Improvements and gaps in the elaboration process of women's health public policies in Brazil at a tima of perinatal loss

Abstract

This study set as its aim to describe the specific guidelines of women’s care, emphasizing those related to perinatal loss in the following documents from the Ministry of Health: Comprehensive Care Program for Woman’s Health, Prenatal and Birth Humanization Program and National Policy for Comprehensive Care for Woman’s Health. It is a descriptive research with analytical approach. The analytical model used for the analysis is formed by four categories: context, process, actors and content. The focus was centered in the context category. The result showed the absence of specific guidelines related to neonatal loss, in all three documents analyzed. Also, it revealed that the elaboration, implantation and implementation of these documents presented tensions, due to distinct ideological projects, implicating on the need to mobilize and articulate different resources in a continuous process. It revealed to be necessary constant evaluation aiming to improve and conquer demands that are not included yet. Human Rights stand by the struggle of groups in their specific needs aiming to legally conquer rights to obtain a more dignifying treatment both in general and specific rights. Therefore, the specificities of grief towards perinatal loss deserve to have its guidelines included in public policies, in the perspective of having humanizing care as a commitment from the State in the face of this situation.