Banca de DEFESA: IZABELLE BEZERRA COSTA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : IZABELLE BEZERRA COSTA
DATE: 25/01/2022
TIME: 14:00
LOCAL: Remoto
TITLE:

CONGENITAL SYPHILIS IN BRAZIL AND INDICATORS PROPOSED BY THE CEGONHA NETWORK IN THE FRAMEWORK OF PRENATAL CARE

KEY WORDS:

Congenital Syphilis. Prenatal care. Maternal and Child Health Services. Health Policy. Evaluation of Health Programs and Projects.

PAGES: 82
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Compared to other Latin American countries, Brazil has stood out over the years for presenting high rates of congenital syphilis notifications – denouncing, in particular, the evident deficit of health interventions during prenatal care. In 2011, in an attempt to improve maternal and child health conditions in the country, the “Rede Cegonha” programm was created, a policy that guides the implementation of a new model of health care for women and children, the organization of the care network and the reduction of maternal and child mortality. The objective of this research was to analyze the incidence of congenital syphilis in Brazilian cities according to indicators proposed by “Rede Cegonha” in the context of prenatal care. This is an observational ecological type study with an analytical character, whose sample consisted of 257 municipalities with a number of inhabitants equal to or greater than one hundred thousand (n = 257). Descriptive analysis of dependent and independent variables and bivariate analysis by Poisson Regression by Robust Variance were performed for the outcomes “incidence of congenital syphilis” and “ratio between congenital syphilis and syphilis in pregnant women”. In the trend analysis (2015-2019), marginal means were estimated using Split-Plot Analysis of Variance (ANOVA) for the outcomes chosen according to the independent variables. The cross-sectional analysis showed that the mean incidence of congenital syphilis was 42% higher in municipalities with HDI up to 0.785 (RM=1.42; p<0.001) and 36% higher among populations with availability of a rapid test below 50% (RM = 1.36; p<0.005). The ratio between congenital syphilis and syphilis in pregnant women was 33% higher among municipalities with a proportion of poor people above 6.9% (RM=1.33; p<0.001) and 24% higher among locations with less than 50% availability of rapid tests (RM=1.24; p<0.001). There was no statistical significance of the “Prenatal Quality Score” compared to the outcomes. Trend analysis showed a strong effect of time (years) on the incidence of congenital syphilis (F=0.146; p<0.001) and on the ratio between congenital syphilis and syphilis in pregnant women (F=0.192; p<0.001). In contrast, it was verified that the interaction between year and Human Development Index (HDI) and year and “Prenatal Quality Score” had low effects on outcomes. The findings of this study refer to a worrying national scenario with regard to the prevention and control of congenital syphilis. However, it is noteworthy that the availability of rapid tests and better living conditions and health of the population, especially regarding socioeconomic aspects, were associated with better outcomes. The present research highlighted the important features of inequality in the occurrence of congenital syphilis, drawing attention to strategies to reduce health inequities and improve prenatal care.

BANKING MEMBERS:
Presidente - 1149540 - ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
Interno - 2379141 - RICHARDSON AUGUSTO ROSENDO DA SILVA
Externa ao Programa - 1674688 - TATYANA MARIA SILVA DE SOUZA ROSENDO
Externo à Instituição - ANDRÉ LUIS BONIFÁCIO DE CARVALHO