Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998

Detalhes bibliográficos
Autor(a) principal: Marques, HHS
Data de Publicação: 2002
Outros Autores: Latorre, MRDO, DellaNegra, M, Pluciennik, AMA, Salomão, MLM
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/31527
Resumo: OBJECTIVE: The increasing number of women with AIDS in the state of São Paulo has lead to the implementation of a series of measures to reduce mother-to-child HIV transmission. The objective of this study was to evaluate these measures' deficiencies regarding coverage and quality of prenatal care in some HIV reference services in the state of São Paulo. METHODS: All HIV-positive women, aged 18 years or more, who gave birth in 1998 were interviewed when they came for a visit with an infectologist or a pediatrician in three cities (São Paulo, Santos and São José do Rio Preto) of the state of São Paulo. A structured questionnaire was applied. Prenatal care and time of their HIV infection diagnosis (before, during or after pregnancy) were assessed. RESULTS: Of 116 women interviewed, 109/116 (94%) had attended a prenatal care service during pregnancy, 64% had their first visit in the first trimester and 80% had 3 or more visits during pregnancy. The mean age of those who attended a prenatal service was 29.1 years, higher than those who did not attend any service (24.3 years). The HIV-positive status was known by 45%, 38% and 17% of the women before pregnancy, during pregnancy and after delivery, respectively. HIV testing was offered to 82% who did not know their serologic status, and among these, only 56% were informed about the importance of getting tested. The basic health care units (UBS) were less efficient in conveying information to the mothers about their children's infection risk (p=0.037) and their treatment needs (p=0.014). CONCLUSIONS: The main deficiencies identified were lack of HIV testing during pregnancy and inadequate information. Though basic health care units are the most important source of care for this population, its contribution to the understanding of risks and treatment needs was the most unsatisfactory.
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spelling Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 Falhas na identificação da infecção pelo HIV durante a gravidez em São Paulo, SP, 1998 Síndrome de imunodeficiência adquirida^i1^sdiagnóstInfecções por HIV^i1^sdiagnóstCuidado pré-natalQualidade dos cuidados de saúdeComplicações na gravidezServiços de saúde maternaSoropositividade para HIV^i1^sdiagnóstConhecimentosatitudes e práticaAcquired immunodeficiency syndrome^i2^sdiagnosHIV infections^i2^sdiagnosPrenatal careQuality of health carePregnancy complicationsMaternal health servicesHIV seropositivity^i2^sdiagnosKnowledgeattitudespractice OBJECTIVE: The increasing number of women with AIDS in the state of São Paulo has lead to the implementation of a series of measures to reduce mother-to-child HIV transmission. The objective of this study was to evaluate these measures' deficiencies regarding coverage and quality of prenatal care in some HIV reference services in the state of São Paulo. METHODS: All HIV-positive women, aged 18 years or more, who gave birth in 1998 were interviewed when they came for a visit with an infectologist or a pediatrician in three cities (São Paulo, Santos and São José do Rio Preto) of the state of São Paulo. A structured questionnaire was applied. Prenatal care and time of their HIV infection diagnosis (before, during or after pregnancy) were assessed. RESULTS: Of 116 women interviewed, 109/116 (94%) had attended a prenatal care service during pregnancy, 64% had their first visit in the first trimester and 80% had 3 or more visits during pregnancy. The mean age of those who attended a prenatal service was 29.1 years, higher than those who did not attend any service (24.3 years). The HIV-positive status was known by 45%, 38% and 17% of the women before pregnancy, during pregnancy and after delivery, respectively. HIV testing was offered to 82% who did not know their serologic status, and among these, only 56% were informed about the importance of getting tested. The basic health care units (UBS) were less efficient in conveying information to the mothers about their children's infection risk (p=0.037) and their treatment needs (p=0.014). CONCLUSIONS: The main deficiencies identified were lack of HIV testing during pregnancy and inadequate information. Though basic health care units are the most important source of care for this population, its contribution to the understanding of risks and treatment needs was the most unsatisfactory. OBJETIVO: O aumento de casos de Aids em mulheres no Estado de São Paulo desencadeou uma série de medidas para reduzir a transmissão materno-infantil do HIV. Assim, realizou-se estudo com o objetivo de avaliar falhas na implantação dessas medidas, do ponto de vista da cobertura e da qualidade do pré-natal, em serviços de referência que atendem mulheres soropositivas no Estado de São Paulo. MÉTODOS: Foram entrevistadas, por meio de questionário estruturado, todas as mulheres soropositivas de três cidades do Estado de São Paulo (São Paulo, Santos e São José do Rio Preto). Todas as mulheres possuíam no mínimo 18 anos de idade, tiveram filhos em 1998 e fizeram consulta com infectologista (ela mesma ou seu filho). As mulheres foram avaliadas quanto à realização do pré-natal e ao conhecimento da soropositividade para o HIV antes, durante ou após a gestação. RESULTADOS: Do total de 116 mulheres, 109 (94%) fizeram pré-natal, 64% procuraram os serviços durante o primeiro trimestre, e o número de consultas foi de pelo menos três em 80% dos casos. A idade média das mulheres que fizeram pré-natal foi de 29,1 anos, estatisticamente maior do que a das mulheres que não o fizeram (24,3 anos). Sabiam ser soropositivas antes de engravidar 45% das mulheres, 38% souberam durante a gravidez, e 17%, após o nascimento da criança. O teste para o HIV foi oferecido para 82% das mulheres que não conheciam seu status sorológico. Destas, apenas 56% receberam explicação sobre a importância do teste. As unidades básicas de saúde (UBS) foram os locais onde a informação menos ajudou a conhecer o risco para a criança (p=0,037) e a necessidade de tratamento (p=0,0142). CONCLUSÕES: As principais falhas identificadas foram o não-oferecimento do teste HIV durante a gestação e a inadequada qualidade da informação. O principal local de atendimento para essas pessoas são as UBS. Estas foram as que menos contribuíram para a compreensão dos riscos e da necessidade de tratamento. Universidade de São Paulo. Faculdade de Saúde Pública2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/.pdfhttps://www.revistas.usp.br/rsp/article/view/3152710.1590/S0034-89102002000400003Revista de Saúde Pública; Vol. 36 No. 4 (2002); 385-392 Revista de Saúde Pública; Vol. 36 Núm. 4 (2002); 385-392 Revista de Saúde Pública; v. 36 n. 4 (2002); 385-392 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31527/33412Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMarques, HHSLatorre, MRDODellaNegra, MPluciennik, AMASalomão, MLM2012-07-08T14:39:06Zoai:revistas.usp.br:article/31527Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:39:06Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
Falhas na identificação da infecção pelo HIV durante a gravidez em São Paulo, SP, 1998
title Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
spellingShingle Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
Marques, HHS
Síndrome de imunodeficiência adquirida^i1^sdiagnóst
Infecções por HIV^i1^sdiagnóst
Cuidado pré-natal
Qualidade dos cuidados de saúde
Complicações na gravidez
Serviços de saúde materna
Soropositividade para HIV^i1^sdiagnóst
Conhecimentos
atitudes e prática
Acquired immunodeficiency syndrome^i2^sdiagnos
HIV infections^i2^sdiagnos
Prenatal care
Quality of health care
Pregnancy complications
Maternal health services
HIV seropositivity^i2^sdiagnos
Knowledge
attitudes
practice
title_short Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
title_full Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
title_fullStr Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
title_full_unstemmed Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
title_sort Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
author Marques, HHS
author_facet Marques, HHS
Latorre, MRDO
DellaNegra, M
Pluciennik, AMA
Salomão, MLM
author_role author
author2 Latorre, MRDO
DellaNegra, M
Pluciennik, AMA
Salomão, MLM
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Marques, HHS
Latorre, MRDO
DellaNegra, M
Pluciennik, AMA
Salomão, MLM
dc.subject.por.fl_str_mv Síndrome de imunodeficiência adquirida^i1^sdiagnóst
Infecções por HIV^i1^sdiagnóst
Cuidado pré-natal
Qualidade dos cuidados de saúde
Complicações na gravidez
Serviços de saúde materna
Soropositividade para HIV^i1^sdiagnóst
Conhecimentos
atitudes e prática
Acquired immunodeficiency syndrome^i2^sdiagnos
HIV infections^i2^sdiagnos
Prenatal care
Quality of health care
Pregnancy complications
Maternal health services
HIV seropositivity^i2^sdiagnos
Knowledge
attitudes
practice
topic Síndrome de imunodeficiência adquirida^i1^sdiagnóst
Infecções por HIV^i1^sdiagnóst
Cuidado pré-natal
Qualidade dos cuidados de saúde
Complicações na gravidez
Serviços de saúde materna
Soropositividade para HIV^i1^sdiagnóst
Conhecimentos
atitudes e prática
Acquired immunodeficiency syndrome^i2^sdiagnos
HIV infections^i2^sdiagnos
Prenatal care
Quality of health care
Pregnancy complications
Maternal health services
HIV seropositivity^i2^sdiagnos
Knowledge
attitudes
practice
description OBJECTIVE: The increasing number of women with AIDS in the state of São Paulo has lead to the implementation of a series of measures to reduce mother-to-child HIV transmission. The objective of this study was to evaluate these measures' deficiencies regarding coverage and quality of prenatal care in some HIV reference services in the state of São Paulo. METHODS: All HIV-positive women, aged 18 years or more, who gave birth in 1998 were interviewed when they came for a visit with an infectologist or a pediatrician in three cities (São Paulo, Santos and São José do Rio Preto) of the state of São Paulo. A structured questionnaire was applied. Prenatal care and time of their HIV infection diagnosis (before, during or after pregnancy) were assessed. RESULTS: Of 116 women interviewed, 109/116 (94%) had attended a prenatal care service during pregnancy, 64% had their first visit in the first trimester and 80% had 3 or more visits during pregnancy. The mean age of those who attended a prenatal service was 29.1 years, higher than those who did not attend any service (24.3 years). The HIV-positive status was known by 45%, 38% and 17% of the women before pregnancy, during pregnancy and after delivery, respectively. HIV testing was offered to 82% who did not know their serologic status, and among these, only 56% were informed about the importance of getting tested. The basic health care units (UBS) were less efficient in conveying information to the mothers about their children's infection risk (p=0.037) and their treatment needs (p=0.014). CONCLUSIONS: The main deficiencies identified were lack of HIV testing during pregnancy and inadequate information. Though basic health care units are the most important source of care for this population, its contribution to the understanding of risks and treatment needs was the most unsatisfactory.
publishDate 2002
dc.date.none.fl_str_mv 2002-08-01
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dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31527
10.1590/S0034-89102002000400003
url https://www.revistas.usp.br/rsp/article/view/31527
identifier_str_mv 10.1590/S0034-89102002000400003
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31527/33412
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/.pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 36 No. 4 (2002); 385-392
Revista de Saúde Pública; Vol. 36 Núm. 4 (2002); 385-392
Revista de Saúde Pública; v. 36 n. 4 (2002); 385-392
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
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instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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