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Peer-reviewedCC BYEpidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

Analysis of the evolution of public policies and strategies for eliminating vertical transmission of the human immunodeficiency virus: a narrative review, Brazil, 1985-2025.

  • Andréa Mônica Brandão Beber1
  • Katia Cristina Bassichetto2
  • Francisca Lidiane Sampaio Freitas3
  • Ximena Pamela Díaz Bermúdez1
  • Elisangela da Silva4
  • Lino Neves da Silveira5
  • Leila Posenato Garcia6
  • Adele Schwartz Benzaken7
7 affiliations
  1. 1Universidade de Brasília Faculdade de Ciências da Saúde BrasíliaDF Brazil Universidade de Brasília, Faculdade de Ciências da Saúde, Brasília, DF, Brazil.
  2. 2Santa Casa de Misericórdia de São Paulo Faculdade de Ciências Médicas São PauloSP Brazil Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas, São Paulo, SP, Brazil.
  3. 3Universidade de Brasília Programa de Pós-Graduação em Saúde Coletiva BrasíliaDF Brazil Universidade de Brasília, Programa de Pós-Graduação em Saúde Coletiva, Brasília, DF, Brazil.
  4. 4Universidade do Estado do Amazonas Programa de Pós-Graduação em Medicina Tropical ManausAM Brazil Universidade do Estado do Amazonas, Programa de Pós-Graduação em Medicina Tropical, Manaus, AM, Brazil.
  5. 5Secretaria de Estado da Saúde do Distrito Federal Brasília BrasíliaDF Brazil Secretaria de Estado da Saúde do Distrito Federal, Brasília, DF, Brazil.
  6. 6Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho Escritório Avançado em Santa Catarina FlorianópolisSC Brazil Fundação Jorge Duprat Figueiredo de Segurança e Medicina do Trabalho, Escritório Avançado em Santa Catarina, Florianópolis, SC, Brazil.
  7. 7AIDS Healthcare Foundation Los Angeles Los AngelesCA United States AIDS Healthcare Foundation, Los Angeles, CA, United States.
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Abstract

Objective

To analyze the evolution of Brazilian public health policies and strategies aimed at eliminating vertical transmission of the human immunodeficiency virus (HIV), the contribution of these policies to the reduction of AIDS cases among children under 5 years old, and the challenges to achieving the global elimination goals by 2030.Methods

This is a narrative review of publications from 1985 to 2025, based on consultation of official Ministry of Health documents and scientific articles.Results

Analysis of 45 publications revealed Brazil's progress in addressing vertical transmission of HIV, with the free provision of supplies for HIV prevention, diagnosis and treatment in the Brazilian Unified Health System. Implementation of strategic projects, such as Nascer-Maternidades and Rede Cegonha, and the subnational certification process in priority municipalities contributed to the achievement of the country's global goals for eliminating vertical transmission of HIV in 2025. Social inequities such as race/skin color and social class, regional disparities in prenatal care, weaknesses in surveillance systems and barriers to access to health services remain challenges to the equitable elimination of this disease.Conclusion

The public policies adopted for maternal and child health were fundamental to Brazil's achievement of international certification for the elimination of vertical HIV transmission as a public health problem. Intensifying mobilization and continuing education programs, strengthening local management, and ensuring equity of care are necessary to achieve elimination targets nationwide.

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Cite

BibTeXRIS
BibTeX
@article{beber2026analysis,
  title = {{Analysis of the evolution of public policies and strategies for eliminating vertical transmission of the human immunodeficiency virus: a narrative review, Brazil, 1985-2025.}},
  author = {Andréa Mônica Brandão Beber and Katia Cristina Bassichetto and Francisca Lidiane Sampaio Freitas and Ximena Pamela Díaz Bermúdez and Elisangela da Silva and Lino Neves da Silveira and Leila Posenato Garcia and Adele Schwartz Benzaken},
  journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil},
  year = {2026},
  month = jul,
  doi = {10.1590/s2237-96222026v35e20250576.en},
  url = {https://europepmc.org/article/MED/42922922},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Analysis of the evolution of public policies and strategies for eliminating vertical transmission of the human immunodeficiency virus: a narrative review, Brazil, 1985-2025.
AU  - Andréa Mônica Brandão Beber
AU  - Katia Cristina Bassichetto
AU  - Francisca Lidiane Sampaio Freitas
AU  - Ximena Pamela Díaz Bermúdez
AU  - Elisangela da Silva
AU  - Lino Neves da Silveira
AU  - Leila Posenato Garcia
AU  - Adele Schwartz Benzaken
PY  - 2026
DA  - 2026/07/20
JO  - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil
DO  - 10.1590/s2237-96222026v35e20250576.en
UR  - https://europepmc.org/article/MED/42922922
AB  - Objective  To analyze the evolution of Brazilian public health policies and strategies aimed at eliminating vertical transmission of the human immunodeficiency virus (HIV), the contribution of these policies to the reduction of AIDS cases among children under 5 years old, and the challenges to achieving the global elimination goals by 2030.Methods  This is a narrative review of publications from 1985 to 2025, based on consultation of official Ministry of Health documents and scientific articles.Results  Analysis of 45 publications revealed Brazil's progress in addressing vertical transmission of HIV, with the free provision of supplies for HIV prevention, diagnosis and treatment in the Brazilian Unified Health System. Implementation of strategic projects, such as Nascer-Maternidades and Rede Cegonha, and the subnational certification process in priority municipalities contributed to the achievement of the country's global goals for eliminating vertical transmission of HIV in 2025. Social inequities such as race/skin color and social class, regional disparities in prenatal care, weaknesses in surveillance systems and barriers to access to health services remain challenges to the equitable elimination of this disease.Conclusion  The public policies adopted for maternal and child health were fundamental to Brazil's achievement of international certification for the elimination of vertical HIV transmission as a public health problem. Intensifying mobilization and continuing education programs, strengthening local management, and ensuring equity of care are necessary to achieve elimination targets nationwide.
SN  - 1679-4974
SN  - 2237-9622
ER  -