[Prevention of vertical HIV transmission in Campos dos Goytacazes, Rio de Janeiro, Brazil].
Prevention of mother-to-child HIV transmission is an emerging public health challenge. In Brazil, preventive prophylaxis with AZT during pregnancy, at delivery, and for newborns was introduced in 1996, with a marked reduction in transmission (less than 5.0% nationwide). Since 1999 the Municipal STD/AIDS Program in Campos dos Goytacazes, Rio de Janeiro State (population = 416,441) has acted in the prevention of vertical transmission. In 2001/2003, there was a moderately increased implementation (from 28.0% to 36.0%) of HIV screening services during pregnancy, and more pregnant women were knowledgeable about vertical HIV transmission. Remaining challenges are to expand HIV screening to pregnant women at large and to effectively introduce rapid diagnostic tests for HIV in the delivery room. Such actions are expected to change the current situation, in which only 6.8% of infected children under observation had access to prophylaxis for vertical HIV transmission.
Fernandes
Regina Célia de Souza Campos
RC
Programa Municipal de DST/AIDS de Campos dos Goytacazes, Campos dos Goytacazes, Brasil. reg.fernandes@bol.com.br
Araújo
Luciana Cordeiro de
LC
Medina-Acosta
Enrique
E
D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D001938:Brazil; D036861:Delivery, Obstetric / Q000145:classification; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission*; D006679:HIV Seropositivity / Q000175:diagnosis / Q000188:drug therapy / Q000635:transmission; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D012959:Socioeconomic Factors; D015215:Zidovudine / Q000627:therapeutic use
D019380:Anti-HIV Agents; D015215:Zidovudine