"Quando eu descobri tive um baque : os desafios da prevenção da transmissão vertical do HIV

Abstract

The effectiveness of prophylaxis of vertical transmission of HIV has contributed to minimize the number of infected children. However it is essential for this purpose the proper use of the protocol by the mother. But where are the gaps in this process? Because there are still children being unnecessarily exposed to HIV? Objective of this study was to identify the concepts about pregnancy, HIV / AIDS and MTCT of HIV positive pregnant women and mothers. From this, providing subsidies for the improvement of prevention of vertical transmission. We started from the hypothesis that social, cultural and economic backgrounds of the women may be involved in compliance or not the prevention of vertical transmission of AIDS. Fourteen HIV-positive women, and children already born with eleven and three women, gave their testimonies through semi-structured interviews guided by a script. The women's socio-cultural factors were not investigated directly, but it was possible to register through the words of a possible association with the chemoprophylaxis of vertical transmission of HIV. Albeit incomplete chemoprophylaxis performed all except one woman who had the diagnosis only after birth. Through analysis of interviews, we found that women who had higher social-cultural level showed greater mastery of the importance of treatment, although the main motivation for carrying out the treatment has not been the contamination of their children. We described some determinants involved in adherence to the treatment of women, among them, knowledge about treatment and aspects relating to health services. Some gaps in prenatal care was mentioned as a negative point in this process. Among the findings was occasionally pointed the way peers react to the disease. And the fact that the vast majority of women do not recognize the position of risk for HIV infection, HIV-positive are discovered only in prenatal care.