Marseille 2007
| Abstract #451 - STRATEGIES TO REDUCE HIV VERTICAL TRASMISSION IN RIO DE JANEIRO BRAZIL | ||||
|
Session: 26.46: Posters B (Poster) on Tuesday in Chaired by Authors: Presenting Author: Dr Luiza Cromack - Rio de janeiro Health Secretariat, Brazil |
||||
| Additional Authors: Dr Katia Valente, Dr Asuncion Sole Pla, Dr Alexandre Chieppe, | ||||
| Aim: To reduce HIV Vertical Transmission in Rio de Janeiro State considering different social , economical and geografic contexts that exist among its 83 cities. | ||||
| Method / Issue: Rio the Janeiro is the second state of Brazil in number of aids cases (40794). Since 1996 the Ministry of Health in Brazil established a protocol focusing on HIV vertical transmission, obliging counseling and offer of HIV test for all pregnant women during the first pre natal care visit, quimioprophylaxis to positive pregnant women, during pregnancy, in the moment of delivery and for the baby during six weeks, besides the provision of artificial milk to substitute breast feeding. In 2000 turned to be compulsory the notification of all HIV infected pregnant women and of the exposed children. Since then, 1774 pregnant women had been notified in the state. There are 78,9% of them formally notified, 10% hadnt had any pre natal care visit and 20% didnt receive prophylaxis during deliver, 5% of the babies also didnt receive adequate prophylaxis. In 2006 the STD/Aids Health Department of Rio de Janeiro State promote a workshop with the managers of STD/Aids programs and managers of health family programs in order to identify the main challenges to reduce HIV Vertical Transmission. | ||||
| Results / Comments: The main points observed were: the necessity of improve the epidemiological work, integrating it with the other programs (women health, adolescent health and family health programs) in order to facilitate the early access of pregnant women to pre natal care services; to create educational health strategies that can include male participation, since assist partners and their adherence to prevention and treatment was appointed as one of the major difficulties. An other important point, is the necessity of decentralization of prevention and assistance actions through family health program, also in order to facilitate access of pregnant women and her partner(s)to health services .Health professionals must be well trained in pre natal care, delivery assistance and counseling, since some womwn and their partners are inadequately treated. | ||||
| Discussion: We linked some of those facts, to the social construction of gender that involves all sectors of our societies well mixed with social construction of aids epidemic.Discussion that must take place among health proffessionals. It is fundamental to amplify and better organize the health services and the net that they compound. The totality of those strategies can reduce drastically HIV vertical transmission, recognize them, according to the reality of each city of the state, is a compromise that managers must assume to fight against HIV/Aids and to warrant the sexual and reproductive rights of people living with HIV. | ||||
| Go Back | ||||
