OBJECTIVE:To estimate the prevalence of violence in women who are primary healthcare users and to verify if these situations were detected and how they were tackled by these services' professionals. METHODS: RESULTS:A specifi c protocol for assisting women in situations of violence was mentioned in fi ve municipalities. The majority (83%) of the coordinators reported that situations of violence among female users were detected, although 74% said this was not routinely investigated, which was confi rmed by 72.3% of the professionals. Among the women, 76.5% reported having experienced some type of violence throughout their lives, and 56.4% said that an intimate partner was the perpetrator of that violence; almost 30% reported at least one episode in the 12 months prior to the interview; 6.5% reported looking for help at a Primary Healthcare Unit. CONCLUSIONS:A relevant proportion of users experienced violence in their daily routine, mainly perpetrated by an intimate partner. Most of the women were neither identifi ed nor approached in these services and did not receive help. Although health managers and professionals realized the magnitude of the problem, they did not consider that primary care was prepared to assist these women. The study showed that there is no intersectoral care network to assist women in situation of violence.

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OBJECTIVETo investigate knowledge of HPV and HPV vaccines in men and women, users of the Brazilian Unified Health System, and the intention to get themselves and their teenage children vaccinated.METHODSA descriptive, cross-sectional study with 286 women (18-49 years old) and 252 men (18-60 years old), users of five primary health units and two polyclinics in Campinas, SP, Southeastern Brazil, was carried out. Participants were interviewed in 2011 using a structured questionnaire. Bivariate and Poisson regression analysis were performed to identify variables associated with knowledge of HPV and HPV vaccines, and participants vaccination intentions.RESULTSAlmost 40.0% of the participants reported having heard of HPV and 28.9% mentioned adequate information. The main information source was the media (41.7%). Only 8.6% of the participants had heard of the HPV vaccines. Once the participants were informed of the existence of HPV vaccines about 94% of them said they would get vaccinated and/or vaccinate their teenage children, if the vaccines were available in the public health system. Schooling of over 8 years and being female were the variables independently associated with having heard of HPV, the vaccines and having adequate knowledge of the virus. Advanced age was associated with having heard of HPV vaccines. There were no variables associated with the vaccination intentions.CONCLUSIONSThese results reinforce the need for educational activities that provide the population with adequate information on HPV and preventive measures.

Conscientious objection is a legitimate right of physicians to reject the practice of actions that violate their ethical or moral principles. The application of that principle is being used in many countries as a justification to deny safe abortion care to women who have the legal right to have access to safe termination of pregnancy. The problem is that, often, this concept is abused by physicians who camouflage under the guise of conscientious objection their fear of experiencing discrimination and social stigma if they perform legal abortions. These colleagues seem to ignore the ethical principle that the primary conscientious duty of OB/GYNs is-at all times-to treat, or provide benefit and prevent harm to, the patients for whose care they are responsible. Any conscientious objection to treating a patient is secondary to this primary duty. One of the jobs of the FIGO Working Group for the Prevention of Unsafe Abortion is to change this paradigm and make our colleagues proud of providing legal abortion services that protect women's life and health, and concerned about disrespecting the human rights of women and professional ethical principles.

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OBJETIVO: Investigar os fatores relacionados à decisão das mulheres em amamentar e a duração planejada e, de fato observada, do aleitamento exclusivo entre trabalhadoras que dispõem de creche na empresa. MÉTODOS: Estudo qualitativo no qual se comparou um grupo de 15 trabalhadoras cujos bebês estavam sendo alimentados apenas com leite materno quando começaram a freqüentar a creche da empresa com outro similar que incluía mulheres cujos bebês que, ao ingressar, já estavam recebendo, além do leite materno, outros alimentos. Foram realizadas entrevistas semi-estruturadas e grupos focais. RESULTADOS: Evidenciaram-se como fatores relacionados à decisão de iniciar a amamentação e mantê-la ao retornar ao trabalho: o desejo de amamentar, embasado no valor que as mulheres dos dois grupos atribuíam ao aleitamento materno, bem como seus maridos e outras pessoas significativas (por exemplo: mãe, irmã, amigas). A duração do aleitamento exclusivo relacionou-se principalmente à orientação do pediatra que cuidava do bebê, que foi distinta em cada um dos grupos estudados. CONCLUSÃO: A existência da creche no local de trabalho aparece como elemento relevante para a manutenção do aleitamento após a licença de maternidade, especialmente o materno exclusivo. A decisão sobre quanto tempo amamentar de forma exclusiva esteve relacionada às informações recebidas acerca do assunto antes e durante a gestação, e no pós-parto. A diferença entre os dois grupos estudados foi que as mulheres que mantiveram o aleitamento exclusivo por quase seis meses acreditavam que quanto mais tempo dessem somente o leite materno, mais benefícios o bebê teria, enquanto as mulheres do outro grupo acreditavam que três meses de aleitamento exclusivo eram suficientes.

OBJETIVO: Realizou-se uma análise de dados secundários para avaliar a adequação do conhecimento sobre métodos anticoncepcionais e sua associação com características socioeconômicas e demográficas. MÉTODO: Foi estudada uma amostra de 472 mulheres da Cidade de Campinas, Estado de São Paulo. Aplicou-se o teste qui-quadrado para avaliar diferenças entre as variáveis, e realizou-se análise múltipla por regressão logística para identificar as variáveis independentes associadas à adequação do conhecimento (medida através de um escore). RESULTADOS: Pouco menos da metade das mulheres alcançou um escore de conhecimento dos métodos anticoncepcionais maior que seis, classificado como adequado. A maior escolaridade e a melhor classificação de estrato socioeconômico associaram-se a um maior escore de conhecimento. CONCLUSÃO: Os resultados apontam a necessidade de maiores investimentos na educação das mulheres de modo geral e, especificamente, quanto à contracepção. Ao mesmo tempo, é necessário que os profissionais que trabalham nos serviços públicos de saúde estejam capacitados para proverem acesso aos métodos e à informação adequada sobre eles.

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