Barriers to control syphilis and HIV vertical transmission in the health care system in the city of Sao Paulo

Abstract

The difficulties in the reference and counter-reference system of these women and their babies are evident barriers to control the vertical transmission of these infectious diseases.

Management of syphilis in pregnancy: Knowledge and practices of health care providers and barriers to the control of disease in Teresina, Brazil

“…An attitude of disbelief regarding the results of a protocol may affect the motivation of the professionals to adopt it, constituting a barrier to its implementation . Poor knowledge of the epidemiological profile of syphilis and CS was also observed in studies performed in São Paulo/Brazil and in Burkina Faso . The high adherence to syphilis in pregnancy case reporting found in this study, superior to that reported by other authors, suggests little cooperation between health surveillance programmes and health care services in the city of Teresina, as the professionals showed insufficient knowledge of the epidemiological profile of CS.…”

“…Poor knowledge of the epidemiological profile of syphilis and CS was also observed in studies performed in São Paulo/Brazil and in Burkina Faso . The high adherence to syphilis in pregnancy case reporting found in this study, superior to that reported by other authors, suggests little cooperation between health surveillance programmes and health care services in the city of Teresina, as the professionals showed insufficient knowledge of the epidemiological profile of CS. The return of epidemiological information to the health care providers is fundamental to the health surveillance process.…”

“…In Brazil, although prenatal coverage is practically universal, the coverage of testing has not yet reached the goals recommended by the Pan American Health Organization and the WHO . Failures in the diagnosis and treatment of pregnant women and partners have been reported in national studies . There is a growing incidence of CS in the country, reaching a rate of 6.5 per 1000 live births in 2015, with the highest number occurring in the Northeast and Southeast regions…”

Avaliação da cascata de cuidado na prevenção da transmissão vertical do HIV no Brasil

“…Em São Paulo, em hospital universitário, falhas nos fluxos de referência e de atendimento foram identificadas, sendo menores para o HIV do que para a sífilis 22 .…”

Fases psicológicas de gestantes com HIV: estudo qualitativo em hospital

“…Parallel to the growth of cases of human immunodeficiency virus (HIV) infection among heterosexual individuals, the contamination of women of reproductive age has also increased. Thus, public health authorities began to pay closer attention to the rates of mother to fetus transmission of the virus from (vertical transmission) 1,2 , from one of three routes: the gestational period, labor or breastfeeding 3,4 .…”