دورية أكاديمية

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

التفاصيل البيبلوغرافية
العنوان: Analyzing a national health surveillance strategy to reduce mother-to-child transmission of syphilis: The case of Brazilian investigation committees.
المؤلفون: de Souza Mareco TC; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil.; University of Brasília, Brasília, Federal District, Brazil., de Moura Santos Lima TGF; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil., Ramos MNP; Open University of Portugal, Lisbon, Portugal., Dos Santos MM; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil., da Silva JA; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil.; Graduate Program in Health Management and Innovation, Federal University of Rio Grande do Norte, Natal, Brazil., Priamo V; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil., de Brito CMG; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil.; University of Pernambuco, Recife, Brazil., Dos Santos Pereira ED; Oswaldo Cruz Foundation, Rio de Janeiro, Brazil., de Oliveira CAP; State University of Rio de Janeiro, Rio de Janeiro, Brazil., Cortez LR; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil.; Graduate Program in Health Management and Innovation, Federal University of Rio Grande do Norte, Natal, Brazil., de Andrade IGM; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil., de Almeida MCD; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil., de Medeiros Valentim RA; Laboratory for Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Brazil.
المصدر: IJID regions [IJID Reg] 2023 Aug 10; Vol. 8, pp. 164-171. Date of Electronic Publication: 2023 Aug 10 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 9918418183106676 Publication Model: eCollection Cited Medium: Internet ISSN: 2772-7076 (Electronic) Linking ISSN: 27727076 NLM ISO Abbreviation: IJID Reg Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier Ltd., [2021]-
مستخلص: Objectives: 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.
Competing Interests: The authors have no competing interests to declare.
(© 2023 The Author(s).)
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فهرسة مساهمة: Keywords: Congenital syphilis; Mother-to-child transmission of infectious diseases; Public health policy
تواريخ الأحداث: Date Created: 20230911 Latest Revision: 20230913
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10482742
DOI: 10.1016/j.ijregi.2023.07.008
PMID: 37694221
قاعدة البيانات: MEDLINE
الوصف
تدمد:2772-7076
DOI:10.1016/j.ijregi.2023.07.008