Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/10027
Title: Cascade of access to interventions to prevent HIV mother to child transmission in the metropolitan area of Rio deJaneiro, Brazil
Authors: Araujo, Elaine da Silva Pires
Friedman, Ruth Khalili
Camacho, Luis Antonio Bastos
Derrico, Monica
Moreira, Ronaldo Ismério
Calvet, Guilherme Amaral
Oliveira, Marília Santini de
Veloso, Valdilea Gonçalves
Pilotto, José Henrique
Grinsztejn, Beatriz Gilda Jegerhorn
Affilliation: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil / Hospital Geral de Nova Iguaçu. Serviço de DST/HIV/AIDS. Nova Iguaçu, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Publica. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de AIDS e Imunologia Molecular / Hospital Geral de Nova Iguaçu. Nova Iguaçu, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Abstract: Objectives: To describe the access to the interventions for the prevention of Human Immun-odeficiency Virus (HIV) mother to child transmission and mother to child transmission ratesin the outskirts of Rio de Janeiro, from 1999 to 2009.Methods: This is a retrospective cohort study. Prevention of HIV mother to child transmissioninterventions were accessed and mother to child transmission rates were calculated.Results: The study population is young (median: 26 years; interquartile range: 22.0–31.0), withlow monthly family income (40.4% up to one Brazilian minimum wage) and schooling (62.1%less than 8 years). Only 47.1% (n = 469) knew the HIV status of their partner; of these women,39.9% had an HIV-seronegative partner. Among the 1259 newborns evaluated, access to theantenatal, intrapartum and postpartum prevention of HIV mother to child transmissioncomponents occurred in 59.2%, 74.2%, and 97.5% respectively; 91.0% of the newborns werenot breastfed. Overall 52.7% of the newborns have benefited from all the recommendedinterventions. In subsequent pregnancies (n = 289), 67.8% of the newborns received the fullpackage of interventions. The overall rate of HIV vertical transmission was 4.7% and thehighest annual rate occurred in 2005 (7.4%), with no definite trend in the period.Conclusions: Access to the full package of interventions for the prevention of HIV verticaltransmission was low, with no significant trend of improvement over the years. The verti-cal transmission rates observed were higher than those found in reference services in themunicipality of Rio de Janeiro and in the richest regions of the country.
DeCS: HIV
Infectious Disease Transmission, Vertical/prevention & control
Anti-Retroviral Agents/immunology
Chemoprevention
Cohort Studies
Brazil
Issue Date: 2014
Publisher: Elsevier
Citation: ARAUJO, Elaine da Silva Pires et al. Cascade of access to interventions to prevent HIV mother to child transmission in the metropolitan area of Rio deJaneiro, Brazil. Brazilian journal of infectious diseases, Salvador, v. 18, n. 3, p. 252-260, 2014.
DOI: 10.1016/j.bjid.2013.11.002
ISSN: 1413-8670
Copyright: open access
Appears in Collections:ENSP - Artigos de Periódicos
INI - Artigos de Periódicos
IOC - Artigos de Periódicos

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