Abstract
ABSTRACTObjectives:to evaluate the efficiency of educational interventions related to the knowledge of health care professionals of Primary Care and to verify the impact on the vertical transmission rates of congenital syphilis. Method:a quasi-experimental study conducted in the city of Londrina, Paraná, between 2013 and 2015. An educational intervention on diagnosis, treatment and notification was carried out with 102 professionals with knowledge measurement before and after the intervention. Incidence and mortality data from congenital syphilis were taken from the system for notifiable diseases (SINAN) and the Mortality Information System (SIM). Excel tabulation and statistical analysis was done in the Statistical Package for Social Sciences, version 2.1. A descriptive and inferential analysis was performed. Results:the mean number of correct responses increased from 53% to 74.3% after the intervention (p < 0.01). The adherence to professional training was 92.6%. There was a significant reduction in the vertical transmission rate of syphilis from 75% in 2013 to 40.2% in 2015. In 2014 and 2015 there were no records of infant mortality from this condition. Conclusion:the educational intervention significantly increased the knowledge of health professionals about syphilis and collaborated to reduce the rate of vertical transmission of the disease.
Highlights
According to the World Health Organization (WHO), in 2008, 1.4 million pregnant women worldwide were infected with syphilis, of which 80% had attended prenatal care
The results related to the characterization of health professionals who participated in the permanent education workshops, and became facilitators in the Basic Health Units (UBS), are presented in Table 1 below
The results showed important changes and improvements, both in the professionals’ responses to diagnosis and management of gestational and congenital syphilis after educational intervention (75% of correct answers), and in the detection of syphilis in pregnant women – 68 cases in 2013 for 122 in 2015 – and reduction in vertical transmission (35% between 2013 and 2015)
Summary
According to the World Health Organization (WHO), in 2008, 1.4 million pregnant women worldwide were infected with syphilis, of which 80% had attended prenatal care. In untreated pregnant women the transmission is 70 to 100%, in the primary and secondary stages of maternal disease[2]. In view of these points, regarding the reemergence of syphilis in the general population and its range encompassing maternal and child health, as well as the difficulties encountered by epidemiological surveillance in overcoming the biomedical model, the fragmentation of care[3] and the use of health policies established at the global and national levels, there is a need for strategic regional studies to enable intervention measures that are more effective and based on local reality. The objective of this study was to evaluate the efficiency of the educational proposal in the knowledge of health professionals about syphilis
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
