SPACE ANALYSIS OF NOTIFICATED CASES OF SYPHILIS IN PREGNANT AND CONGENITAL SYPHILIS IN RIO GRANDE DO NORTE STATE
Syphilis; Syphilis, Congenital; Spatial Analysis; Sexually Transmitted Diseases; Geographic Information Systems.
Syphilis is a sexually transmitted infection (STI) but can also be transmitted vertically during the gestation period of an untreated or improperly treated mother with Gestational Syphilis (SG) to the fetus. In the state capital the syphilis notification rate in pregnant women was 24%, while the congenital syphilis rate was 54.1%, from 2012 to 2016. This leads us to realize that there are gaps in the notification in the city and possible underreporting. Therefore, the objective of this work is to analyze the spatial distribution of the notified cases of SG and SC and, from the incidence of these cases, to perform the temporal trend analysis. This is an ecological study, with secondary data collected at the State Health Secretariat (SESAP) of Rio Grande do Norte / RN, referring to the period from January 1, 2007 to December 31, 2017, having as population the notified cases of SG and SC. As collection instruments, will be used the notification form of SINAN and SINASC, being related to the amount and data related to live births. The maps of the RN and the 8 health regions will be extracted from IBGE. All collected data will be organized in the Microsoft Excel program for Office 365 for tabulation, and later the SPSS 20.0 will be used to obtain the number of cases of SG and SC. in each municipality. After calculating the incidences, which will be standardized per 1,000 inhabitants, it will be possible to perform the temporal trend analysis where we can organize the data sequentially over the period studied at regular intervals of 2 years. In addition, the creation of thematic maps and spatial correlation coefficients and spatial cluster analysis will be developed according to Moran Local with the aid of QGIS version 2.18 software. In addition, the Kernel Density Estimator will also be used, which allows estimating the amount of events per unit area in each cell of a regular grid covering the region studied. The study will follow the parameters of Resolution No. 466/2012 of the National Health Council. This paper aims to provide all individuals responsible for social health control, the scientific community, managers, health professionals and the population, relevant information, accessible and clearly understood about the proposed theme to assist in the orientation of efficient public policies and effective actions of confrontation to the SG and SC.