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Mãe Curitibana's Program: Improving Maternity Care in Curitiba, Brazil

Learn about the successful Mãe Curitibana's Program, implemented by the Municipal Health Department of Curitiba, to provide safe and quality maternity care, reduce vertical HIV, syphilis, and toxoplasmosis transmission, and improve overall satisfaction.

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Mãe Curitibana's Program: Improving Maternity Care in Curitiba, Brazil

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  1. Mãe Curitibana’s Program Secretaria Municipal da Saúde Curitiba – Paraná - Brazil

  2. Curitiba – Paranain the south of Brazil • population 1.6 million • 104 health units • 13 maternity hospitals –SUS (NHS)

  3. In Curitiba • 29 thousand live births per year of resident women • before the Program • 30%of the pregnant women could not find a hospital bed when in labour

  4. Different needs • what did the pregnant women want? • a safe labor • good quality of care • what did the health authorities want? • to reduce the vertical transmission of HIV, syphilis and toxoplasmosis

  5. Antenatal Care • a new ANC technical protocol • a communication sub -project

  6. Antenatal Care • the ANC protocol included: • guaranty of maternity ward referral • at least 6 medical consultations

  7. Antenatal Care • the ANC protocol included: • routine testing and treatment for HIV, toxoplasmosis and syphilis

  8. Antenatal Care • home visits with the nurse staff or the community health agents

  9. Antenatal Care • visit to the maternity ward in the 6° ou 7° month

  10. Antenatal Care • the communication sub-project included the design of: • a logo • an educational booklet • a handbag

  11. Antenatal Care • the communication sub-project included: • technical training of the health professionals

  12. Antenatal Care • organization of 2–4 educational workshops

  13. Results – 1999 and 2000 • increase in the number of pregnant women attending the PHC units • 30% em 1999 • 97% em 2000

  14. Results – 1999 and 2000 • decrease in maternal mortality

  15. Results – 1999 and 2000 • reduction of the vertical transmission of syphilis and toxoplasmosis

  16. Results– 1999 to 2001 • detection of HIV in pregnancy 88% tested (41679 exams) 387HIV+ 0.93%

  17. Results– 1999 and 2000 • reduction of mother to child HIV transmission 1999 –5.9% 2000 –5.2%

  18. Results • increased satisfaction – pregnant women and health professionals 95%of the women enrolled were satisfied with the program

  19. Lessons learned • integration with a good ANC program is essential to the success of a PMTCT of HIV/Aids

  20. Lessons learned • the Primary Health Care Units / professionals are able to deal with the problem of HIV in their community

  21. Mãe Curitibana • the future is built in the present

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