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

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

3. 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

4. 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

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

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

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

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

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

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

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

12. Antenatal Care
organization of 2–4 educational workshops

13. 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

14. Results – 1999 and 2000
decrease in maternal mortality

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

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

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

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

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

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

21. Mãe Curitibana
the future is built in the present