North Minas had 14 hospitals identified by the Minas Gerais State Department of Health (SES-MG) as referrals for the Sexually Transmitted Infections (STI/AIDS) Program. These are health facilities that ensure deliveries and are able to take charge of the prophylaxis of the vertical transmission of syphilis, viral hepatitis and the HIV virus in newborns.
Network regulation under the Unified Health System (SUS) involves 124 hospitals from all regions of the state. Among the qualification criteria, establishments that deliver high-risk pregnant women were taken into account; those with neonatal intensive care units, even if they are not qualified to care for high-risk pregnant women; establishments supporting the childbirth and maternity network, with a production greater than or equal to 300 deliveries/year and referral establishments for normal-risk deliveries.
In northern Minas, the following institutions were selected: Hospital Municipal de Bocaiúva; Municipal Hospital Senhora Santana, in Brasília de Minas; Municipal Mixed Unit Dr. Brício de Castro Dourado, San Francisco; Municipal Hospital of São Vicente de Paulo, in Coração de Jesus; Municipal Hospital Francisco Sá; Janaúba Social Assistance Foundation – (Fundajan); Nossa Senhora das Graças Hospital and Maternity, in Monte Azul; Municipal Hospital of Januária; Funrural Hospital, in Manga; Santa Casa de Montes Claros; Clemente de Faria University Hospital, also based in Montes Claros; Dr. Moisés Magalhães Freire Hospital, in Pirapora; Municipal Hospital Dr. Oswaldo Prediliano Santana, of Salinas; and Santo Antônio Hospital, in Taiobeiras.
Early identification of the vertically infected newborn and child is essential to indicate the initiation of antiretroviral treatment and prophylaxis of opportunistic infections, in addition to the management of infectious complications and nutritional disorders.
To enable early diagnosis, hospitals should perform combined tests for HIV, syphilis and viral hepatitis, regardless of whether the tests were performed during antenatal care, as well as the methodology used. Where possible, testing should also include the partner.
The Health Surveillance Coordinator of the Regional Health Superintendence of Montes Claros – (SRS), Agna Soares Menezes, explains that antiretroviral prophylaxis must be carried out immediately after delivery, in all newborns of HIV-positive mothers .
In addition, pharmacological inhibition of lactation in postpartum women should also be carried out immediately after delivery. The distribution of human anti-hepatitis B immunoglobulins will follow the upward flow, in which the municipalities, through the hospitals, will have to channel the request to the regional health units.
References in the region
In addition, observes the coordinator, hospitals should refer postpartum women to HIV and/or reactive viral hepatitis and newborns to the region’s specialized referral care service. Syphilis cases should be referred to municipal primary health care services for clinical and laboratory follow-up and treatment.
Patients’ access to other drugs from the STI/AIDS and Viral Hepatitis Program is through the local drug dispensing units, where drugs are managed and dispensed.
Regional Health Superintendent Dhyeime Thauanne Pereira Marques understands that regulating the network to provide care for the prophylaxis of vertical transmission of syphilis, viral hepatitis and HIV “will expedite the early diagnosis of cases and the referral of patients to specialized treatments, thus allowing a better quality of life for mothers and newborns. In addition, the inclusion of 14 hospitals in the region in the network allows all health micro-regions to be able to carry out rapid tests at the appropriate times”.