Temporal analysis of gestational and congenital syphilis indicators in Brazil: toward the elimination of vertical transmission by 2030?
Year: 2025
Type: article
Study design: Observational Study
Abstract: OBJECTIVE: To analyze, at national and regional levels, the trend of proxy indicators for the progress toward the elimination of the vertical transmission of syphilis in Brazil. METHODS: This is an ecological study that assessed the annual percent change (APC) of indicators related to gestational and congenital syphilis. RESULTS: An APC of 11.15% was observed in the detection rate of gestational syphilis (95% confidence interval - 95%CI 2.78-23.19), with stability in congenital syphilis across all regions. There was a reduction of prenatal care coverage among pregnant women with syphilis (APC=-7.34%; 95%CI -10.15; -5.33), and also a decrease in late diagnosis of the infection (APC=-10.77%; 95%CI -14.29; -8.79). CONCLUSIONS: We evidenced challenges in achieving the 2030 elimination targets, highlighting the need for adjustments in current public policies on syphilis prevention and control.
Institution: Universidade Estadual de Maringá
Language: English
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410976642