Ministério da Saúde, Departamento de HIV/Aids, Tuberculose, Hepatites Virais e Infecções Sexualmente Transmissíveis, Brasília, DF, Brazil.
Ministério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Brasília, DF, Brazil.
Epidemiol Serv Saude. 2023 Oct 30;32(3):e2023439. doi: 10.1590/S2237-96222023000300003.EN. eCollection 2023.
to describe the subnational implementation process of the certification for elimination of mother-to-child transmission of HIV and/or syphilis, its main barriers, challenges and opportunities.
in 2022, indicators from the last full year for impact targets and the last two full years for process targets, available in national information systems, were evaluated; descriptive reports were analyzed and actions were acknowledged within four thematic axes, according to PAHO/WHO recommendations.
43 municipalities ≥ 100,000 inhabitants were certified, covering 24.6 million inhabitants; one municipality achieved dual elimination (HIV-syphilis), 28 municipalities achieved elimination of HIV and 10 received silver tiers; regarding syphilis, one elimination was observed, along with 4 gold tiers, 13 silver tiers and 4 bronze tiers; a higher number of certifications was identified in the Southeast and South regions.
barriers and challenges of the process were overcome through tripartite collaboration; the experience provided better integration of surveillance with care and improved actions aimed at preventing mother-to-child transmission.
First experience of the sub-national process of certification of elimination of mother-to-child transmission (MTCT) of HIV and/or syphilis at a global level. In 2022, 43 municipalities ≥ 100,000 inhabitants were certified, covering 24.6 million inhabitants.
The experience of sub-national certification of the EMTCT was important in mobilizing the municipalities that engaged in its initiatives, worked to improve the quality of care and surveillance and emerging as the main proponents in the process.
Through this ongoing and dynamic initiative, there is an anticipation of over 100 municipalities and states joining in 2023. Sub-national certification aims to enhance comprehensive care for pregnant women, in order to achieve national certification of EMTCT.
描述消除艾滋病毒和/或梅毒母婴传播认证的国家以下层面实施过程、主要障碍、挑战和机遇。
2022 年，评估了国家信息系统中可获得的最后一个完整年度的影响指标和最后两个完整年度的过程指标；根据泛美卫生组织/世界卫生组织的建议，对描述性报告进行了分析，并在四个专题轴内承认了各项行动。
43 个居民人数≥100 万的城市获得认证，覆盖 2460 万居民；一个城市实现了双重消除（艾滋病毒-梅毒），28 个城市实现了艾滋病毒消除，10 个城市获得了银牌级别；在梅毒方面，一个城市实现了消除，还有 4 个金牌级别、13 个银牌级别和 4 个铜牌级别；东南部和南部地区的认证数量较多。
通过三方合作克服了该过程中的障碍和挑战；该经验更好地整合了监测与护理，并改进了旨在预防母婴传播的行动。
全球首次在国家以下层面开展消除艾滋病毒和/或梅毒母婴传播认证的经验。2022 年，43 个居民人数≥100 万的城市获得认证，覆盖 2460 万居民。
国家以下层面的 EMTCT 认证经验对于动员参与其举措的城市具有重要意义，有助于改善护理和监测质量，并在该过程中成为主要倡导者。
通过这一正在进行的、充满活力的倡议，预计 2023 年将有 100 多个城市和州加入。国家以下层面的认证旨在加强对孕妇的综合护理，以实现 EMTCT 的国家认证。
