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Gaceta Sanitaria
versión impresa ISSN 0213-9111
Resumen
ESCOBAR-BALLESTA, Marta; GARCIA-RAMIREZ, Manuel; ALBAR-MARIN, M.ª Jesús y PALOMA, Virginia. Sexual and reproductive health in Roma women: the family planning programme of Polígono Sur in Seville (Spain). Gac Sanit [online]. 2019, vol.33, n.3, pp.222-228. Epub 25-Nov-2019. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2017.12.006.
Objective
To describe the challenges, resources and strategies of the staff of the family planning programme of the Polígono Sur Healthcare Centre in Seville (Spain) in their care of Roma women.
Method
This is a descriptive study in which in-depth interviews and discussion groups were held with all programme professionals, including a documentary review of the programme. The information was analyzed based on the Roma Health Integration Policy Index, a tool that evaluates the entitlement, accessibility, sensitivity and capacity for change of health programmes for the Roma population.
Results
The professionals encountered multiple challenges to implement the family planning programme with Roma women due to the characteristics of the users and the low sensitivity of the programme towards them. The absence of specific actions for Roma women within the family planning programme, agreed to by the healthcare district, obliges professionals to develop adaptations and strategies to ensure quality sexual and reproductive health services for their users.
Conclusions
It is necessary to adapt sexual and reproductive health programmes targeted at Roma women by (a) detecting, evaluating, systematizing and disseminating good practices, (b) developing actions that address the multiple vulnerabilities of Roma women, (c) acknowledging professionals who advocate for the health of these women within their organizations, and (d) promoting reproductive justice as the goal of these programmes.
Palabras clave : Family planning; Sexual and reproductive health; Women; Ethnic groups; Professional practice.