CARICOM Health Ministers Launch Regional Initiative for HIV and Syphilis Free Generation: 2015 Deadline to End Mother-To-Child Transmission of HIV and Congenital Syphilis

2009 ◽  
Keyword(s):  
Congenital Syphilis ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Free Generation ◽  
Mother To Child

scholarly journals Lessons about the reliability of congenital syphilis and vertical HIV transmission data learned from case reviews in Uruguay: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Susana Cabrera ◽  
Mariangela Freitas Silveira ◽  
Ana Visconti ◽  
Fabian García ◽  
Rafael Aguirre ◽  
...  
Keyword(s):  
Health Care ◽  
Gestational Age ◽  
Congenital Syphilis ◽  
Cross Sectional Study ◽  
Mother To Child Transmission ◽  
Sectional Study ◽  
Child Transmission ◽  
Cross Sectional ◽  
Pregnancy Diagnosis ◽  
Mother To Child

Abstract Background In Uruguay it is mandatory to review all cases of positive HIV or reactive syphilis tests in pregnancy and peripartum. We compared the rates of mother-to-child transmission of syphilis and HIV detected by case reviews to those obtained from the usual surveillance system and described the characteristic of vertical transmission cases. Methods This is a cross-sectional study performed with secondary data obtained from official government sources, for all the country cases of maternal to child transmission of HIV and syphilis from 2012 to 2017, with descriptive analyses. For congenital syphilis analyses, the following pregnancy characteristics were investigated: number of antenatal checks, gestational age at pregnancy diagnosis, gestational age at syphilis test and diagnosis, adequate treatment, and treatment of partners. Sociodemographic characteristics included type of health care (public/private), maternal age, distribution of ethnic minorities, maximum educational attainment, presence of partner, planned pregnancy, drug and alcohol use, domestic violence, previous maternal diagnosis of syphilis, and previous children with congenital syphilis. Results Coverage of syphilis case reviews increased from 82% in 2014 to 97.4% in 2017. For HIV, this coverage reached 100% in 2017 and elimination of mother to child transmission was achieved. A marked decline in congenital syphilis was noted in the public health care sector, especially in the capital Montevideo, whereas the private sector has remained below the elimination target. Variables related with congenital syphilis in exposed children were late pregnancy diagnosis, < 5 antenatal checks, delayed diagnosis of gestational syphilis, lower rate of correct treatment for gestational syphilis, untreated partner, low maternal schooling, unplanned pregnancy, history of syphilis, and having other children with syphilis. Conclusion The use of case reviews provided knowledge regarding the accurate number of mother-to-child transmission cases and the evolution of elimination of mother to child transmission in the country. The results suggest that rates must be adjusted, providing an opportunity to improve the reliability of surveillance data, and point the need to address specific gaps in order to improve the quality of care during pregnancy, delivery, and the neonatal period.

Elimination of mother-to-child transmission of syphilis: Is it a reality in Nigeria by 2020?

2017 ◽  
Vol 46 (8) ◽  
pp. 794-797 ◽  
Author(s):  
Daniel A. Adeyinka ◽  
Babayemi O. Olakunde ◽  
Chamberline E. Ozigbu ◽  
Emmanuel A. Agogo ◽  
Mercy Morka ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Congenital Syphilis ◽  
Scale Up ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Treatment Coverage ◽  
Syphilis Screening ◽  
Maternal Syphilis ◽  
Mother To Child

Background: Congenital syphilis is a global health problem, yet it has received little attention in recent years. Despite cost-effective syphilis screening and treatment, it continues to contribute hugely to perinatal morbidity and mortality worldwide. Aims: To determine the prevalence and treatment coverage trend for syphilis among pregnant women in the national prevention of mother-to-child transmission programme in Nigeria and to evaluate progress towards the elimination of congenital syphilis in the country. Methods: A retrospective analysis of validated national health sector performance data on pregnant women attending antenatal care at prevention of mother-to-child transmission clinics from 2013 to 2016 in Nigeria. Results: The proportion of new antenatal care attendees who annually received serological testing for syphilis increased from 12.2% in 2013 to 16.3% in 2016 (p-trend<0.0001). Although the prevalence of maternal syphilis decreased from 3.2% in 2013 to 1.4% in 2016 (p-trend<0.0001), the syphilis treatment coverage during pregnancy has decreased from 71.3% in 2013 to 54.9% in 2016 (p-trend<0.0001). Conclusions: Maternal syphilis screening and treatment in Nigeria are inadequate to meet the elimination aspirations. A rapid scale-up of antenatal care syphilis screening and treatment are crucial to averting an epidemic in Nigeria by 2020.

scholarly journals Prevalence of syphilis and HIV infection during pregnancy in incarcerated women and the incidence of congenital syphilis in births in prison in Brazil

2017 ◽  
Vol 33 (11) ◽  
Author(s):  
Rosa Maria Soares Madeira Domingues ◽  
Maria do Carmo Leal ◽  
Ana Paula Esteves Pereira ◽  
Barbara Ayres ◽  
Alexandra Roma Sánchez ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Pregnant Women ◽  
Social Vulnerability ◽  
Congenital Syphilis ◽  
Incarcerated Women ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Syphilis Infection ◽  
Free Women ◽  
Mother To Child

Abstract: This study aimed to estimate the prevalence of syphilis and HIV infection during pregnancy, the mother to child transmission of syphilis and the incidence of congenital syphilis in incarcerated women in Brazil; to compare these rates to those observed in pregnant women outside of jail; and to verify the maternal factors associated with syphilis infection during pregnancy in free and incarcerated women. We used data from two nationwide studies conducted during the period 2011-2014. The Birth in Brazil study included 23,894 free women cared for in 266 hospitals. The Maternal and Infant Health in Prisons study included 495 incarcerated pregnant women or mothers living with their children, according to a census conducted in 33 female prisons. The same case definitions and data collection methods were used in both studies. The chi-square test was used to compare the characteristics of incarcerated and free women with a significance of 0.05. For incarcerated women, the estimated prevalence of syphilis during pregnancy was 8.7% (95%CI: 5.7-13.1) and for HIV infection 3.3% (95%CI: 1.7-6.6); the estimated mother to child transmission of syphilis was 66.7% (95%CI: 44.7-83.2) and the incidence of congenital syphilis was 58.1 per 1,000 living newborns (95%CI: 40.4-82.8). Incarcerated women had a greater prevalence of syphilis and HIV infection during pregnancy, lower quality of antenatal care and higher levels of social vulnerability. Syphilis infection showed to be an indicator of social vulnerability in free women, but not in incarcerated women. Health initiatives in prison are necessary to reduce healthcare inequalities and should include adequate antenatal and birth care.

scholarly journals Control of mother-to-child transmission of infectious diseases in Brazil: progress in HIV/AIDS and failure in congenital syphilis

2007 ◽  
Vol 23 (suppl 3) ◽  
pp. S370-S378 ◽  
Author(s):  
Alberto Novaes Ramos Jr. ◽  
Luiza Harunari Matida ◽  
Valéria Saraceni ◽  
Maria Amélia de S. M. Veras ◽  
Ricardo José Soares Pontes
Keyword(s):  
Public Health ◽  
Prenatal Care ◽  
Congenital Syphilis ◽  
Integrated Approach ◽  
Epidemiological Surveillance ◽  
Diagnostic Tools ◽  
Mother To Child Transmission ◽  
Prevention Measures ◽  
Child Transmission ◽  
Mother To Child

In Brazil, syphilis and HIV infection are considered serious public health problems. However, in practice, epidemiological surveillance, prevention measures, and prenatal care seem to be more effective in the control of mother-to-child transmission of the HIV than in the control of transmission of the Treponema pallidum. Here we discuss the differences in surveillance, prenatal care, and care of the newborn. Important differences were identified. It is concluded that there is an urgent need to establish prevention of mother-to-child transmission of syphilis as a public health priority, using an integrated approach including women's health, children's health, primary health care, and STD/AIDS programs on all governmental levels. These issues also need to be discussed with all stakeholders involved. Important aspects related to the problem are the training of public health professionals, as well as the participation of the community. The elimination of congenital syphilis does not require expensive drugs, and diagnostic tools, but a long-term sustainable approach.

scholarly journals The Cuban Experience in the Elimination of Mother-to-Child Transmission of Congenital Syphilis

2016 ◽  
Vol 106 (11) ◽  
pp. 1975-1976 ◽  
Author(s):  
Islay Rodríguez ◽  
Angel A. Noda ◽  
Katia Ale ◽  
Lola V. Stamm
Keyword(s):  
Congenital Syphilis ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Mother To Child
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