Prevention of mother-to-child transmission of syphilis and HIV in China: What drives political prioritization and what can this tell us about promoting dual elimination?
Int J Gynaecol Obstet
; 130 Suppl 1: S32-6, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25968490
ABSTRACT
OBJECTIVE:
The present study aims to identify reasons behind the lower political priority of mother-to-child transmission (MTCT) of syphilis compared with HIV, despite the former presenting a much larger and growing burden than the latter, in China, over the 20years prior to 2010.METHODS:
We undertook a comparative policy analysis, based on informant interviews and documentation review of control of MTCT of syphilis and HIV, as well as nonparticipant observation of relevant meetings/trainings to investigate agenda-setting prior to 2010.RESULTS:
We identified several factors contributing to the lower priority accorded to MTCT of syphilis relative neglect at a global level, dearth of international financial and technical support, poorly unified national policy community with weak accountability mechanisms, insufficient understanding of the epidemic and policy options, and a prevailing negative framing of syphilis that resulted in significant stigmatization.CONCLUSION:
A dual elimination goal will only be reached when prioritization of MTCT of syphilis is enhanced in both the international and national agendas.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sífilis
/
Infecções por HIV
/
Transmissão Vertical de Doenças Infecciosas
/
Política de Saúde
/
Prioridades em Saúde
Limite:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2015