{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T04:25:48Z","timestamp":1754108748201},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Bras. Saude Mater. Infant."],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>OBJETIVOS: avaliar a adequa\u00e7\u00e3o das a\u00e7\u00f5es de controle da s\u00edfilis e do HIV na assist\u00eancia pr\u00e9-natal realizada em unidades do Sistema \u00danico de Sa\u00fade do Munic\u00edpio do Rio de Janeiro, Brasil. M\u00c9TODOS: estudo transversal, realizado em 2007-2008, por meio de entrevistas com 2353 gestantes, an\u00e1lise de cart\u00f5es de pr\u00e9-natal e dados obtidos junto a 102 profissionais de sa\u00fade. Para avalia\u00e7\u00e3o da adequa\u00e7\u00e3o da assist\u00eancia foi elaborado um modelo l\u00f3gico-operacional, tendo como refer\u00eancia normativa os protocolos assistenciais dos programas de assist\u00eancia pr\u00e9-natal e de DST\/Aids do Minist\u00e9rio da Sa\u00fade. Foi considerado adequado o cumprimento de 100% das a\u00e7\u00f5es previstas para cada idade gestacional. RESULTADOS: foram identificadas falhas no aconselhamento das gestantes, na realiza\u00e7\u00e3o dos exames sorol\u00f3gicos, no tratamento dos casos de s\u00edfilis e na abordagem dos parceiros. Na an\u00e1lise bivariada, gestantes com in\u00edcio tardio da assist\u00eancia pr\u00e9-natal e n\u00famero inadequado de consultas apresentaram pior adequa\u00e7\u00e3o de todas as a\u00e7\u00f5es, exceto do aconselhamento anti-HIV. CONCLUS\u00d5ES: problemas no in\u00edcio precoce do pr\u00e9natal, na garantia do n\u00famero m\u00ednimo de consultas, no manejo adequado das gestantes e seus parceiros e, principalmente, no resultado sorol\u00f3gico oportuno da infec\u00e7\u00e3o pela s\u00edfilis e pelo HIV, s\u00e3o barreiras ao melhor controle da transmiss\u00e3o vertical dessas doen\u00e7as.<\/jats:p>","DOI":"10.1590\/s1519-38292012000300007","type":"journal-article","created":{"date-parts":[[2012,9,30]],"date-time":"2012-09-30T23:38:25Z","timestamp":1349048305000},"page":"269-280","source":"Crossref","is-referenced-by-count":14,"title":["Avalia\u00e7\u00e3o das a\u00e7\u00f5es de controle da s\u00edfilis e do HIV na assist\u00eancia pr\u00e9-natal da rede p\u00fablica do munic\u00edpio do Rio de Janeiro, Brasil"],"prefix":"10.1590","volume":"12","author":[{"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brasil"}]},{"given":"Zulmira Maria de Ara\u00fajo","family":"Hartz","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa"}]},{"given":"Maria do Carmo","family":"Leal","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brasil"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/S0095-5108(18)30185-4","article-title":"Syphilis in pregnancy","volume":"24","author":"Sanchez PJ","year":"1997","journal-title":"Clin Perinatol","ISSN":"http:\/\/id.crossref.org\/issn\/0095-5108","issn-type":"print"},{"key":"ref2","series-title":"Protocolo para a preven\u00e7\u00e3o da transmiss\u00e3o vertical de HIV e s\u00edfilis: manual de bolso","year":"2007"},{"key":"ref3","first-page":"233","article-title":"Lista de causas de mortes evit\u00e1veis por interven\u00e7\u00f5es do Sistema \u00danico de Sa\u00fade do Brasil","volume":"16","author":"Malta DC","year":"2007","journal-title":"Epidemiol 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