Maria do Carmo Borges de Souza
JBRA Assist. Reprod. 2014; 18 (2):47-51
Received March 02, 2014
Accepted May 26, 2014
Abstract
Introduction
In Brazil, as in all Latin America, access to infertility care, including assisted reproductive technology (ART) is on debate. This paper evaluates the availability and access of Brazilian couples to ART services.
Methods: It is a qualitative study conducted about the Brazilian possibilities of ART in the public sector. A questionnaire was sent by e-mail to 14 public centers identified as providing ART (IVF/ICSI and/or IUI), with questions about their performance on 2013. Two of them are REDLARA centers. It is also tried to understand some other possibilities of access to ART based on industry possibilities of special drugs costs. The questionnaire was objective with seven questions. It was asked the number of patients seen for 1st time in 2013, and number IVF procedures and or IUI in this interval, the source of funds to support the center, the input source of the patients, who pays for medications and how much (%), number of cycles or age limitations, whether or not oocyte donation is held.
Conclusions: As infertility goes, charges remain incompatible with the financial possibilities of the majority of Brazilian population. The Brazilian government should consider buying cycles in private accredited centers to offer ART procedures at no cost to low-income populations. Other possibility is to state as mandatory that Health Insurance Assistance Companies cover ART treatments, making it accessible for a large part of the population.