PERFIL EPIDEMIOLÓGICO MATERNO DE CRIANÇAS EXPOSTAS AO HIV NASCIDAS NOS ANOS DE 2019 E 2020 E ACOMPANHADAS EM SERVIÇO DE ATENÇÃO ESPECIALIZADA

Abstract

In the world, there are 1.5 million children with HIV and that 1.4 million maternal infections are detected annually. As the cure for HIV is not yet a reality, efforts against the disease are based on early detection, treatment with antiretroviral therapy and prevention of transmission. Objectives: This work aims to outline the maternal epidemiological profile of children exposed to HIV, evaluate prenatal care and analyze maternal adherence to antiviral therapy during pregnancy. Methodology: A retrospective cohort study was carried out, with the analysis of 182 epidemiological notification forms and medical records of children exposed to HIV in the years 2019 and 2020, followed up in Serviço de Assistência Especializada/SAE (an specialized service for maternal-infant health) of a hospital in the Northeast of Brazil. Results: It was seen that 63.2% of the women were residents of the metropolitan region of João Pessoa, the most prevalent age group was 26 to 36 years old and 52.7% reported working only at home. It was also noticed that pregnant women with a higher level of education adhered more to the use of antiretroviral therapy. Prenatal coverage in the studied SAE was 82.4%, with 68.8% of the pregnant women having had 6 to 11 consultations and the ART use rate was 73.6%. Conclusion: It was observed that performing prenatal care and exposure to ART during pregnancy is related to non-infection in children. Thus, in order to ensure control of vertical transmission, it is important to guarantee care coverage, quality prenatal care and treatment for infected women.