Sífilis gestacional e congênita como parâmetro de qualidade de pré-natal de indígenas na Ilha do Bananal-Tocantins: um estudo transversal

Introduction: Syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum, is a serious public health problem, with increasing rates, especially in pregnant women, resulting in perinatal complications and congenital transmission. Access to diagnosis and appropriate treatment during prenatal care is fundamental to mitigating these impacts. Among indigenous populations, cultural and geographical barriers hinder adherence to prenatal care, exacerbating the prevalence of gestational syphilis (GS) and congenital syphilis (CS). Objective: To analyze access to prenatal care by indigenous Inỹ pregnant women in southern Tocantins and to measure the rates of GS and CS in this population compared to the state. Methodology: An analysis of secondary data from Datasus was carried out on access to prenatal care and the incidence of GS and CS among indigenous pregnant women. The data was compared with that of the state and analyzed according to the cultural and social specificities of the Inỹ ethnic group. Results: They revealed low adherence to prenatal care among indigenous pregnant women, with GS and CS rates higher than the state average. Cultural barriers, lack of trained multidisciplinary teams and geographical limitations were identified as aggravating factors. Discussion: The analysis suggests that lack of access to prenatal care and ethnic-racial inequalities affect maternal and child health among indigenous people. Culturally adapted approaches and targeted health policies are needed to improve outcomes. Conclusion: The high prevalenceof GS and CS among indigenous people highlights the need for inclusive strategies that promote equitable access to maternal health, while respecting the cultural specificities of the Inỹ ethnic group.