HIV infection during pregnancy: the Sentinel Surveillance Project, Brazil, 2002

Authors

  • Paulo Roberto Borges de Souza Júnior Fundação Oswaldo Cruz; Departamento de Informações em Saúde
  • Célia Landmann Szwarcwald Fundação Oswaldo Cruz; Departamento de Informações em Saúde
  • Aristides Barbosa Júnior Ministério da Saúde; Programa Nacional de DST e Aids
  • Marcelo Felga de Carvalho Ministério da Saúde; Programa Nacional de DST e Aids
  • Euclides Ayres de Castilho Universidade de São Paulo; Faculdade de Medicina; Departamento de Medicina Preventiva

DOI:

https://doi.org/10.1590/S0034-89102004000600003

Keywords:

HIV infections, diagnosis, Disease transmission, vertical, Effectiveness, Geographic distribution, Socioeconomic factors, Prenatal care, Sentinel surveillance

Abstract

OBJECTIVE: To evaluate the actual coverage of HIV infection detection during pregnancy at national level. METHODS: The actual coverage of HIV testing during pregnancy was defined as the proportion of women who attended prenatal care visits (at least one visit), ordering HIV testing and knowledge of test result before delivery. The coverage was estimated by sampling procedures based on the 2002 Sentinel Surveillance Study data. Actual coverage Inequalities were assessed by: country regions; population size of the municipality where delivery took place; and mother's schooling. RESULTS: The actual coverage of HIV testing during pregnancy was 52%. Huge sociogeographic inequalities are seen between the Northeastern (24%) and Southern regions (72%); illiterate mothers (19%) and those with complete basic education (64%); mothers who delivered in small municipalities (36%) and those who delivered in municipalities with more than 500,000 inhabitants (66%). Ministry of Health recommendations were fully followed by only 27% pregnant women. CONCLUSIONS: The study results show a need for actions aiming at increasing HIV detection coverage during pregnancy, and indicate that HIV/STD programs should be intensified with joint strategies between the National AIDS Program and infant-maternal programs.

Published

2004-12-01

Issue

Section

Original Articles

How to Cite

Souza Júnior, P. R. B. de, Szwarcwald, C. L., Barbosa Júnior, A., Carvalho, M. F. de, & Castilho, E. A. de. (2004). HIV infection during pregnancy: the Sentinel Surveillance Project, Brazil, 2002 . Revista De Saúde Pública, 38(6), 764-772. https://doi.org/10.1590/S0034-89102004000600003