Review of the missed opportunities for the prevention of vertical transmission of HIV in Brazil.

摘要: OBJECTIVE: The present literature review aims to highlight gaps in the treatment of preventative mother-to-child HIV transmission and risk factors Brazil. METHODS: Among 425 articles identified SciELO PubMed searches, 59 published between 1994 2016 were selected for reading data extraction, 33 included review. RESULTS: rates vertical described studies varied widely, from 1.8% 27.8%, with a significant reduction over years. However, recent also found be variable different regions Brazil, despite transmission, many remain prevention services. A failure attend prenatal care is main factor associated increased HIV, hindering early maternal diagnosis completion measures during period and, often, peripartum postnatal periods. small number discussed sociodemographic factors, including low level education pregnant women inadequacies health services, such as difficulties scheduling appointments undertrained staff, transmission. As such, current challenge better define infrastructural that increase provide necessary investments promote an earlier inclusion these populations CONCLUSIONS: This may serve guide future programs focus efforts on