Ministry of Health revokes ordinance on abortion and measures that contravene SUS guidelines

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The Ministry of Health published, this Monday (16), the revocation of ordinances signed by the previous management. According to the folder, the action aims to extinguish policies contrary to the guidelines of the Unified Health System (SUS), such as the requirements that hindered access to the Popular Pharmacy.

One of the revoked ordinances, from September 2020, provides for the authorization of termination of pregnancy in cases provided for by law, within the scope of the SUS. The text highlighted the need to communicate the fact to the responsible police authority and to preserve possible material evidence of the crime of rape to be handed over to the police or expertise, such as fragments of an embryo or fetus.

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The Ministry of Health claims that all actions annulled had not been agreed with representatives of the National Council of Health Secretaries (Conass) and the National Council of Municipal Health Secretaries (Conasems).

“The lack of transparency, dialogue and joint definitions between the Union, states and municipalities is totally contrary to the basic precepts of the SUS, which determine shared management of the Brazilian health system”, says the ministry in a note.

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According to the ministry, the revocations also consider the suggestions made by the health working group established during the transition of government, in December of last year.

At the inauguration ceremony, held on January 2, the Minister of Health, Nísia Trindade, anticipated that measures and ordinances that go against science would be revoked or revised.

“One of the priorities of our management is to re-establish good relationships and inter-federal dialogue. For this reason, we spoke with Conass and Conasems, as it is always important that, when revoking a measure, there is no void that leaves the manager without. These revocations involve measures without scientific basis, without legal support, which contradict SUS principles”, Nísia told the press on Tuesday (10).

Among the repeals are the ordinances that promoted setbacks in women’s reproductive and sexual health care and suggested actions and maneuvers that are considered obstetric violence, with changes in the pregnant woman’s booklet. According to the ministry, this ordinance was also not agreed upon in the Tripartite Intermanagers Commission (CIT), where all measures and public health policies are discussed among representatives of federal entities.

Thus, after the revocation, Rede Cegonha is again instituted, a humanized care program for all women in the SUS.

The obligation to present an electronic medical prescription to withdraw medication from the Popular Pharmacy program was also revoked. The assessment is that this measure, which was also not agreed upon with states and municipalities, may make it difficult for part of the population to access medication.

The ordinance that established the Permanent Forum for Coordination with Civil Society without the participation of the National Health Council (CNS) and unions that represent the health categories was also abolished. The folder stated that it should evaluate a new act that includes all these representatives to expand dialogue with society.

Source: CNN Brasil

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