{"id":60745,"date":"2014-10-23T18:54:17","date_gmt":"2014-10-23T16:54:17","guid":{"rendered":"https:\/\/laindependent.cat\/millorar-latencio-als-parts-als-centres-de-salut\/"},"modified":"2014-10-23T18:54:17","modified_gmt":"2014-10-23T16:54:17","slug":"millorar-latencio-als-parts-als-centres-de-salut","status":"publish","type":"post","link":"https:\/\/laindependent.cat\/en\/millorar-latencio-als-parts-als-centres-de-salut\/","title":{"rendered":"Millorar l’atenci\u00f3 als parts als centres de salut"},"content":{"rendered":"

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OPINI\u00d3<\/span><\/strong><\/p>\n

Prevenci\u00f3 i eradicaci\u00f3 de la manca de respecte i maltracte durant l’atenci\u00f3 al part en els centres de salut.\u00a0 Declaraci\u00f3 de l\u2019Organitzaci\u00f3 Mundial de la Salut ( OMS)<\/span><\/strong><\/p>\n

<\/p>\n

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\"Secretaria<\/p>\n

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L\u2019 Organitzaci\u00f3 Mundial de la Salut acaba de treure una declaraci\u00f3, en la que den\u00fancia practiques discriminat\u00f2ries i de maltracte en l\u2019atenci\u00f3 al part en els centres de salut, i proposa accions per part dels governs la societat civil per eradicar aquestes pr\u00e0ctiques i garantir l\u2019acc\u00e9s universal a una salut sexual i reproductiva segura, acceptable i de bona qualitat.<\/span><\/p>\n

El document t\u00e9 5 parts: Recolzament dels governs i social per definir i valorar el maltracte i la falta de respecte en l\u2019atenci\u00f3 tant en els centres p\u00fablics com privats de tot el m\u00f3n; Iniciar, recolzar\u00a0 i mantindre programes dissenyats per millorar la qualitat en l\u2019atenci\u00f3; Recolzar els drets de la dona a rebre una atenci\u00f3 digna i respectuosa en l\u2019embar\u00e0s i part; Es necessari generar dades relacionades amb les practiques respectuoses i irrespectuoses, els sistemes de responsabilitat i el recolzament professional v\u00e0lid; i cal involucrar a les parts interessades, incloent\u00a0 les dones, en els esfor\u00e7os per millorar la qualitat de l\u2019atenci\u00f3 i eliminar les pr\u00e0ctiques ofensives e irrespectuoses.<\/span><\/p>\n

Saludem el reconeixement per part de l\u2019OMS, de quina \u00e9s la situaci\u00f3 i de que existeixi\u00a0 un treball en els sentit de valorar molt m\u00e9s del que s\u2019havia fet fins ara la necessitat d\u2019eradicar les males pr\u00e0ctiques en l\u2019atenci\u00f3. Valorar com maltracte algunes pr\u00e0ctiques pot ser una pas per fer obrir els ulls a algunes institucions. Podr\u00edem pensar que aquesta declaraci\u00f3 va dirigida exclusivament a pa\u00efsos del sud on encara la mortalitat materna e infantil \u00e9s molt elevada, la utilitzaci\u00f3 de contraceptius molt baixa i la taxa de parts atesos per personal de salut especialitzat molt baixa, seria un greu error, doncs hi ha mancances i situacions de falta de respecte i maltracte a tots els pa\u00efsos dits desenvolupats. El\u00a0 part \u00e9s el resultat de tot un seguit de situacions socials i atencions m\u00e8diques de la dona des d\u2019abans de l\u2019embar\u00e0s, durant l\u2019embar\u00e0s i en el moment que \u00e9s desenvolupa\u00a0 el acte del part i post-part en\u00a0 la qualitat dels serveis d\u2019atenci\u00f3. Aquest declaraci\u00f3 tot i posant el pes en el final de proc\u00e9s no oblida com diu en la introducci\u00f3 qu\u00e8 \u201cel acc\u00e9s a la contracepci\u00f3 i l\u2019atenci\u00f3 a la salut materna, pot reduir dr\u00e0sticament els \u00edndex globals de morbiditat i mortalitat maternes\u201d.<\/span><\/p>\n

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Qu\u00e8 \u00e9s el que passa en el nostre pa\u00eds?<\/strong> <\/span><\/p>\n

La den\u00fancia de quina \u00e9s la situaci\u00f3 ha estat constant des de fa uns anys per part de diverses organitzacions que hem estat compromeses en aquestes den\u00fancies i en fer propostes de millora de l’atenci\u00f3. En els informes sobre la salut de les dones que hem\u00a0 realitzat\u00a0 des de les Secretaries de la Dona, exposant altes taxes de prematuritat de criatures de baix pes i altes taxes de parts per ces\u00e0ria; no tots aquests d\u00e8ficits tenen a veure amb l\u2019atenci\u00f3 des dels serveis sanitaris doncs l\u2019embar\u00e0s \u00e9s especialment sensible a\u00a0 les condicions de treball i de vida i les desigualtats que van augmentar ja en \u00e8poca de creixement econ\u00f2mic han fet cr\u00e9ixer tamb\u00e9 els malts resultats en la qualitat de l\u2019embar\u00e0s i de les criatures.<\/span><\/p>\n

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1990 Taxa morta<\/span><\/strong><\/p>\n\n\n\n\n\n\n\n\n\n
\u00a0<\/td>\n\u00a0<\/td>\n<\/tr>\n
\u00a0<\/td>\n\u00a0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

litat <\/span><\/strong><\/p>\n

materna\/<\/span><\/strong><\/p>\n

100.000 neixements vius <\/span><\/strong><\/p>\n<\/td>\n

\n

2008 \u00a0 Taxa\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mortalitat materna\/<\/span><\/strong><\/p>\n

100.000 n.vius <\/span><\/strong><\/p>\n<\/td>\n

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Utilitzaci\u00f3 contraceptius %<\/span><\/strong><\/p>\n

2000-2008 <\/span><\/strong><\/p>\n<\/td>\n

\n

Parts atesos per personal salut especialitzat <\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\n

397<\/p>\n<\/td>\n

\n

264<\/p>\n<\/td>\n

\n

56<\/p>\n<\/td>\n

\n

67 <\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\u00a0<\/td>\n\u00a0<\/td>\n\u00a0<\/td>\n\u00a0<\/td>\n<\/tr>\n
\n

210<\/p>\n<\/td>\n

\n

91<\/p>\n<\/td>\n

\n

46<\/p>\n<\/td>\n

\n

79 <\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n

\u00a0<\/td>\n\u00a0<\/td>\n\u00a0<\/td>\n\u00a0<\/td>\n<\/tr>\n
\n

867<\/p>\n<\/td>\n

\n

646<\/p>\n<\/td>\n

\n

18<\/p>\n<\/td>\n

\n

47 <\/span><\/strong><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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Taula el.laboraci\u00f3 pr\u00f2pia a partir de dades de ONU jeres. \u201cEl progreso de las mujeres en el mundo 2011-2012\u201d<\/span><\/span><\/p>\n

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Una de les agressions m\u00e9s greus que s\u2019han donat els darrers temps ha estat el *’ Reial decret llei 16\/2012, de 20 d\u2019abril, de mesures urgents per garantir la sostenibilitat del Sistema Nacional de Salut i millorar la qualitat i la seguretat de les seves prestacions, tant en el seu contingut com en les seves possibles conseq\u00fc\u00e8ncies. Entre elles, destaquem\u00a0 aquelles derivades de la p\u00e8rdua d\u2019universalitat en el dret a l\u2019assist\u00e8ncia sanit\u00e0ria de cobertura p\u00fablica. A Catalunya s\u2019han aplicat mesures, a partir de la Instrucci\u00f3 10\/2012, de 30 d\u2019agost, d\u2019acc\u00e9s a l\u2019assist\u00e8ncia sanit\u00e0ria de cobertura p\u00fablica del CatSalut als ciutadans estrangers empadronats a Catalunya que no tenen la condici\u00f3 d\u2019assegurats o beneficiaris del Sistema Nacional de Salut (SNS), sota l\u2019aparent objectiu de mantenir la universalitat de l\u2019assist\u00e8ncia i que ha significat diferents tipus de cobertura segons les caracter\u00edstiques de les persones. L\u2019atenci\u00f3 a salut sexual i reproductiva \u00e9s una atenci\u00f3 especialitzada i en principi solament hi tenen dret les dones estrangeres amb m\u00e9s d\u2019un any de tarjeta sanit\u00e0ria malgrat que la Llei d\u2019estrag\u00e8ria diu que hi tenen dret. L\u2019exist\u00e8ncia de dos marcs normatius que porten a diverses disfuncions, com per exemple que a Catalunya s\u2019exigeixi l\u2019empadronament a menors i embarassades.<\/span><\/p>\n

La\u00a0 Falta\u00a0 de supervisi\u00f3 del Departament de Salut sobre els centres de la xarxa assistencial, cosa que porta a una disparitat de criteris per part dels diferents prove\u00efdors que pot arribar fins a la instauraci\u00f3 de pr\u00e0ctiques irregulars, com per exemple anunciar el cobrament per assist\u00e8ncia en urg\u00e8ncies abans que aquesta es produeixi. Aqu\u00ed s\u2019ha donat casos de cobrar per l\u2019atenci\u00f3 als centres de Salut Sexual i Reproductiva, Atenci\u00f3 d\u2019embarassades a Urg\u00e8ncies.<\/span><\/p>\n

Tamb\u00e9 hi ha altres organitzacions socials, de dones i\u00a0 de professionals a Catalunya que estan treballant per denunciar i\u00a0 millorar aquestes condicions, la majoria formen part de la Xarxa de dones per la salut. com l\u2019Associaci\u00f3 Dona- llum, l’Associaci\u00f3 Catalana de llevadores, Titania, Alba- Lact\u00e0ncia Materna, entre altres.<\/span><\/p>\n

\u00a0<\/p>\n

*CCOO Informes salut dones . 2009- 2014\u00a0 Secretaria Pol\u00edtiques socials, S. Dona i Salut laboral J Canals J., Tua T., Catal\u00e1n C., Espinosa S., Fernadez L., Menendez M., Moreno N., \u00a0<\/span><\/p>\n

*’ Reial decret llei 16\/2012, de 20 d\u2019abril, de mesures urgents per garantir la sostenibilitat del Sistema Nacional de Salut i millorar la qualitat i la seguretat de les seves prestacions,<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 \u00a0 OPINI\u00d3 Prevenci\u00f3 i eradicaci\u00f3 de la manca de respecte i maltracte durant l’atenci\u00f3 al part en els centres de salut.\u00a0 Declaraci\u00f3 de l\u2019Organitzaci\u00f3 Mundial de la Salut ( OMS)<\/p>\n","protected":false},"author":72,"featured_media":30059,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26662],"tags":[],"class_list":["post-60745","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opinio-salut"],"yoast_head":"\nMillorar l'atenci\u00f3 als parts als centres de salut | La Independent<\/title>\n<meta name=\"description\" content=\"Article d'opini\u00f3 de Carme Catal\u00e1n Pi\u00f1ol, Secretaria de la Dona de CCOO Prevenci\u00f3 i eradicaci\u00f3 de la manca de respecte i maltracte durant l'atenci\u00f3 al part en els centres de salut. 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