Utilize este identificador para referenciar este registo:
https://hdl.handle.net/10316/100477
Campo DC | Valor | Idioma |
---|---|---|
dc.contributor.author | Travincas Pinto, Rafael | - |
dc.contributor.author | Valentim, Ricardo Nuno dos Reis | - |
dc.contributor.author | Fernandes da Silva, Lyrene | - |
dc.contributor.author | Fontoura de Souza, Gustavo | - |
dc.contributor.author | Góis Farias de Moura Santos Lima, Thaísa | - |
dc.contributor.author | Pereira de Oliveira, Carlos Alberto | - |
dc.contributor.author | Marques dos Santos, Marquiony | - |
dc.contributor.author | Espinosa Miranda, Angélica | - |
dc.contributor.author | Cunha-Oliveira, Aliete | - |
dc.contributor.author | Kumar, Vivekanandan | - |
dc.contributor.author | Atun, Rifat | - |
dc.date.accessioned | 2022-06-22T11:28:34Z | - |
dc.date.available | 2022-06-22T11:28:34Z | - |
dc.date.issued | 2022 | - |
dc.identifier.issn | 2667193X | pt |
dc.identifier.uri | https://hdl.handle.net/10316/100477 | - |
dc.description.abstract | To fight against the rising incidence of syphilis, the Brazilian Ministry of Health (MoH) launched the “Syphilis No!” Project (SNP), with specific resources funded by a parliamentary amendment. Then, in 2018, a national rapid response started to be implemented on the Brazilian Unified Health System (SUS, Sistema Único de Saúde) in two strategic lines (1) to reinforce SUS's universal actions and (2) to implement specific ones to 100 municipalities chosen by the MoH as priorities for syphilis congenital response. In 2015, such localities represented 6895% of congenital syphilis cases in Brazil. In this context, SNP has implemented actions to strengthen epidemiological surveillance of acquired syphilis and congenital syphilis by instituting an integrated and collaborative response through health services networks and reinforcing interstate relations. Methods: A quasi-experimental study using time series analysis was conducted to assess immediate impacts and changes to the trend in national congenital syphilis before and after the project, from September 2016 to December 2019. Data were assessed considering rates of congenital syphilis per 1,000 live births in all priority municipalities (n=100) covered by the project and in non-priority municipalities (n=5,470) from all five macro-regions of Brazil. Findings: Priority municipalities showed a greater reduction (change in trend) in comparison to non-priority. The linear regression model revealed trend changes after the intervention, with both groups of municipalities showing a drop in the average monthly number of cases per 1,000 live births, with a reduction of -0·21 (CI 95% -0·33 to -0·09; p=0·0011) in priority municipalities and of -0·10 (CI 95% -0.19 to -0.02; p=0·0216) in non-priority municipalities. Interpretation: The study using ITS provides important evidence on the direction, timing, and magnitude of the effects of interventions introduced as part of the SNP on congenital syphilis in Brazil. Our results suggest that the Syphilis No! Project influenced the trends of congenital syphilis in Brazil from 2018, with higher reductions achieved in the priority municipalities. Funding: The research is funded by a grant to the Syphilis No! Project from Brazilian Ministry of Health (Project Number: 54/2017). The funders had no role in study design, analysis, decision to publish, or preparation of the manuscript. | pt |
dc.language.iso | eng | pt |
dc.relation | Syphilis No! Project from Brazilian Ministry of Health (Project Number 54/2017) | pt |
dc.rights | openAccess | pt |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | pt |
dc.subject | interrupted time series | pt |
dc.subject | notifiable disease | pt |
dc.subject | policy | pt |
dc.subject | public health | pt |
dc.subject | segmented regression analysis | pt |
dc.subject | syphilis | pt |
dc.title | Use of Interrupted Time Series Analysis in Understanding the Course of the Congenital Syphilis Epidemic in Brazil | pt |
dc.type | article | - |
degois.publication.firstPage | 100163 | pt |
degois.publication.title | The Lancet Regional Health - Americas | pt |
dc.peerreviewed | yes | pt |
dc.identifier.doi | 10.1016/j.lana.2021.100163 | pt |
degois.publication.volume | 7 | pt |
dc.date.embargo | 2022-01-01 | * |
uc.date.periodoEmbargo | 0 | pt |
item.fulltext | Com Texto completo | - |
item.grantfulltext | open | - |
item.languageiso639-1 | en | - |
item.cerifentitytype | Publications | - |
item.openairetype | article | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
crisitem.author.researchunit | CEIS20 - Centre of 20th Century Interdisciplinary Studies | - |
Aparece nas coleções: | I&D CEIS20 - Artigos em Revistas Internacionais |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
---|---|---|---|---|
1-s2.0-S2667193X21001599-main.pdf | 842.56 kB | Adobe PDF | Ver/Abrir |
Citações SCOPUSTM
28
Visto em 23/set/2024
Citações WEB OF SCIENCETM
23
Visto em 2/set/2024
Visualizações de página
144
Visto em 24/set/2024
Downloads
78
Visto em 24/set/2024
Google ScholarTM
Verificar
Altmetric
Altmetric
Este registo está protegido por Licença Creative Commons