HIV in pregnant woman and children: Mother‐to‐child transmission of HIV in the Brazilian land border from 2010 to 2021

作者：Leonor Henriette de Lannoy, Anderson Fuentes, Patrícia Carla dos Santos, Ronaldo de Almeida Coelho, Angélica Espinosa Miranda · 发表于：International Journal of Gynecology & Obstetrics · 年份：2024 · DOI：10.1002/ijgo.15737 · 被引用次数：6 · 研究领域：HIV/AIDS Research and Interventions、Adolescent Sexual and Reproductive Health、Maternal and Neonatal Healthcare

OBJECTIVE: The aim of the present study was to analyze the profile and trends of HIV mother-to-child transmission (MTCT) in the Brazilian land border strip (LBS). METHODS: This was a quantitative, ecological, and cross-sectional study using secondary data available in the information systems of the Brazilian Ministry of Health. All cases reported in the Notifiable Diseases Information System between 2010 and 2021 were studied. RESULTS: Between 2010 and 2021, 275 children were born infected through MTCT, and 6076 pregnant women were living with HIV in the Brazilian LBS. HIV detection rates in pregnant women increased in all border arcs. The northern arc experienced the highest increase (19.6%), followed by the central arc (11.4%), and the southern arc (6.1%). Despite historically high detection rates, the southern arc exhibited the smallest increase. While MTCT rate decreased by 37.7% in the border area, the central arc showed no statistically significant reduction. In 2021, the average age of pregnant women was 26.2 years, 25.7% had up to 8 years of schooling, and 55.8% identified as non-white. The majority (92.8%) received antenatal care, and 59.7% were diagnosed with HIV before prenatal care. The use of prophylactic antiretroviral therapy during prenatal care occurred in 69.6% of pregnant women, and infant prophylaxis was provided within first 24 h to 43.6% of live births. CONCLUSION: The results indicate progress in reducing MTCT cases in Brazilian LBS. Disparities in HIV ...