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de Lannoy LH, Fuentes A, Santos PC, Coelho R, Miranda AE. HIV in pregnant woman and children: Mother-to-child transmission of HIV in the Brazilian land border from 2010 to 2021. Int J Gynaecol Obstet 2024; 166:90-98. [PMID: 38873738 DOI: 10.1002/ijgo.15737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 03/25/2024] [Accepted: 04/15/2024] [Indexed: 06/15/2024]
Abstract
OBJECTIVE The aim of the present study was to analyze the profile and trends of HIV mother-to-child transmission (MTCT) in the Brazilian land border strip (LBS). METHODS This was a quantitative, ecological, and cross-sectional study using secondary data available in the information systems of the Brazilian Ministry of Health. All cases reported in the Notifiable Diseases Information System between 2010 and 2021 were studied. RESULTS Between 2010 and 2021, 275 children were born infected through MTCT, and 6076 pregnant women were living with HIV in the Brazilian LBS. HIV detection rates in pregnant women increased in all border arcs. The northern arc experienced the highest increase (19.6%), followed by the central arc (11.4%), and the southern arc (6.1%). Despite historically high detection rates, the southern arc exhibited the smallest increase. While MTCT rate decreased by 37.7% in the border area, the central arc showed no statistically significant reduction. In 2021, the average age of pregnant women was 26.2 years, 25.7% had up to 8 years of schooling, and 55.8% identified as non-white. The majority (92.8%) received antenatal care, and 59.7% were diagnosed with HIV before prenatal care. The use of prophylactic antiretroviral therapy during prenatal care occurred in 69.6% of pregnant women, and infant prophylaxis was provided within first 24 h to 43.6% of live births. CONCLUSION The results indicate progress in reducing MTCT cases in Brazilian LBS. Disparities in HIV detection rates may be influenced by differences in testing uptake, despite mandatory testing for all babies. It is crucial to continue implementing strategies to reach these women and ensure equitable access to healthcare services for MTCT prevention.
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Affiliation(s)
- Leonor Henriette de Lannoy
- Programa de Pós-graduação em Doenças Infecciosas, Universidade Federal do Espirito Santo, Vitória, Brazil
- Departamento de HIV/Aids, Tuberculoses, Hepatites virais e Infecções Sexualmente Transmissíveis/SVSA/Ministério da Saúde, Brasília, Brazil
| | - Anderson Fuentes
- Programa de Pós-graduação em Saúde Pública, Universidade Federal do Ceará, Fortaleza, Brazil
| | - Patrícia C Santos
- Departamento de HIV/Aids, Tuberculoses, Hepatites virais e Infecções Sexualmente Transmissíveis/SVSA/Ministério da Saúde, Brasília, Brazil
| | - Ronaldo Coelho
- Departamento de HIV/Aids, Tuberculoses, Hepatites virais e Infecções Sexualmente Transmissíveis/SVSA/Ministério da Saúde, Brasília, Brazil
| | - Angélica Espinosa Miranda
- Programa de Pós-graduação em Doenças Infecciosas, Universidade Federal do Espirito Santo, Vitória, Brazil
- Departamento de HIV/Aids, Tuberculoses, Hepatites virais e Infecções Sexualmente Transmissíveis/SVSA/Ministério da Saúde, Brasília, Brazil
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Backes DS, Medeiros LDSD, Veiga ACD, Colomé JS, Backes MTS, Santos MRD, Zamberlan C. Collective prenatal care facilitated by educational technology: perception of pregnant women. CIENCIA & SAUDE COLETIVA 2024; 29:e00392023. [PMID: 38198317 DOI: 10.1590/1413-81232024291.00392023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 06/13/2023] [Indexed: 01/12/2024] Open
Abstract
This article aims to explore the perception of pregnant women regarding collective prenatal care facilitated by educational technology, in the light of complexity thinking. Qualitative, exploratory and descriptive study conducted between August and November 2022. The participants were 19 pregnant women from a Family Health Strategy in the central region of the State of Rio Grande do Sul. Data were collected through individual interviews following prenatal meetings and analyzed using thematic analysis. The analysis of the data revealed three thematic axes: Prenatal care: the necessary reconnection of knowledge; Collective prenatal care: collaborative (re)construction of experiences and practices; and Educational technology: tool to foster self-reflection and self-knowledge. Collective prenatal care, facilitated by educational technology, can promote better practices in the pregnancy-postpartum journey by creating collaborative and shared environments for knowledge construction and enabling autonomous and informed decision-making.
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Affiliation(s)
- Dirce Stein Backes
- Faculdade de Enfermagem, Universidade Franciscana (UFN). R. dos Andradas 1614, Centro. 97010032 Santa Maria RS Brasil.
| | - Leandro da Silva de Medeiros
- Faculdade de Enfermagem, Universidade Franciscana (UFN). R. dos Andradas 1614, Centro. 97010032 Santa Maria RS Brasil.
| | | | - Juliana Silveira Colomé
- Faculdade de Enfermagem, Universidade Franciscana (UFN). R. dos Andradas 1614, Centro. 97010032 Santa Maria RS Brasil.
| | | | | | - Claudia Zamberlan
- Programa de Pós-Graduação em Saúde Materno Infantil, UFN. Santa Maria RS Brasil
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Schönholzer TE, Zacharias FCM, Amaral GG, Fabriz LA, Silva BS, Pinto IC. Performance indicators of Primary Care of the Previne Brasil Program. Rev Lat Am Enfermagem 2023; 31:e4007. [PMID: 37937593 PMCID: PMC10631306 DOI: 10.1590/1518-8345.6640.4007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 07/12/2023] [Indexed: 11/09/2023] Open
Abstract
OBJECTIVE to analyze the scope of the performance indicators of the Previne Brasil Program of Primary Health Care. METHOD an observational, descriptive study with a quantitative approach was carried out using secondary data, referring to the years 2020 and 2021, in the five Brazilian regions (North, Northeast, South, Southeast and Midwest), available in the Primary Health Care Information System. Descriptive statistics, relative frequencies and measures of central tendency and semiparametric modeling were used considering a 5% confidence interval. RESULTS there was evidence of evolution in the rates of performance indicators in most Brazilian regions in 2021, compared to 2020, however, the North and Midwest regions had incipient or negative rates, compared to the Southeast region. Despite the evolution in the rates of the indicators, few States managed to reach the goals established by the Ministry of Health for the strategic actions of prenatal care and women's health; and no state achieved the goal in strategic action on chronic diseases. CONCLUSION it is considered important to monitor the evolution of current indicators, envisioning their qualification so that they can evaluate primary health care and assistance, as well as guarantee the achievement of goals by ensuring funding for primary care actions.
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Affiliation(s)
| | - Fabiana Costa Machado Zacharias
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brasil
- Becaria de la Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Gabriela Gonçalves Amaral
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brasil
| | | | - Brener Santos Silva
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brasil
| | - Ione Carvalho Pinto
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador de la OPS/OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, SP, Brasil
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Lannoy LH, Santos PC, Coelho R, Dias-Santos AS, Valentim R, Pereira GM, Miranda AE. Gestational and congenital syphilis across the international border in Brazil. PLoS One 2022; 17:e0275253. [PMID: 36282795 PMCID: PMC9595568 DOI: 10.1371/journal.pone.0275253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 09/13/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Brazil lacks data from syphilis in its border areas. We aimed to describe the spatial and temporal distribution of acquired syphilis (AS), in pregnancy (SP) and congenital syphilis (CS) in Brazilian municipalities in the arches border contexts. METHODS An ecological, cross-sectional study was conducted from 2010 to 2020. The study was based on the cases of syphilis available in the Notifiable Diseases Information System (SINAN), and on the Primary Health Care Information System. The detection rates of AS and SP, and the incidence of CS were estimated, and the time series was analyzed. Data between the border arches were compared. RESULTS In 2020, data showed 7,603 cases of AS (detection rate 64.8/100,000 inhabitants), 3,960 cases of SP (detection rate of 21.6/1,000 live births) and 836 cases of CS (incidence of 4.6/1,000 live births) in the border region. Between 2010 and 2020, the mean annual increase of detection rate of SP was 53.4% in Brazil, 48.0% in the border region, 59.6% in the North Arch, 28.8% in the Central and 67.2% in the South. Annual variation on the incidence of CS for the same period was 31.0% in Brazil 38.4% at the border, in the North and South Arcs 18.3% and 65.7% respectively. The Central Arch showed an increase only between 2010 and 2018 (62.7%). A total of 427 (72.6%) municipalities has primary health care coverage ≥ 95% of the population. In 2019, 538 (91.8%) municipalities reported using rapid tests for syphilis, which decreased to 492 (84%) in 2020. In 2019, 441 (75.3%) municipalities reported administering penicillin, and 422 (72%) in 2020. CONCLUSION Our data show syphilis reman problem at the Brazilian border, rates in pregnant are high. It was observed a reduction in the detection rates, SP and the incidence of CS between 2018 and 2020. Syphilis should be included on the agenda of all management levels, aiming at expanding access and quality care.
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Affiliation(s)
- Leonor H. Lannoy
- Post-Graduation Program in Infectious Diseases, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
| | - Patrícia C. Santos
- Department of Chronic Diseases and Sexually Transmitted Infections, Secretary of Health Surveillance, Brazilian Ministry of Health, Brasilia, Distrito Federal, Brazil
| | - Ronaldo Coelho
- Department of Chronic Diseases and Sexually Transmitted Infections, Secretary of Health Surveillance, Brazilian Ministry of Health, Brasilia, Distrito Federal, Brazil
| | - Adriano S. Dias-Santos
- Department of Chronic Diseases and Sexually Transmitted Infections, Secretary of Health Surveillance, Brazilian Ministry of Health, Brasilia, Distrito Federal, Brazil
| | - Ricardo Valentim
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Gerson M. Pereira
- Department of Chronic Diseases and Sexually Transmitted Infections, Secretary of Health Surveillance, Brazilian Ministry of Health, Brasilia, Distrito Federal, Brazil
| | - Angelica E. Miranda
- Post-Graduation Program in Infectious Diseases, Federal University of Espírito Santo, Vitória, Espírito Santo, Brazil
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Ramos AN. Persistence of syphilis as a challenge for the Brazilian public health: the solution is to strengthen SUS in defense of democracy and life. CAD SAUDE PUBLICA 2022; 38:PT069022. [PMID: 35584431 DOI: 10.1590/0102-311xpt069022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 04/14/2022] [Indexed: 11/22/2022] Open
Affiliation(s)
- Alberto Novaes Ramos
- Programa de Pós-graduação em Saúde Pública, Universidade Federal do Ceará, Fortaleza, Brasil.,Departamento de Saúde Comunitária, Universidade Federal do Ceará, Fortaleza, Brasil
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Seabra I, Ferreira GRON, Sorensen W, Oliveira C, Parente AT, Gir E, Reis RKK, Ferrari RAP, Botelho E. Spatial scenery of congenital syphilis in Brazil between 2007 and 2018: an ecological study. BMJ Open 2022; 12:e058270. [PMID: 35443962 PMCID: PMC9021778 DOI: 10.1136/bmjopen-2021-058270] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To analysis the epidemiological scenery of the congenital syphilis (CS) in Brazil employing spatial analysis techniques. DESIGN Ecological study. SETTINGS This study was conducted in Brazil SAMPLE: A total of 151 601 CS cases notified to the Diseases and Notification Information System from 2007 to 2018 from children aged 0-23 months and born from mothers living in Brazil were included in this study. PRIMARY OUTCOME MEASURES The CS incidence rates were calculated by triad (2007-2010, 2011-2014 and 2015-2018) for all Brazilian municipalities following the Boxcox transformation to remove the discrepant values. The transformed rates were analysed through the spatial autocorrelation of Moran, Kernel density estimative and spatial scan. RESULTS From 2007 to 2018, the CS incidence rates increased in all Brazilian regions. The CS spread towards the interior of Brazil, and a higher expansion was noticed between 2015 and 2018. The municipalities that were greatly affected by the CS were those having a high migration of people, such as the ones bordering other countries and the touristic cities. Recife, Campo Grande, Rio de Janeiro, Porto Alegre and Manaus were the capitals with the greatest spatial and spatiotemporal risk. CONCLUSION This study provides assistance to health authorities to fight CS in Brazil. More investment is necessary in prenatal care quality focusing on pregnant women and their partners to guarantee their full access to preventive resources against sexually transmitted infections.
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Affiliation(s)
- Iaron Seabra
- Nursing Graduate Program, Federal University of Para, Belém, Pará, Brazil
| | | | - William Sorensen
- Health & Kinesiology Department, University of Texas at Tyler, Tyler, Texas, USA
| | - Carmem Oliveira
- Nursing Graduate Program, Federal University of Para, Belém, Pará, Brazil
| | | | - Elucir Gir
- College of Nursing, Universidade de São Paulo, Ribeirão Preto, Brazil
| | | | | | - Eliã Botelho
- Nursing Graduate Program, Federal University of Para, Belém, Pará, Brazil
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Ramos Jr. AN. Persistencia de la sífilis como desafío para la salud pública en Brasil: el camino es fortalecer el SUS, en defensa de la democracia y de la vida. CAD SAUDE PUBLICA 2022. [DOI: 10.1590/0102-311xes069022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Ramos Jr. AN. Persistence of syphilis as a challenge for the Brazilian public health: the solution is to strengthen SUS in defense of democracy and life. CAD SAUDE PUBLICA 2022. [DOI: 10.1590/0102-311xen069022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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