Factors associated with prenatal care and HIV and syphilis testing during pregnancy in primary health care

Freitas, Cláudia Helena Soares de Morais; Forte, Franklin Delano Soares; Roncalli, Ângelo Giuseppe; Galvão, Maria Helena Rodrigues; Coêlho, Ardigleusa Alves; Dias, Sónia

doi:10.11606/s1518-8787.2019053001205

Cited by 9 publications

(5 citation statements)

References 29 publications

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“…Education was the most common individual level factor assessed in previous studies. Multiple studies found that higher education among pregnant women was significantly associated with obtaining antenatal HIV and syphilis screenings [18][19][20][21][22]. The present study did not find a significant association between education level and screenings.…”

Section: Discussioncontrasting

confidence: 87%

“…Exploring individual level characteristics associated with antenatal HIV and syphilis screenings can better describe the current situation and assist with creating more targeted interventions to increase the provision of antenatal screenings. Previous studies have reported mixed findings on the association between women obtaining antenatal HIV and syphilis screenings during pregnancy and individual level characteristics such as age, adverse pregnancy outcomes, and marital status [18][19][20][21][22]. In addition, prior research focused on individual level factors associated with antenatal HIV or syphilis screenings have reported findings on either antenatal HIV or syphilis screenings.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

et al. 2020

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Objectives To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia. Results Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.

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Section: Discussioncontrasting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

et al. 2020

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“…Primary and secondary care professionals are key in ensuring that pregnant women receive adequate and high-quality prenatal care, which is considered an essential element of the public health agenda to eliminate MTCT transmission of syphilis ( 47 – 50 ).…”

Section: Resultsmentioning

confidence: 99%

Massive health education through technological mediation: Analyses and impacts on the syphilis epidemic in Brazil

Caitano

Gusmão

Dias-Trindade

et al. 2022

Front. Public Health

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With syphilis cases on the rise, Brazil declared an epidemic in 2016. To address the consequent public health crisis, the Ministry of Health laid out a rapid response plan, namely, the “Syphilis No!” Project (SNP), a national instrument to fight the disease which encompasses four dimensions: (a) management and governance, (b) surveillance, (c) comprehensive care, and (d) strengthening of educommunication. In the dimension of education, the SNP developed the learning pathway “Syphilis and other Sexually Transmitted Infections (STIs)” to strengthen and promote Health Education. This pathway features 54 Massive Open Online Courses (MOOCs), delivered through the Virtual Learning Environment of the Brazilian Health System (AVASUS). This paper analyzes the impacts of the learning pathway “Syphilis and other STIs” on the response to the epidemic in Brazil, highlighting the educational process of the learning pathway and its social implications from the perspective of the United Nations' 2030 Agenda and its Sustainable Development Goals. Three distinct databases were used to organize the educational data: the learning pathway “Syphilis and other STIs” from AVASUS, the National Registry of HealthCare Facilities from the Brazilian Ministry of Health (MoH), and the Brazilian Occupation Classification, from the Ministry of Labor. The analysis provides a comprehensive description of the 54 courses of the learning pathway, which has 177,732 enrollments and 93,617 participants from all Brazilian regions, especially the Southeast, which accounts for the highest number of enrollees. Additionally, it is worth noting that students living abroad also enrolled in the courses. Data characterization provided a demographic study focused on the course participants' profession and level of care practiced, revealing that the majority (85%) worked in primary and secondary healthcare. These practitioners are the target audience of the learning pathway and, accordingly, are part of the personnel directly engaged in healthcare services that fight the syphilis epidemic in Brazil.

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“…Evidence shows that socioeconomic factors are relevant in identifying and quantifying at-risk populations in order to deploy suitable and specific interventions aimed at promoting health awareness and disease prevention. 21 To better represent the findings of the present study, the number of cases of each STI per 1,000 live births at MCO-UFBA was compared to data published by the MoH considering the state of Bahia, the Northeast region of Brazil and the country as a whole (Figures 1 and 2). A high rate of infection per 1,000 live births was found at MCO-UFBA in comparison to national data, particularly with respect to HIV, HBV, and syphilis.…”

Section: Discussuionmentioning

confidence: 99%

Prevalence of HIV, Syphilis, Hepatitis B and C in pregnant women at a maternity hospital in Salvador

Freire

Schuch

Miranda

et al. 2021

Rev. Bras. Saude Mater. Infant.

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Objectives: to calculate the prevalence and rate per 1,000 live births of sexually transmitted infections (STI) in pregnant women at a public maternity hospital in Salvador. Methods: this descriptive, cross-sectional study retrospectively collected data from compulsory notifications and medical records of pregnant women with STI seen at a maternity hospital in northeastern Brazil between 2014 and 2017 (n = 520). Prevalence and rate per 1,000 live births were estimated for hepatitis B, hepatitis C, HIV, and syphilis. Associations between STI and other clinical and sociodemographic variables were investigated. Results: most pregnant women were born and resided in Salvador, presented a mean age of 26.4 years, self-reported mixed-race and had unplanned pregnancies. Prevalence and rates per 1,000 live births were, respectively: 0.26% and 3.39 for hepatitis B, 0.06% and 0.79 for hepatitis C, 0.47% and 6.23 for HIV, and 2.46% and 32.2 for syphilis. Conclusion: higher prevalence and rates of infection per 1,000 live births were seen at the maternity hospital in northeastern Brazil compared to official data provided by the Brazilian government, notably with regard to HIV and syphilis. The appropriate epidemiological notification of STI, especially in pregnant women, enables the elaboration of effective preventive strategies incorporating specific sociodemographic and clinical characteristics.

show abstract

Factors associated with prenatal care and HIV and syphilis testing during pregnancy in primary health care

Cited by 9 publications

References 29 publications

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

Massive health education through technological mediation: Analyses and impacts on the syphilis epidemic in Brazil

Prevalence of HIV, Syphilis, Hepatitis B and C in pregnant women at a maternity hospital in Salvador

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