Banca de DEFESA: BEATRIZ DE FREITAS JUNQUEIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : BEATRIZ DE FREITAS JUNQUEIRA
DATE: 19/12/2022
TIME: 09:00
LOCAL: Em ambiente virtual (Google Meet)
TITLE:

QUALITY IMPROVEMENT STRATEGIES FOR MATERNAL-FETAL SYPHILIS PREVENTION

KEY WORDS:

Quality Improvement, Congenital Syphilis, Collaborative Learning.

PAGES: 48
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: Syphilis has had a simple, effective and relatively inexpensive treatment for more than three quarters of a century. However, both acquired syphilis and congenital syphilis have increased dramatically over the past two decades. In 2019, the detection rate of syphilis in pregnant women was 20.8/1,000 live births and the incidence rate of congenital syphilis, 8.2/1,000 live births. The numbers of cases of infection are worrying, despite all the efforts of recent years. The goal of the World Health Organization is to reduce it to 0.5 per 1,000 live births, however, it is very difficult to reach this goal. Objective: To build, with quality improvement tools, a theory of change and a measurement strategy to increase the timely diagnosis and treatment of pregnant women with syphilis, with the consequent reduction of its vertical transmission. Methodology: This is an improvement project with the development of a theory of change and a measurement strategy, jointly constructed by a multidisciplinary team from the Federal University of Rio Grande do Norte (UFRN) and the Institute for Healthcare Improvement (IHI), under the aegis of the IHI's Breakthrough Series Collaborative methodology. A pilot study with an improvement project design is underway, in which improvement teams from 10 municipalities in Brazil are testing the proposed theory. Once confirmed that this theory of change results in improvement, it will be available to be implemented for the care of people with syphilis. The measurement strategy of the theory of change was built in line with the objective of the project and the main processes involved, with result, process and balance indicators having been determined. Results: The Guiding Diagram is organized into 5 primary drivers: 1) Pregnant women with access to prenatal care; 2) Care flow for pregnant women with syphilis; 3) Highly qualified teams; 4) Pregnant women, family members and sexual partners involved; 5) Engaged leaders; to which 8 secondary drivers relate: 1) Co-create efficient mechanisms for scheduling and prenatal care; 2) Make the VDRL and Rapid Test for syphilis available daily at the units; 3) Promote the effective management of syphilis and reinfection cases; 4) Ensure the availability and application of medicines; 5) Train health professionals in the application of prenatal and care protocols for pregnant women with syphilis; 6) Train health professionals; 7) Develop culturally appropriate actions on syphilis for pregnant women, families and sexual partners; 8) Create mechanisms for leadership involvement in monitoring the Collaborative's actions and results. The Measurement Strategy describes, through operational definitions, 12 indicators related to the objectives of the pilot project that will be measured by the participants of the Collaborative. Conclusions: The theory of change represents an opportunity to promote transformations in the work processes of primary care teams for the care of pregnant women during prenatal care, with a view to reducing vertical transmission of syphilis and providing learning about the fundamentals of the Science of Improvement and the IHI Improvement Model, which may be used in the future in other initiatives, inside and outside the selected units.

COMMITTEE MEMBERS:
Presidente - 1645299 - MARISE REIS DE FREITAS
Interna - 1674688 - TATYANA MARIA SILVA DE SOUZA ROSENDO
Externa à Instituição - ROSELI CALIL - UNICAMP