Objetivos: Este estudio tiene como objetivo comprender las relaciones entre el progreso de la cobertura de la Estrategia de Salud de Familia en los nueve estados del noreste y las tasas de detección de sífilis en mujeres embarazadas y congénitas entre 2008 y 2017.Métodos: Se trata de un estudio observacional, descriptivo y transversal en el que se correlacionaron las tasas de detección de sífilis de gestación y sífilis congénita en los estados nororientales y en esta región en su conjunto con la respectiva cobertura media anual de la Estrategia de Salud de Familia. Para ello, se realizó la prueba del coeficiente de correlación de Pearson para estas dos variables utilizando el software del Statistical Package for the Social Sciences 25. Resultados: El análisis estadístico de los datos de los estados permitió identificar que, al igual que en los datos agrupados de la región, a medida que aumentó la cobertura de la Estrategia de Salud de Familia, la tasa de detección de casos de sífilis en mujeres embarazadas y congénitas también aumentó significativamente en la mayoría de los estados, y en la región nordeste en su conjunto. Conclusiones: El Sistema Único de Salud a través de la Estrategia de Salud de Familia ha dado lugar a importantes avances relacionados con el seguimiento del embarazo, el puerperio y el desarrollo infantil, así como en el diagnóstico temprano de infecciones como la sífilis. Sin embargo, además del diagnóstico, se necesitan mejoras significativas en el tratamiento y la prevención de estas enfermedades en la región noreste. Objectives: This study aims to verify the relationships between the advancing of coverage of the Family Health Strategy in the nine northeastern states and the rates of detection of syphilis in pregnant women and congenital between the years 2008 and 2017. Methods: Observational, descriptive and cross-sectional study, in which the detection rates for gestational syphilis and congenital in the nine states of the Northeast and this region as a whole were correlated with the respective annual averages Family Health Strategy coverage. For that, Pearson's correlation coefficient test was performed for these two variables, using the Statistical Package for the Social Sciences 25 software. Results: The statistical analysis of the state data made it possible to identify that, as well as in the grouped data of the region, as the Family Health Strategy coverage increased, the detection rate of syphilis cases in pregnant women and congenital also increased significantly in most states, and in the Northeast region entirely. Conclusions: The Unified Health System through the Family Health Strategy has made great advances related to the monitoring of pregnancy, puerperium and child development as in the early diagnosis of infections like syphilis. However, in addition to the diagnosis, significant improvements are needed in the treatment and prevention of these diseases in the Northeast region. Objetivos: Este estudo tem por objetivo conhecer as relações existentes entre o avanço da cobertura da Estratégia Saúde da Família nos nove estados nordestinos e as taxas de detecção da sífilis em gestantes e congênita entre os anos de 2008 e 2017.Métodos: Trata-se de um estudo observacional, descritivo e transversal, em que as taxas de detecção para sífilis na gestação e congênita dos estados do Nordeste e desta região como um todo foram correlacionadas com as respectivas médias anuais de cobertura da Estratégia Saúde da Família. Para isso, foi realizado o teste de coeficiente de correlação de Pearson, para essas duas variáveis, através do software Statistical Package for the Social Sciences 25.Resultados: A análise estatística dos dados estaduais possibilitou identificar que, assim como nos dados agrupados da região, à medida que aumentava a cobertura da ESF, a taxa de detecção dos casos de sífilis em gestantes e congênita também crescia significativamente na maioria dos estados, e na região Nordeste integralmente.Conclusões: O Sistema Único de Saúde através da Estratégia Saúde da Família tem protagonizado grandes avanços relacionados ao acompanhamento da gestação, puerpério e desenvolvimento infantil, como no diagnóstico precoce de infecções, como a sífilis. Entretanto, além do diagnóstico, é preciso melhorias significativas no tratamento e prevenção destas doenças na região Nordeste.
<p><span class="fontstyle0">This article sought to describe the profile of congenital syphilis (CS) cases in Pernambuco and to evaluate government responses from 2008 to 2017. This is a cross-sectional study, with data obtained from the Department of Chronic Conditions and Sexually Transmitted Infections / MS. A trend analysis was conducted with the Joinpoint program and the following variables were adopted: maternal age group, maternal race / color, maternal education, moment of diagnosis of maternal syphilis, maternal treatment scheme, treatment of the mother’s partner and performance of prenatal. From 2008 to 2017, 9866 cases of congenital syphilis were registered in the state of Pernambuco, the numbers of cases showed an increasing trend over the time line. Out of the total, 75% (n = 7405) of women with a notified outcome of CS performed prenatal care. But only 36.9% (n = 3642) of cases of syphilis during pregnancy were diagnosed. As for the treatment performed, 57% (n = 6551) were done inappropriately. The data reflect the need for adjustments in prenatal care in Pernambuco, as well as the strengthening of actions aimed at controlling this indicator</span> <br /><br /></p>
<p class="Normal1"><span class="fontstyle0">Congenital syphilis is a disease resulting from vertical transmission of the Treponema pallidum bacterium from the infected mother to her child, which can result in several sequelae for the newborn. This study aimed to analyze the clinical and social characteristics of mothers whose children were affected by this disease in Paraíba between 2008 and 2017. It is a descriptive and cross-sectional study developed from secondary data from the Ministry of Health. The trends were analyzed through a segmented regression model using Joinpoint software. The statistical results were compared with the government actions implemented in the analyzed time period, in the scope of the fight against syphilis. A higher proportion of cases of this disease was observed in women with brown skin and low schooling. This proportion was higher than the national average. A high percentage of inadequate treatment was also observed. Although this ratio has decreased lately, the proportion of those who did not undergo treatment has increased. Prenatal care has been increasingly performed by these pregnant women. In this sense, the influence of the Rede Cegonha on this process can be highlighted, providing greater reach and quality of prenatal care, in addition to the expansion of the capacity of testing and treatment of pregnant women with syphilis.</span><strong> <br /><br /> </strong></p>
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