Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study

ABSTRACT BACKGROUND: Prenatal toxoplasmosis remains a neglected disease worldwide and few government programs focusing on its prevention are available. Success in these programs has been extensively reported in the literature, yet the strategies used for their implementation, as a model for such actions in different communities, have not been described. OBJECTIVE: To describe the aspects of prenatal care strategies in 13 municipalities within the regional healthcare unit of Araçatuba, in the northwestern region of the state of São Paulo in 2017, focusing on congenital toxoplasmosis. DESIGN AND SETTING: Descriptive study on prenatal healthcare within the Brazilian National Health System, in 13 participating municipalities. METHODS: Data on serological tests, referral clinics, notifications, healthcare strategies, health education and drugs for infected children were requested through a questionnaire that was sent via e-mail to people responsible for healthcare services in these municipalities. RESULTS: Major differences relating to diagnoses, reference outpatient clinics, notifications, health education and healthcare and drugs for infected children were reported among the prenatal strategies of these 13 municipal healthcare services. CONCLUSION: The lack of standardized prenatal strategy in the study area may compromise the prevention of infection. However, our identification of each aspect of prenatal care corroborates the need to implement a healthcare surveillance program relating to congenital toxoplasmosis.

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Main Authors: Benitez,Aline do Nascimento, Gomes,Jancarlo Ferreira, Dias,Milenne Ura Seixas Santos, Navarro,Italmar Teodorico, Mitsuka-Breganó,Regina, Bresciani,Katia Denise Saraiva
Format: Digital revista
Language:English
Published: Associação Paulista de Medicina - APM 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000500368
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spelling oai:scielo:S1516-318020200005003682020-11-13Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional studyBenitez,Aline do NascimentoGomes,Jancarlo FerreiraDias,Milenne Ura Seixas SantosNavarro,Italmar TeodoricoMitsuka-Breganó,ReginaBresciani,Katia Denise Saraiva Toxoplasma Public health Zoonoses Protozoan infections Prevention and control [subheading] Pregnancy Preventive measures Health policies Gestation ABSTRACT BACKGROUND: Prenatal toxoplasmosis remains a neglected disease worldwide and few government programs focusing on its prevention are available. Success in these programs has been extensively reported in the literature, yet the strategies used for their implementation, as a model for such actions in different communities, have not been described. OBJECTIVE: To describe the aspects of prenatal care strategies in 13 municipalities within the regional healthcare unit of Araçatuba, in the northwestern region of the state of São Paulo in 2017, focusing on congenital toxoplasmosis. DESIGN AND SETTING: Descriptive study on prenatal healthcare within the Brazilian National Health System, in 13 participating municipalities. METHODS: Data on serological tests, referral clinics, notifications, healthcare strategies, health education and drugs for infected children were requested through a questionnaire that was sent via e-mail to people responsible for healthcare services in these municipalities. RESULTS: Major differences relating to diagnoses, reference outpatient clinics, notifications, health education and healthcare and drugs for infected children were reported among the prenatal strategies of these 13 municipal healthcare services. CONCLUSION: The lack of standardized prenatal strategy in the study area may compromise the prevention of infection. However, our identification of each aspect of prenatal care corroborates the need to implement a healthcare surveillance program relating to congenital toxoplasmosis.info:eu-repo/semantics/openAccessAssociação Paulista de Medicina - APMSao Paulo Medical Journal v.138 n.5 20202020-10-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000500368en10.1590/1516-3180.2019.0512.r2.10062020
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country Brasil
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language English
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author Benitez,Aline do Nascimento
Gomes,Jancarlo Ferreira
Dias,Milenne Ura Seixas Santos
Navarro,Italmar Teodorico
Mitsuka-Breganó,Regina
Bresciani,Katia Denise Saraiva
spellingShingle Benitez,Aline do Nascimento
Gomes,Jancarlo Ferreira
Dias,Milenne Ura Seixas Santos
Navarro,Italmar Teodorico
Mitsuka-Breganó,Regina
Bresciani,Katia Denise Saraiva
Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
author_facet Benitez,Aline do Nascimento
Gomes,Jancarlo Ferreira
Dias,Milenne Ura Seixas Santos
Navarro,Italmar Teodorico
Mitsuka-Breganó,Regina
Bresciani,Katia Denise Saraiva
author_sort Benitez,Aline do Nascimento
title Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
title_short Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
title_full Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
title_fullStr Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
title_full_unstemmed Characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
title_sort characterization of prenatal healthcare for implementation of congenital toxoplasmosis surveillance program: cross-sectional study
description ABSTRACT BACKGROUND: Prenatal toxoplasmosis remains a neglected disease worldwide and few government programs focusing on its prevention are available. Success in these programs has been extensively reported in the literature, yet the strategies used for their implementation, as a model for such actions in different communities, have not been described. OBJECTIVE: To describe the aspects of prenatal care strategies in 13 municipalities within the regional healthcare unit of Araçatuba, in the northwestern region of the state of São Paulo in 2017, focusing on congenital toxoplasmosis. DESIGN AND SETTING: Descriptive study on prenatal healthcare within the Brazilian National Health System, in 13 participating municipalities. METHODS: Data on serological tests, referral clinics, notifications, healthcare strategies, health education and drugs for infected children were requested through a questionnaire that was sent via e-mail to people responsible for healthcare services in these municipalities. RESULTS: Major differences relating to diagnoses, reference outpatient clinics, notifications, health education and healthcare and drugs for infected children were reported among the prenatal strategies of these 13 municipal healthcare services. CONCLUSION: The lack of standardized prenatal strategy in the study area may compromise the prevention of infection. However, our identification of each aspect of prenatal care corroborates the need to implement a healthcare surveillance program relating to congenital toxoplasmosis.
publisher Associação Paulista de Medicina - APM
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000500368
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