Incidência da sífilis congênita no Brasil e sua relação com a Estratégia Saúde da Família

Abstract

OBJECTIVE: To estimate the incidence of congenital syphilis and identify its relationship with Family Health Strategy coverage. METHODS:An observational ecological study was carried out with both descriptive and analytical components, by two different approaches: one that explores a temporal series (2003 to 2008) RESULTS:Increasingly trends of congenital syphilis notifi cation in Brazil refl ect social inequalities in the distribution of cases. The incidence of congenital syphilis was lower in the municipalities with high Family Health Strategy coverage; however, after controlling for the co-variables, such an effect might be attributed to the coverage of prenatal care and the demographic characteristics of the municipalities where the implementation of the Strategy was a priority. CONCLUSIONS:Despite the increase in prenatal care coverage, the actions implemented still exhibit low effectiveness in the prevention of congenital syphilis. Prenatal care performed by Family Health Strategy teams did not control syphilis better than the prenatal care performed within the context of other models of assistance.

Gestational and congenital syphilis: maternal, neonatal characteristics and outcome of cases

“…[8][9][10][11][12][13][14][15][16][17][18]19 In this regard, it was found that the majority of pregnant women (55%) studied did only oneVDRL test, indicating non-compliance with the Protocol of attention to prenatal care.…”

“…5,19 It is imperative to strengthen the primary care, so that the syphilis is diagnosed and treated early, yet in prenatal period, preventing the occurrence of congenital syphilis.…”

Sífilis congênita no Rio Grande do Norte: estudo descritivo do período 2007-2010

“…11 Outro estudo, desenvolvido na cidade de Campo Grande, capital do Mato Grosso do Sul, demonstrou que 91,3% das gestantes infectadas também residiam em área urbana.…”

Sífilis em parturientes: aspectos relacionados ao parceiro sexual

“…Quando analisado o total de parceiros que souberam do diagnóstico de sífilis na gestante antes ou durante o pré-natal, apenas seis (24%) parceiros realizaram o tratamento adequado 2 . Assim, percebe-se que a maioria dos parceiros não são tratados, o que parece ser um problema vivenciado em diferentes regiões do país 8,11,13,21 .…”

“…Pode também estar associada à visão que os homens têm em relação à saúde, pois atribuem à mulher a responsabilidade pelo cuidado 23,24 . Por outro lado, existem ainda questões inerentes aos serviços 21,25 e ao comportamento dos parceiros, como é o caso do uso de drogas e álcool 26 .…”