{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:05:58Z","timestamp":1785755158566,"version":"3.56.0"},"reference-count":30,"publisher":"EDP Sciences","issue":"3","license":[{"start":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T00:00:00Z","timestamp":1648166400000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Sci (Paris)"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Au Br\u00e9sil, les femmes ont un acc\u00e8s gratuit \u00e0 la contraception \u00e0 travers le syst\u00e8me de sant\u00e9 publique, le Syst\u00e8me de sant\u00e9 unifi\u00e9 (SUS), qui propose diff\u00e9rentes m\u00e9thodes contraceptives : pr\u00e9servatifs masculins et f\u00e9minins, diaphragme, spermicide, dispositif intra-ut\u00e9rin au cuivre (DIU), hormones contraceptives combin\u00e9es orales et injectables, progestatifs oraux microdos\u00e9s et injections trimestrielles d\u2019ac\u00e9tate de m\u00e9droxyprogest\u00e9rone (DMPA), pilule d\u2019urgence, st\u00e9rilisation f\u00e9minine et vasectomie. Cependant, les difficult\u00e9s \u00e0 planifier les rendez-vous, le manque d\u2019informations des femmes sur les m\u00e9thodes contraceptives et l\u2019offre limit\u00e9e des diff\u00e9rentes m\u00e9thodes contribuent aux taux \u00e9lev\u00e9s de grossesses non d\u00e9sir\u00e9es. Le taux d\u2019utilisation des m\u00e9thodes contraceptives par les femmes br\u00e9siliennes \u00e2g\u00e9es de 18 \u00e0 49 ans est d\u2019environ 62 % ; les r\u00e9gions les plus pauvres du pays et un faible niveau d\u2019\u00e9ducation sont parmi les principaux facteurs associ\u00e9s \u00e0 un taux d\u2019utilisation r\u00e9duit. Des d\u00e9fis sont ainsi \u00e0 relever pour minimiser les taux de grossesses non d\u00e9sir\u00e9es, encore trop \u00e9lev\u00e9s, tels qu\u2019une meilleure distribution et une meilleure offre pour toutes les r\u00e9gions du pays, ainsi qu\u2019une meilleure formation des professionnels impliqu\u00e9s dans les soins de sant\u00e9 des femmes.<\/jats:p>","DOI":"10.1051\/medsci\/2022029","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T08:53:36Z","timestamp":1648198416000},"page":"280-287","source":"Crossref","is-referenced-by-count":5,"title":["La contraception dans d\u2019autres pays"],"prefix":"10.1051","volume":"38","author":[{"given":"Marcio A. Hipolito","family":"Rodrigues","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia Mendon\u00e7a","family":"Carneiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"250","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"e3328","DOI":"10.1590\/1518-8345.3451.3328","volume":"28","author":"Melo","year":"2020","journal-title":"Rev. Latino-Am Enfermagem"},{"key":"R2","doi-asserted-by":"crossref","first-page":"S192","DOI":"10.1590\/0102-311X00133213","volume":"30","author":"Lansky","year":"2014","journal-title":"Cad. Sa\u00fade P\u00fablica"},{"key":"R3","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade. Departamento de A\u00e7\u00f5es Program\u00e1ticas Estrat\u00e9gicas. Pol\u00edtica Nacional de Aten\u00e7\u00e3o Integral \u00e0 Sa\u00fade da Mulher: princ\u00edpios e diretrizes. Bras\u00edlia (DF); 2004."},{"key":"R4","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Assist\u00eancia integral \u00e0 sa\u00fade da mulher: bases da a\u00e7\u00e3o program\u00e1tica. Bras\u00edlia (DF); 1984."},{"key":"R5","unstructured":"Costa AM. Desenvolvimento e implementa\u00e7\u00e3o do PAISM no Brasil. In: Giffin K, Costa SH, organizadoras. Quest\u00f5es da sa\u00fade reprodutiva. Rio de Janeiro: Editora Fiocruz; 1999. p. 319\u201355."},{"key":"R6","unstructured":"http:\/\/www.senado.leg.br\/atividade\/const\/con1988\/con1988_07.05.2015\/art_226_.asp."},{"key":"R7","unstructured":"Brasil. Lei n\u00b0 9.263, de 12 de janeiro de 1996. Regula o \u00a77\u00ba do art. 226 da Constitui\u00e7\u00e3o Federal, que trata do planejamento familiar, estabelece prioridades e d\u00e1 outras provid\u00eancias. Di\u00e1rio Oficial [da] Rep\u00fablica Federativa do Brasil, Bras\u00edlia (DF), 1996 Jan 15. Se\u00e7\u00e3o 1,p. 1."},{"key":"R8","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Pol\u00edticas de Sa\u00fade. Assist\u00eancia em Planejamento Familiar. Manual t\u00e9cnico. Bras\u00edlia; 2002."},{"key":"R9","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Aten\u00e7\u00e3o \u00e0 Sa\u00fade. Departamento de A\u00e7\u00f5es Program\u00e1ticas Estrat\u00e9gicas. Direitos sexuais e direitos reprodutivos: uma prioridade do governo. Bras\u00edlia (DF); 2005."},{"key":"R10","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica (IBGE) 2019. Sistemas de estat\u00edsticas vitais. https:\/\/biblioteca.ibge.gov.br\/visualizacao\/periodicos\/135\/rc_2019_v46_informativo.pdf."},{"key":"R11","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica. Pesquisa Nacional de Sa\u00fade: 2013. Ciclos de vida: Brasil e grandes regi\u00f5es, vol. 3. 1\u00aa ed. Rio de Janeiro: IBGE; 2015. https:\/\/biblioteca.ibge.gov.br\/visualizacao\/livros\/liv94522.pdf."},{"key":"R12","unstructured":"Minist\u00e9rio da Sa\u00fade. Pesquisa Nacional  de Demografia e Sa\u00fade da Crian\u00e7a e da Mulher. PNDS 2006: relat\u00f3rio final. Bras\u00edlia: Minist\u00e9rio da Sa\u00fade, 2008."},{"key":"R13","unstructured":"Organiza\u00e7\u00e3o Pan-Americana de Sa\u00fade, Organiza\u00e7\u00e3o Mundial de Sa\u00fade. OPAS\/OMS- Brasil. https:\/\/www.paho.org\/bra\/index.php?option=com_content&view=article&id=5604:america-latina-e-caribe-tem-a-segunda-taxa-mais-alta-de-gravidez-na-adolescencia-no-mundo&Itemid=820."},{"issue":"4","key":"R14","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1590\/S0102-311X2007000400023","volume":"23","author":"Moura","year":"2007","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"R15","unstructured":"Protocolos da Aten\u00e7\u00e3o B\u00e1sica: Sa\u00fade das Mulheres \/ Minist\u00e9rio da Sa\u00fade, Instituto S\u00edrio-Liban\u00eas de Ensino e Pesquisa \u2013 Bras\u00edlia: Minist\u00e9rio da Sa\u00fade, 2016. 230 p"},{"issue":"11","key":"R16","doi-asserted-by":"crossref","first-page":"2481","DOI":"10.1590\/S0102-311X2006001100023","volume":"22","author":"Osis","year":"2006","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"R17","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s12978-015-0087-7","volume":"12","author":"Borges","year":"2015","journal-title":"Reprod Health"},{"key":"R18","unstructured":"Comiss\u00e3o Nacional De Incorpora\u00e7\u00e3o De Tecnologias No Sistema Unico De Sa\u00fade \u2013 CONITEC. Recomenda\u00e7\u00f5es sobre tecnologias avaliadas em 2016. http:\/\/conitec.gov.br\/images\/Relatorios\/Portaria\/2016\/PortariaSCTIE_12a14_2016.pdf."},{"key":"R19","doi-asserted-by":"crossref","first-page":"749","DOI":"10.2165\/11538900-000000000-00000","volume":"30","author":"Hooper","year":"2010","journal-title":"Clin Drug Investig"},{"key":"R20","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1590\/1806-93042017000400008","volume":"17","author":"Borges","year":"2017","journal-title":"Brazil. Rev Bras Saude Mater Infant"},{"key":"R21","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1742-4755-4-6","volume":"4","author":"Leite","year":"2007","journal-title":"Reprod Health"},{"key":"R22","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1186\/s12978-019-0783-9","volume":"16","author":"Chofakian","year":"2019","journal-title":"Reprod Health"},{"key":"R23","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.contraception.2013.09.012","volume":"89","author":"Ferreira","year":"2014","journal-title":"Contraceptio."},{"key":"R24","doi-asserted-by":"crossref","first-page":"e227","DOI":"10.1016\/S2214-109X(18)30481-9","volume":"7","author":"Ponce de Leon","year":"2019","journal-title":"Lancet Glob Health"},{"key":"R25","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1002\/ijgo.13396","volume":"152","author":"Laporte","year":"2021","journal-title":"Int J Gynaecol Obstet"},{"key":"R26","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1136\/postgradmedj-2016-134247","volume":"93","author":"Silva-Filho","year":"2017","journal-title":"Postgrad Med J"},{"key":"R27","doi-asserted-by":"crossref","first-page":"213","DOI":"10.3109\/13625187.2015.1137281","volume":"21","author":"Silva-Filho","year":"2016","journal-title":"Eur J Contracept Reprod Health Care"},{"key":"R28","doi-asserted-by":"crossref","first-page":"15s","DOI":"10.1590\/s01518-8787.2016050006686","volume":"50","author":"Borges","year":"2016","journal-title":"Revista de Sa\u00fade P\u00fablica"},{"key":"R29","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1590\/S1415-790X2011000500015","volume":"14","author":"Malta","year":"2011","journal-title":"Rev Bras Epidemiol"},{"key":"R30","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1590\/1809-4503201400050010","volume":"17","author":"Oliveira-Campos","year":"2014","journal-title":"Rev Bras Epidemiol"}],"container-title":["m\u00e9decine\/sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.medecinesciences.org\/10.1051\/medsci\/2022029\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T08:56:57Z","timestamp":1648198617000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.medecinesciences.org\/10.1051\/medsci\/2022029"}},"subtitle":["\u00c9tat de la situation au Br\u00e9sil"],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":30,"journal-issue":{"issue":"3"},"alternative-id":["msc220031"],"URL":"https:\/\/doi.org\/10.1051\/medsci\/2022029","relation":{},"ISSN":["0767-0974","1958-5381"],"issn-type":[{"value":"0767-0974","type":"print"},{"value":"1958-5381","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}