Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report
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 las...
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministério da Saúde do Brasil
2023-10-01
|
| Series: | Epidemiologia e Serviços de Saúde |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222023000300600&lng=en&tlng=en |
| _version_ | 1797644517211373568 |
|---|---|
| author | 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 |
| author_facet | 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 |
| author_sort | Angélica Espinosa Miranda |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T14:31:40Z |
| format | Article |
| id | doaj.art-e465cb2c87c84fa58fa42b53798b7883 |
| institution | Directory Open Access Journal |
| issn | 2237-9622 |
| language | English |
| last_indexed | 2024-03-11T14:31:40Z |
| publishDate | 2023-10-01 |
| publisher | Ministério da Saúde do Brasil |
| record_format | Article |
| series | Epidemiologia e Serviços de Saúde |
| spelling | doaj.art-e465cb2c87c84fa58fa42b53798b78832023-10-31T07:53:33ZengMinistério da Saúde do BrasilEpidemiologia e Serviços de Saúde2237-96222023-10-0132310.1590/s2237-96222023000300003.enSubnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience reportAngélica Espinosa Mirandahttps://orcid.org/0000-0002-5556-8379Pâmela Cristina Gasparhttps://orcid.org/0000-0003-4642-0783Leonor Henriette de Lannoyhttps://orcid.org/0000-0002-9520-8538Aranaí Sampaio Diniz Guarabyrahttps://orcid.org/0009-0004-1860-5718Rayone Moreira Costa Veloso Soutohttps://orcid.org/0000-0001-9848-299XEsdras Daniel dos Santos Pereirahttps://orcid.org/0000-0002-5673-1545Gerson Fernando Pereirahttps://orcid.org/0000-0001-8886-1662Guilherme Borges Diashttps://orcid.org/0000-0002-1459-3148Carmen Silvia Bruniera Domingueshttps://orcid.org/0000-0003-2784-9592Aparecida Morais Limahttps://orcid.org/0009-0006-7207-4246Ariane Tiago Bernardo de Matoshttps://orcid.org/0009-0006-3154-2090Maria da Guia de Oliveirahttps://orcid.org/0009-0000-8750-9560Mayra Gonçalves Aragónhttps://orcid.org/0000-0001-6631-1790Nádia Maria da Silva Machadohttps://orcid.org/0000-0001-9334-9305Luíz Fernando Aires Juniorhttps://orcid.org/0000-0002-2831-797XIsabella Mayara Diana de Souzahttps://orcid.org/0000-0002-3916-3478Ethel Leonor Macielhttps://orcid.org/0000-0003-4826-3355Draurio Barreirahttps://orcid.org/0000-0002-9626-7740Abstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222023000300600&lng=en&tlng=enMother-to-child TransmissionHIVSyphilisPublic Health SurveillanceCertification |
| spellingShingle | 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 Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report Epidemiologia e Serviços de Saúde Mother-to-child Transmission HIV Syphilis Public Health Surveillance Certification |
| title | Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report |
| title_full | Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report |
| title_fullStr | Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report |
| title_full_unstemmed | Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report |
| title_short | Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report |
| title_sort | subnational certification of elimination of mother to child transmission of hiv and or syphilis a brazilian experience report |
| topic | Mother-to-child Transmission HIV Syphilis Public Health Surveillance Certification |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222023000300600&lng=en&tlng=en |
| work_keys_str_mv | AT angelicaespinosamiranda subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT pamelacristinagaspar subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT leonorhenriettedelannoy subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT aranaisampaiodinizguarabyra subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT rayonemoreiracostavelososouto subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT esdrasdanieldossantospereira subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT gersonfernandopereira subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT guilhermeborgesdias subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT carmensilviabrunieradomingues subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT aparecidamoraislima subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT arianetiagobernardodematos subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT mariadaguiadeoliveira subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT mayragoncalvesaragon subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT nadiamariadasilvamachado subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT luizfernandoairesjunior subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT isabellamayaradianadesouza subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT ethelleonormaciel subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport AT drauriobarreira subnationalcertificationofeliminationofmothertochildtransmissionofhivandorsyphilisabrazilianexperiencereport |