Evaluation Of The Actions
Of Control The Vertical Transmission Of The Hiv In A
Public Maternity In Fortaleza-Ceará
Léa Barroso - Universidade Federal do Ceará (UFC)
Profa. Drª Marli Teresinha Gimeniz Galvão / Departamento de Enfermagem – Universidade Federal do Ceará (UFC)
Bibliografic reference: Barroso LMM. Avaliação das ações de controle da transmissão vertical do HIV/aids entre puérperas atendidas em uma maternidade de Fortaleza-CE.[dissertação] Fortaleza (CE): Universidade Federal do Ceará; 2005.
Abstract: The women in fertile age have been
target of the contamination for the HIV, what it requires special attention,
mainly in the gestation, therefore there is the risk
of the vertical transmission (VT) of the HIV. The agreed therapy of high power
showed decisive in the reduction of the VT tax,
however the measures of control are not satisfactory. It was objectified to
evaluate the actions of control the VT of the HIV in a public maternity. One is
about research, descriptive, exploratory and avaliative
type1,2,3. For boarding of the study it was
used complementation of the qualitative and quantitative research. The data
were collected in Maternity, located in Fortaleza-Ceará,
in period of September to December of 2004. The population’s study consisted of
eight postpartum women with infection for the HIV and eight professionals who
had given assistance to these postpartum women. The structuralized or
standardized comment and the interview were used as techniques. As instruments
for the data’s collection a script of half-structuralized interview and a check
list of structuralized comment containing eight evaluation criteria was
elaborated to observe actions of control of VT based on an instrument of
recognition of the quality of health and the recommendations of the Health Ministry4,5,6,7. The model permitting the observation that the
health professionals failed to perform inhibition of breast-feeding, counseling
and guidelines about the preparation of infant formula in addition to other
foods, and follow-up of the newborn, concerning the puerperal visit and
compliance with treatment. The quantitative data had been analyzed and made use
in figures; end the qualitative ones analyzed and organized through the
proposal of content analysis. It obeyed the ethical aspects of the research
with human beings and all the subjects had signed the term of free and
clarified assent. The majority of postpartum women had between 22 and 29 years,
was single, with steady union, and originating the country, there was low
study, had between one and two children; it known of the diagnosis to less of
one year, informed six or more prenatal’s
consultations of and participated of specialized accompaniment. Little parcel
of the pregnant initiated the antiretroviral therapy in the recommended period
and to inform about partner’s serology. The maternity disposed the treatment
for all the pregnant women at the moment of the childbirth work and in the
childbirth. The majority of the health professionals that gave assistance was
nurse, between 26 and 49 years and make reference at time of formation between
one and nine years and of work in the maternity between one and 15 years; the
minority received some type of training about VT. It was identified that
professionals of health had left to realized advice and orientation about
preparation of the infantile formula, foods and pursuing of the new-born, about
puerperal consultation and adhesion to the treatment. The institution had
insufficient amount of some resourchs and centered
the fulfilling of the inquiry fiches. It was concluded that these results will
guide in the planning of interventions for future actions, with sights to the
improvement of the quality in the assistance to the pregnant women with
HIV/aids8. It is suggested creation of a organizacional and functional structure for the
implementation of the protocol, qualifications, meetings of evaluation,
responsible performance of the nurses, determination of attendance flow and
elaboration of a manual directed to the professionals of health.
Main Bibliografy
1. Leopardi MT. Alguns Aspectos
da Investigação Qualitativa. In: Metodologia da Pesquisa
2. Lobiondo-Wood G, Haber J. Pesquisa em enfermagem: métodos, avaliação crítica e utilização. 4.ed. Rio de Janeiro: Guanabara Koogan; 2001.
3. Aguilar MJ, Ander-Egg E. Avaliação de Serviços e Programas Sociais. Rio de Janeiro: Vozes; 1994.
4. Ministério da Saúde (BR).
Recomendações para profilaxia da transmissão vertical do HIV e terapia anti-retroviral
5. Ministério da Saúde (BR). Projeto Nascer. Brasília: Secretaria Executiva, Coordenação Nacional de DST e AIDS, Ministério da Saúde; 2003.
6. Ministério da Saúde (BR). Manual normativo para profissionais de saúde de maternidades da iniciativa Hospital Amigo da Criança - Referência para mulheres HIV positivas e outras que não podem amamentar. Brasília: Ministério da Saúde; 2004.
7. Ministério da Saúde (BR). Guia prático de preparo de alimentos para crianças menores de 12 meses verticalmente expostas ao HIV. Brasília: Secretaria Executiva, Coordenação Geral das Políticas Nacionais de Alimentos e Nutrição, Coordenação Nacional de DST/Aids; 2003.
8. Barroso MMB, Carvalho CM,
Araújo TL, Galvão MTG. Autocuidado de uma
mulher com AIDS: um modelo de cuidar
Received Sep 7th,
2007
Accepted: Sep 12th , 2007