| Autor: |
Angélica Espinosa Miranda, Pâmela Cristina Gaspar, Leonor Henriette de Lannoy, Aranaí Sampaio Diniz Guarabyra, Rayone Moreira Costa Veloso Souto, Esdras Daniel dos Santos Pereira, Gerson Fernando Pereira, Guilherme Borges Dias, Carmen Silvia Bruniera Domingues, Aparecida Morais Lima, Ariane Tiago Bernardo de Matos, Maria da Guia de Oliveira, Mayra Gonçalves Aragón, Nádia Maria da Silva Machado, Luíz Fernando Aires Junior, Isabella Mayara Diana de Souza, Ethel Leonor Maciel, Draurio Barreira |
| Jazyk: |
English<br />Portuguese |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Epidemiologia e Serviços de Saúde, Vol 32, Iss 3 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2237-9622 |
| DOI: |
10.1590/s2237-96222023000300003.en |
| Popis: |
Abstract Objective: to describe the subnational implementation process of the certification for elimination of mother-to-child transmission of HIV and/or syphilis, its main barriers, challenges and opportunities. Methods: in 2022, indicators from the last full year for impact targets and the last two full years for process targets, available in national information systems, were evaluated; descriptive reports were analyzed and actions were acknowledged within four thematic axes, according to PAHO/WHO recommendations. Results: 43 municipalities ≥ 100,000 inhabitants were certified, covering 24.6 million inhabitants; one municipality achieved dual elimination (HIV-syphilis), 28 municipalities achieved elimination of HIV and 10 received silver tiers; regarding syphilis, one elimination was observed, along with 4 gold tiers, 13 silver tiers and 4 bronze tiers; a higher number of certifications was identified in the Southeast and South regions. Conclusion: barriers and challenges of the process were overcome through tripartite collaboration; the experience provided better integration of surveillance with care and improved actions aimed at preventing mother-to-child transmission. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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