Sexual and reproductive health of women with mental disorder: factors shaping professional care




Health Care; Health Personnel; Women; Sexual Health; Reproductive Health; Nursing.


The sexual and reproductive health of women with mental disorders is a current and emerging issue. Health professionals have an important role in meeting the health needs of these women, however, they are not always prepared to provide a resolute care. This study aimed to identify the factors that shape the sexual and reproductive health care of women with mental disorders in health services in São Vicente/Cape Verde.

This is an exploratory study with a qualitative approach, carried out with 17 professionals working in the health services network on the island of São Vicente in Cape Verde. Data were collected through semi-structured interviews between September and October 2018 and submitted to thematic analysis. The results show that cultural, educational and political factors are changers of professional practice in the field of sexual and reproductive health of women with mental disorder. It is necessary to plan interventions that take into account the influence of cultural, educational and political factors on the practice of professionals, in order to improve, in the medium and long term, the assistance to this group of women.


Akiba, C. F., Go, V., Mwapasa, V., Hosseinipour, M., Gaynes, B.N., Amberbir, A., Udedi, M., & Pense, B.W. (2019). The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity Building: a program protocol for building implementation science and mental health research and policymaking capacity in Malawi and Tanzania. International Journal of Mental Health Systems volume, 13:70.

Bardin, L. (2015). Análise de Conteúdo. Lisboa: Edições 70.

Daeem, R., Mansbach-Kleinfeld, I., Farbstein, I., Apter, A., Elias, R., Ifrah, A., Chodick,G., & Fennig,S. (2019). Barriers to help-seeking in Israeli Arab minority adolescents with mental health problems: results from the Galilee study. Israel Journal of Health Policy Research ,8:45.

Faregh, N., Lencucha, R., Ventevogel, P., Dubale, B. W., & Kirmayer, L. J. (2019). Considering culture, context and community in mhGAP implementation and training: challenges and recommendations from the feld.International Journal of Mental Health Systems, 13:58.

Gante, J. K., Apolot, R. R., Rugoho, T., & Sumankuuro, J. (2020). ‘They are my future’: childbearing desires and motivations among women with disabilities in Ghana - implications for reproductive healthcare. Reproductive Health, 17:151.

Gil, A. C. (2017). Como elaborar projeto de pesquisa. 6ª ed.São Paulo-Atlas.129p.

Godsey, J. A., Houghton, D. M., & Hayes, T. (2020). Registered nurse perceptions of factors contributing to the inconsistent brand image of the nursing profession. Nursing Outlook, 68, 808-821.

Hadadgar, A., Changiz, T., Massielo, I., Dehghani, Z., Mirshahzadeh, N., & Zary, N. (2016). Applicability of the theory of planned behavior in explaining the general practitioners eLearning use in continuing medical education. BMC Medical Education, 16:215.

Hameed, S. Maddams, A., Lowe, H., Davies, L., Khosla, R., & Shakespeare, T. (2020). From words to actions: systematic review of interventions to promote sexual and reproductive health of persons with disabilities in low- and middle-income countries. BMJ Global Health, 5(10): e002903. Retrieved from

Heim, E., Henderson, C., Kohrt, B., Koschorke, M., Milenova, M., & Thornicroft, G. (2019). Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review. Epidemiol Psychiatr Sci, 29: e28.

Hlongwa, E.N., & Sibiya, M. N. (2019). A practice framework to enhance the implementation of the Policy on Integration of Mental Health Care into primary health care in KwaZulu-Natal province.African Journal of Primary Health Care & Family Medicine, 11(1), a1865. Retrieved from

Laine, A.Valimaki, M., Loyttyniemi, E. Pekurinen, V., Marttunen, M., & Anttila, M. ( 2019). The impact of a Web-Based course Concerning Patient Education for Mental Health Care Professionals: Quasi-Experimental Study. Journal of Medical Internet Research, 21 (3): e11198. doi: 10.2196 / 11198

Macdonald, K., Fainman-Adelman,N., Anderson, K. K., & Iyer, S. N.(2018) Pathways to mental health services for young people: a systematic review.Social Psychiatry and Psychiatric Epidemiology,53 (10): 1005-1038.

Munakampe, M.N. (2020). Strengthening mental health systems in Zambia. International Journal of Mental Health Systems, 14:28.

Miller, R. Scherpbier, N., Amsterdam, L.V., Guedes, V., & Pype, P. (2019). Inter-professional education and primary care: EFPC position paper. Primary Health Care Research & Development , 20(e138): 1–10.doi: 10.1017/S1463423619000653

Minayo, M. C.S. (2013). Pesquisa Social, Teoria, método e criatividade. 28 ed. Petrópolis,Rio de Janeiro: Vozes, 108p.

Niedzwiedz, C. L.(2019). How does mental health stigma get under the skin? Cross-sectional analysis using the Health Survey for England. SSM – Population Health, 8, 100433.

Olofsson, S., Sebastian, M. S., & Jegannathan, B. (2018).Mental health in primary health care in a rural district of Cambodia: a situational analysis. International Journal of Mental Health Systems volume, 12:7. Disponível em:

Petkari,E., Masedo, G. A., Xavier, M.,& Moreno KB.(2018). The influence of clerkship on students' towards mental illness: a meta-analysis. Medical Education, 52 (7): 694-704.

Cabo Verde (2007/2020). Ministério da Saúde. Política Nacional de Saúde. Reformar Para Uma Saúde Melhor. Praia. Retrieved from

Pereira, A.S., Sthitsuka, D.M., Pereira,F.J., &Shitsuka,R.(2018). Metodologia de Pesquisa Científica, Universidade Federal de Santa Maria. Nucleo de Tecnologia Educaçã. Retrieved from

Puddifoof, K.(2019). Stereotyping Patients. JOURNAL of SOCIAL PHILOSOPHY, 50 (1):69-90. Retrieved from

Rye, M., Fribourg, O., & Skre, I. (2019). Attitudes of mental health providers towards adoption of evidence-based interventions: relationship to workplace, staff roles and social and psychological factors at work. BMC Health Services Research, 19:110.

Soares, J, L., Silva, I. G. B., Moreira, M. G. R., Martins, A. K. M., Rebouças, V. C. F., & Cavalcante, E. G. R. (2020). Transcultural theory in nursing care of women with infections. Revista Brasileira de Enfermagem, 73:e20190586.

Villela, W. V., Lima, R. W., & Brito, C. F. (2018). The National Reproductive Health Programme in Cape Verde: scope, limits and challenges. Ciência & Saúde coletiva, 23(11): 3631-3636. DOI: 10.1590/1413-812320182311.32852016

Vistorte, A. O. R., Ribeiro,W., Ziebold, C., Asevedo, E., Evans-Lacko, S., Keeley, J. W., Gonçalves, D. A., Palacios, N.G., & Mari, J. J . Clinical decisions and stigmatizing attitudes towards mental health problems in primary care physicians from Latin American countries. Plos One, 15.

Whyle, E., & Oliver, J. (2020). Social values and health systems in health policy and systems research: a mixed-method systematic review and evidence map. Health Policy and Planning, 35, 2020, 735–751.



How to Cite

FORTES, D. C. S. .; SILVA, M. R. S. da; FONSECA, K. S. G. .; SILVA, A. S. B. da . Sexual and reproductive health of women with mental disorder: factors shaping professional care. Research, Society and Development, [S. l.], v. 10, n. 4, p. e49310414329, 2021. DOI: 10.33448/rsd-v10i4.14329. Disponível em: Acesso em: 11 may. 2021.



Health Sciences