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Epidemiologia e Serviços de Saúde
versão impressa ISSN 1679-4974versão On-line ISSN 2237-9622
Resumo
MIRANDA, Angélica Espinosa et al. Subnational certification of elimination of mother-to-child transmission of HIV and/or syphilis: a Brazilian experience report. Epidemiol. Serv. Saúde [online]. 2023, vol.32, n.3, e2023439. Epub 18-Out-2023. ISSN 1679-4974. http://dx.doi.org/10.1590/s2237-96222023000300003.en.
Objective:
to describe the subnational implementation process of the certification for elimination of mother-to-child transmission of HIV and/or syphilis, its main barriers, challenges and opportunities.
Methods:
in 2022, indicators from the last full year for impact targets and the last two full years for process targets, available in national information systems, were evaluated; descriptive reports were analyzed and actions were acknowledged within four thematic axes, according to PAHO/WHO recommendations.
Results:
43 municipalities ≥ 100,000 inhabitants were certified, covering 24.6 million inhabitants; one municipality achieved dual elimination (HIV-syphilis), 28 municipalities achieved elimination of HIV and 10 received silver tiers; regarding syphilis, one elimination was observed, along with 4 gold tiers, 13 silver tiers and 4 bronze tiers; a higher number of certifications was identified in the Southeast and South regions.
Conclusion:
barriers and challenges of the process were overcome through tripartite collaboration; the experience provided better integration of surveillance with care and improved actions aimed at preventing mother-to-child transmission.
Palavras-chave : Mother-to-child Transmission; HIV; Syphilis; Public Health Surveillance; Certification.


