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Analyzing a national health surveillance strategy to reduce mother-to-child transmission of syphilis: the case of Brazilian investigation committees

2023Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidadept_PT
dc.contributor.authorMareco, Thereza Cristina de Souza
dc.contributor.authorLima, Thaísa Santos
dc.contributor.authorRamos, Natália
dc.contributor.authorSantos, Marquiony Marques
dc.contributor.authorSilva, José Adailton da
dc.contributor.authorPriamo, Vania
dc.contributor.authorBrito, Cintia Michele Gondim de
dc.contributor.authorPereira, Esdras Daniel dos Santos
dc.contributor.authorOliveira, Carlos Alberto Pereira de
dc.contributor.authorCortez, Lyane Ramalho
dc.contributor.authorAndrade, Ion Garcia Mascarenhas de
dc.contributor.authorAlmeida, Milena Cristina Duarte de
dc.contributor.authorValentim, Ricardo Alexsandro de Medeiros
dc.date.accessioned2023-09-11T08:12:39Z
dc.date.available2023-09-11T08:12:39Z
dc.date.issued2023
dc.description.abstractObjectives: This study aimed to analyze the relevance of investigation committees in eliminating mother-to-child transmission of syphilis in Brazil. Methods: Questionnaires and interviews were conducted with health managers of 25 Brazilian Federative Units and Brazil’s Federal District. Data were analyzed using Bardin’s content analysis technique and subsequently compared with the global prescriptions for syphilis response of the Pan American Health Organization, World Health Organization, and recent research publications examining the course of syphilis in Brazil, in Brazilian regions, and globally. Results: While the investigation committees drew on the successful experience of those in reducing maternal mortality, which helped the country achieve the Millennium Development Goals, they are not demonstrated to be sufficient for preventing mother-to-child transmission of syphilis. The committees’ systematic and bureaucratic agenda has not been efficient in managing avoidable factors for syphilis, nor do they operate in the scope of the integration of surveillance and care actions, as recommended by the health policy. Conclusion: The committees’ model needs to be reviewed in the context of Brazil’s National Health System. The research process should be rescaled in order to remain a cornerstone for the induction of health policy that integrates surveillance and healthcare across Brazilian Federative Units. The advancement toward an automated case management model becomes relevant for the country to meet global commitments to eliminate congenital syphilis transmission and achieve the goals outlined in the 2030 Agenda.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMareco, T.C.S.; Lima, T. G. F. M. S.; Ramos, M. N. P. R.; Santos, M. M.; Silva, J. A.; Priamo, V.; Brito, C. M. G.; Pereira, E. D. S.; Oliveira, C. A. P.; Cortez, L. R.; Andrade, I. G. M.; Almeida, M. C. D.; Valentim R. A. M. (2023). Analyzing a national health surveillance strategy to reduce mother-to-child transmission of syphilis: The case of Brazilian investigation committees. IJID Regions 8 p. 164–171pt_PT
dc.identifier.doihttps://doi.org/10.1016/j.ijregi.2023.07.008pt_PT
dc.identifier.issn2772-7076
dc.identifier.urihttp://hdl.handle.net/10400.2/14850
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevier Ltd and International Society for Infectious Diseases/ISIDpt_PT
dc.relation.publisherversionhttps://www.sciencedirect.com/journal/ijid-regionspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectMother-to-child transmission of infectious diseasespt_PT
dc.subjectCongenital syphilispt_PT
dc.subjectPublic health policypt_PT
dc.subjectSyphilispt_PT
dc.titleAnalyzing a national health surveillance strategy to reduce mother-to-child transmission of syphilis: the case of Brazilian investigation committeespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage171pt_PT
oaire.citation.startPage164pt_PT
oaire.citation.titleIJID Regionspt_PT
person.familyNameRamos
person.givenNameNatália
person.identifier.ciencia-idDA15-2790-33C3
person.identifier.orcid0000-0002-8448-1846
person.identifier.scopus-author-id56769281700
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication1b82562b-8ab7-400e-ad9d-2437fab4a256
relation.isAuthorOfPublication.latestForDiscovery1b82562b-8ab7-400e-ad9d-2437fab4a256

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