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Revista Brasileira de Saúde Materno Infantil

versión impresa ISSN 1519-3829


DOMINGUES, Rosa Maria Soares Madeira; HARTZ, Zulmira Maria de Araújo  y  LEAL, Maria do Carmo. An evaluation of action taken to control syphilis and HIV in publicsector prenatal care in the municipality of Rio de Janeiro, Brazil. Rev. Bras. Saude Mater. Infant. [online]. 2012, vol.12, n.3, pp.269-280. ISSN 1519-3829.

OBJECTIVES: to evaluate the adequacy of action taken to control syphilis and HIV in prenatal health care at Brazilian National Health System units in the municipality of Rio de Janeiro, Brazil. METHODS: a cross-sectional study was carried out in 2007 and 2008, involving interviews with 2353 pregnant women, analysis of prenatal cards and data obtained from 102 health professionals. A logicaloperational model was drawn up to evaluate the adequacy of care, taking as a point of reference the care protocols used for the Brazilian Ministry of Health's prenatal care and STD/AIDS programs. Adequacy was deemed to be fulfillment of 100% of the activities envisaged for each gestational age. RESULTS: shortcomings were identified in the counseling of pregnant women, the provision of serum tests, the treatment of cases of syphilis and the approach of partners. Bivariate analysis showed that starting prenatal care late and having an inadequate number of consultations lowered the adequacy of all actions, with the exception of HIV counseling. CONCLUSIONS: problems with early initiation of prenatal care, ensuring the minimum number of consultations, adequately managing pregnant women and their partners and, above all, appropriate serum test results for syphilis and HIV are obstacles to improved control of vertical transmission of these diseases.

Palabras clave : Syphilis; HIV infections; Prenatal care; Unified Health System; Health evaluation.

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