Aconselhamento sobre o teste rápido anti-HIV em parturientes

Abstract

Introduction: The pre and post-HIV test counseling is recommended by the Ministry of Health, and is a tool for reflection and joint decision-making. Objectives: To determine the proportion of women receiving counseling for submission to the HIV rapid test and to assess factors associated to not receiving counseling for this test. Method: A cross-sectional study was conducted in five "Baby-Friendly Hospitals" from the High Risk Pregnancy System in Rio de Janeiro City, Southeast Brazil. The study population were 955 rooming-in parturients, undergoing the HIV rapid test, between September 11 th and December 11 th , 2006. Semi-standardized questionnaires were applied to the mothers, and data were also obtained from laboratory and health archives. Binomial regression was performed in order to analyze the variables associated with non-counseling. Results: Were submitted to the HIV rapid test 28.5% of the parturients, and only 26.9% of them were counseled. Factors associated with non-counseling were: maternal education below 8 years of school (PR = 1.36; 95% CI: 1.15-1.62), 0 to 3 prenatal visits (RP = 0.73; IC 95%: 0.59-0.90) and hospitals with less than 50% of the parturients submitted to the HIV rapid test (PR = 1.65; 95% CI: 1.40-1.96). Conclusion: Socially underprivileged women were not a target of counseling, and only the low number of prenatal visits proved to be a protective factor against non-counseling. Counseling was seldom practiced for HIV rapid testing, indicating that this test has been performed without the consent of women, in an imperative way.

Percepção de pacientes com AIDS diagnosticada na adolescência sobre o aconselhamento pré e pós-teste HIV realizado

“…The authors found that there was a greater chance of not receiving counseling among low-income pregnant women and who initiated prenatal tests belatedly. Similar results were reported by Passos et al 8 in a study of 955 mothers in a collective housing who had done rapid HIV tests in which only 26.9% received counseling. There was a significant association between lack of counseling and lower education of mothers(less than eight years of study) and the low number of prenatal visits.…”

Fatores associados à submissão ao teste rápido anti-HIV na assistência ao parto

“…This inconsistency suggests the occurrence of incomplete records 24 and possible flaws in the counseling of mothers by the health staff 25 . The Ministry of Health recommends that women be consulted if they want to undergo rapid HIV testing through counseling 4 .…”

“…The Ministry of Health recommends that women be consulted if they want to undergo rapid HIV testing through counseling 4 . By reason of the greater proportion of women tested identified in the medical records in relation to the interviews, many participants were probably not even informed of the submission to the test, which impairs women's autonomy and guidance on HIV and vertical transmission prevention 25 . We can conclude that the ministerial protocols for HIV testing during pregnancy and hospitalization in force at the time of the study 3,4 were not followed to satisfaction.…”

Psicologia Social, Representações Sociais e AIDS

“…O teste mais rápido dá o resultado em 30 minutos (PASSOS et al, 2013). Entretanto, o teste rápido tem sido empregado para precaução da transmissão vertical na ação de parto, em populações nomeadas de difícil acesso, como os usuários de drogas injetáveis e profissionais do sexo.…”