Implementation of Fast Tests for Syphilis and HIV in Prenatal Care in Fortaleza - Ceará

OBJECTIVE:

to describe the implementation of the Fast Test (FT) of syphilis and HIV in prenatal care in primary healthcare units in Fortaleza, Ceará.

METHOD:

a descriptive study with a quantitative approach. There were training supervisions carried out in 24 units between May and August 2014, and the inclusion criterion was to have at least one trained professional.

RESULTS:

the physical space, the availability, validity and the performance of FT in prenatal were analyzed. The data were presented in simple frequency tables. It was identified adequate space in 79.2% of the units, availability of FT in 62.5%, performing the tests in 37.5%, and of these, 55.6% doing these procedures in routine prenatal care.

CONCLUSION:

the primary units have difficulties in implementing FT in syphilis and HIV in the prenatal routine. This activity is seen as an effective strategy to reduce vertical transmission of these infections.

Aspects related to physical space to perform the Fast Test in primary health care units, Fortaleza, Ceará, Brazil, 2014 

Variables	n	%
Complete ESF (n=24)
Yes	11	44.8
No	13	55.2
Trained professionals (n = 24)
Nurses	20	83.3
Doctors	04	16.7
Private offices (n=24)
Yes	19	79.2
No	05	20.8
Refrigerator exclusive for FT (n = 24)
Yes	18	75.0
No	06	25.0

Aspects related to implementation of the Fast Test (TR) in Primary Health Care Units (UAPS), Fortaleza, Ceará, Brazil, 2014 

Variables	n	%
Had FT in the unit (n=24)
Yes	15	62.5
No	09	37.5
FT in the valdity date (n = 15)
Yes	05	33.4
No	10	66.6
Perform Ft in the unit (n=24)
Yes	09	37.5
No	15	62.5
Perform FT in the routine of PN care (n = 09)
Yes	05	55.6
No	04	44.4

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By:  Lopes AC1, Araújo MA1, Vasconcelo LD2, Uchoa FS3, Rocha HP4, Santos JR5.

• 1Programa de Pós-Graduação em Saúde Coletiva, Universidade de Fortaleza, Fortaleza, CE, Brasil.
• 2Área Técnica de Saúde da Mulher e Gênero, Rede Cegonha, Secretaria Municipal de Saúde, Fortaleza, CE, Brasil.
• 3Área Técnica de DST/Aids e Hepatites Virais, Secretaria Municipal de Saúde, Fortaleza, CE, Brasil.
• 4Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, CE, Brasil.
• 5Residência Integrada em Saúde, Escola de Saúde Pública do Ceará, Fortaleza, CE, Brasil.
• Rev Bras Enferm. 2016 Feb;69(1):62-66. 

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Specialized Care for People with AIDS in the State of Ceara, Brazil

OBJECTIVE

To analyze if the distribution of specialized care services for HIV/AIDS is associated with AIDS rates.

METHODS

Ecological study, for which the distribution of 10 specialized care services in the Ceara state, Northeastern Brazil, was obtained, and the mean rates of the disease were estimated per mesoregion. We evaluated 7,896 individuals who had been diagnosed with AIDS, were aged 13 years or older, lived in Ceara, and had been informed of their condition between 2001 and 2011. Maps were constructed to verify the relationship between the distribution of AIDS cases and institutionalized support networks in the 2001-2006 and 2007-2011 periods. BoxMap and LisaMap were used for data analysis. The Voronoi diagram was applied for the distribution of the studied services.

RESULTS

Specialized care services concentrated in AIDS clusters in the metropolitan area. The Noroeste Cearense and west of the Sertoes Cearenses had high AIDS rates, but a low number of specialized care services over time. Two of these services were implemented where clusters of the disease exist in the second period. The application of the Voronoi diagram showed that the specialized care services located outside the metropolitan area covered a large territory. We identified one polygon that had no services.

CONCLUSIONS

The scenario of AIDS cases spread away from major urban areas demands the creation of social support services in areas other than the capital and the metropolitan area of the state; this can reduce access barriers to these institutions. It is necessary to create specialized care services for HIV/AIDS in the Noroeste Cearenseand north of Jaguaribe.

Below:  Map of the cities and mesoregions of the state of Ceara, according to the 2010 demographic census. Northeastern Brazil, 2014

Below:  Geographical distribution of Specialized Care Services (SCS), mean rates (maps 1A and 2A), BoxMap (maps 1B and 2B) and LisaMap (maps 1C and 2C) of the AIDS rates according to the Moran scatter plot, in the state of Ceara, Northeastern Brazil, 2001-2011

Below:  Distribution of Specialized Care Services (SCS) and Voronoi polygons. Ceara, Northeastern Brazil, 2001-2011

Full article at: http://goo.gl/FK7yIt

By: Nathália Lima Pedrosa, ^I Vanessa da Frota Santos, ^I Simone de Sousa Paiva, ^II Marli Teresinha Gimeniz Galvão, ^III Rosa Lívia Freitas de Almeida, ^IV and Ligia Regina Franco Sansigolo Kerr ^V

^I Programa de Pós-Graduação em Enfermagem. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^IIPrefeitura Municipal de Fortaleza. Fortaleza, CE, Brasil

^IIIDepartamento de Enfermagem. Faculdade de Farmácia, Odontologia e Enfermagem. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^IV Programa de Pós-Graduação em Saúde Coletiva. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^VDepartamento de Saúde Comunitária. Faculdade de Medicina. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^I Programa de Pós-Graduação em Enfermagem. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^IIPrefeitura Municipal de Fortaleza. Fortaleza, CE, Brasil

^IIIDepartamento de Enfermagem. Faculdade de Farmácia, Odontologia e Enfermagem. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^IV Programa de Pós-Graduação em Saúde Coletiva. Universidade Federal do Ceará. Fortaleza, CE, Brasil

^VDepartamento de Saúde Comunitária. Faculdade de Medicina. Universidade Federal do Ceará. Fortaleza, CE, Brasil

Correspondence: Nathália Lima Pedrosa. Rua Alexandre Baraúna, 1115 Rodolfo Teófilo. 60430-160 Fortaleza, CE, Brasil. E-mail:moc.liamg@cfu.itan

  

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