Secretaria Municipal da Saúde Curitiba – Paraná - Brazil

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Secretaria Municipal da Saúde Curitiba – Paraná - Brazil

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Secretaria Municipal da Saúde Curitiba – Paraná - Brazil Mãe Curitibana’s Program Secretaria Municipal da Saúde Curitiba – Paraná - Brazil

Curitiba – Parana in the south of Brazil population 1.6 million 104 health units 13 maternity hospitals –SUS (NHS)

In Curitiba 29 thousand live births per year of resident women before the Program 30% of the pregnant women could not find a hospital bed when in labour

Different needs what did the pregnant women want? a safe labor good quality of care what did the health authorities want? to reduce the vertical transmission of HIV, syphilis and toxoplasmosis

Antenatal Care a new ANC technical protocol a communication sub -project

Antenatal Care the ANC protocol included: guaranty of maternity ward referral at least 6 medical consultations

Antenatal Care the ANC protocol included: routine testing and treatment for HIV, toxoplasmosis and syphilis

Antenatal Care home visits with the nurse staff or the community health agents

Antenatal Care visit to the maternity ward in the 6° ou 7° month

Antenatal Care the communication sub-project included the design of: a logo an educational booklet a handbag

Antenatal Care the communication sub-project included: technical training of the health professionals

Antenatal Care organization of 2–4 educational workshops

increase in the number of pregnant women attending the PHC units Results – 1999 and 2000 increase in the number of pregnant women attending the PHC units 30% em 1999 97% em 2000

Results – 1999 and 2000 decrease in maternal mortality

Results – 1999 and 2000 reduction of the vertical transmission of syphilis and toxoplasmosis

Results– 1999 to 2001 detection of HIV in pregnancy 88% tested (41679 exams) 387 HIV+ 0.93%

Results– 1999 and 2000 reduction of mother to child HIV transmission 1999 – 5.9% 2000 – 5.2%

Results increased satisfaction – pregnant women and health professionals 95% of the women enrolled were satisfied with the program

Lessons learned integration with a good ANC program is essential to the success of a PMTCT of HIV/Aids

Lessons learned the Primary Health Care Units / professionals are able to deal with the problem of HIV in their community

Mãe Curitibana the future is built in the present