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

• Autor(a) principal: Angelica Espinosa Miranda
• Data de Publicação: 2016
• Outros Autores: Gerson Fernando Mendes Pereira, Maria Alix Leite Araujo, Mariangela Freitas da Silveira, Leonor De Lannoy Tavares, Leila Cristina Ferreira da Silva, Sandra Fagundes Moreira-Silva, Valéria Saraceni
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6198
• topic: HIV; Gravidez; Transmissão Vertical de Doença Infecciosa; Atenção Primária à Saúde

This study aimed to assess the cascade of care in the reduction of mother-to-child HIV transmission in the states of Amazonas, Ceará, Espírito Santo, Rio de Janeiro, and Rio Grande do Sul and the Distrito Federal, Brazil, using data from the Brazilian Information System on Diseases of Notification (SINAN). From 2007 to 2012, there was an increase (from 7.3% in Distrito Federal to 46.1% in Amazonas) in intra-gestational detection of HIV in 5 states, with a 18.6% reduction in Rio de Janeiro. Fewer than 90% of the women received antiretroviral therapy during their prenatal care, including those that already knew they were HIV-positive. The elective cesarean rate was low. The AIDS detection rate in children under 5 years as a proxy for mother-to-child HIV transmission showed a reduction of 6.3% from 2007 to 2012, and was highest in Rio Grande do Sul (50%), the state with the highest rates in the period, while Espírito Santo showed the highest increase (50%). Evaluation of the cascade of HIV care in pregnant women identified flaws in all the points. A link is needed between primary care and referral centers for HIV/AIDS, organizing care for the family and better outcomes for the children.