Metas para erradicação da sífilis congênita: avaliação no município de Palmas – TO

Abstract

The transmission of syphilis from mother to child occurs through the transplacental barrier and can result in serious consequences for the baby, such as prematurity, low birth weight, stillbirth, neonatal death and other congenital deformities. This situation highlights the importance of interrupting the chain of transmission at any stage. In this context, the role of health workers is fundamental to effectively combating the transmission of these diseases. Faced with this problem, this research investigates how reported cases of gestational and congenital syphilis in the municipality of Palmas-TO have behaved in the face of strategies to eradicate vertical transmission of syphilis, in line with the targets set by the Ministry of Health and the World Health Organization. Although efforts have been made to achieve these targets, gaps remain in the prevention and control of vertical transmission of syphilis. With this in mind, this study seeks to answer the following question: How have notified cases of gestational and congenital syphilis in Palmas-TO contributed to achieving the goals of eradicating vertical transmission of syphilis? The aim of the study is to evaluate the epidemiological profile of notifications of gestational and congenital syphilis in the municipality of Palmas-TO between 2012 and 2022, based on data from the Notifiable Diseases Information System (SINAN), and to identify the factors that influence the achievement of theindicators proposed by health institutions. The relevance of the research lies in the need to understand the socio-epidemiological characteristics of pregnant women and babies affected, as well as to evaluate the strategies adopted to interrupt vertical transmission of syphilis. This information can support public policies and more effective actions to combat the disease. The data collected indicated that the majority of pregnant women notified were brown, had completed high school, were in the productive age group (20 to 39 years) and were diagnosed in the tertiary phase of the disease. Among the babies, the majority were brown, female and developed into live births. As for the targets, the variables that most influenced the achievement of the indicators included: treatment carried out, adequate treatment and partner treatment for pregnant women with syphilis. In the case of congenital syphilis, the determining factors were clinical diagnosis, performance of the first test, result of the first test and the baby's outcome.