nine studies were included in this review. Five themes were identified: sociocultural access, geographical access, economic access, organizational access and quality of care. A "line of argument" synthesis was produced with six constructs: sociocultural context, accessibility, availability, functional adequacy, ability of purchasing, technical and relational adequacy. The needs relating to family planning was understood to multiple dimensions of access to health services. The most relevant aspects were: financial condition, gender and religion related as determinants of reproductive decisions; health resources inadequacy; concerns with side effects; unsatisfactory interpersonal relations; lack of information and counseling; difficulties for male access. To overcome the distance between recommended care and provided care at the services it is indispensable organization of actions committed to gender equality, considering objective and subjective aspects to the care in family planning.