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Accompaniment processes, gender focus, and women in alcohol/drug consumption in pregnancy and motherhood: transdisciplinary keys and occupational therapies from the South1 1 This article is the second one that we present as part of a research project called “Modelo de Intervención con Enfoque de Género Programa Ambulatorio Intensivo de alcohol y/o drogas para mujeres en embarazo y/o post parto”. Project InvClínica_DICYT, Code 022091PT_MED. The first article that will be published in the Revista Cadernos Brasileiros de Terapia Ocupacional, titled Reflexiones desde las Terapias Ocupacionales desde el Sur: violencia estructural, derechos humanos y género en procesos de acompañamiento de mujeres durante el embarazo y maternaje

Abstract

Preliminary results of a research that seeks to characterize the intervention model of an Intensive Outpatient Program for the treatment of drug and/or alcohol use in pregnant and maternity women of the CRS of the Hospital El Pino, in the commune of San Bernardo, Chile, are presented. The objective is to describe the characteristics of the accompaniment process with a gender approach carried out by the health team working in the program and to consider its transdisciplinary character as keys to improving adherence, reducing dropout rates, favoring therapeutic discharges, promoting autonomy and the exercise of rights. The methodological design corresponds to qualitative research with an emic and intracultural approach, which seeks the point of view within the team. The sample is purposive, and the information was produced through nine participative group interviews with the work teams and an individual semi-structured interview with the head of the program, carrying out a thematic analysis of the experiences shared. The results indicate that the accompaniments from a gender and human rights perspective favor transdisciplinary work, key aspects to reduce equity gaps, and favor access to health for women in vulnerable conditions. Being the occupational therapies from the south are important to enhance these processes.

Keywords:
Occupational Therapy; Gender Equity; Alcoholism; Substance-Related Disorders; Pregnancy; Maternity

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br