In the state of Pará, the high incidence of diagnosis of gestational syphilis in the third
trimester of pregnancy and at the time of delivery may be predictors of greater use of hospital
services, however, the lack of availability of information on the magnitude and pattern of
distribution of hospitalizations in the state do not make it possible to fully estimate the impact
of congenital syphilis on the public health system, mainly in the financial aspects, access and
sufficiency of quality services. Objective: To investigate hospital admissions for congenital
syphilis in Pará, in children under one year old from 2009 to 2018. Methodology: This is an
ecological, cross-sectional study with a quantitative approach. Data were collected in the
Hospital Information System and Live Birth Information System. Descriptive analyzes of
hospitalization rates, lethality, mortality and proportion of expenses were performed.
Temporal, spatial analysis and mapping of hospitalization flows for congenital syphilis.
Minitab 18®, Joinpoint®, version 4.7.0.0, Terraview 4.2.2, Tabwin 4.1.5 and ArcGis 10.3.1
were used in the analysis of the study. Results: 6,487 hospitalizations for SC were recorded
in the 10 years studied, most frequently in the early neonatal period, 94% (6,096) of cases. A
gross hospitalization rate for SC in Pará shows an increasing increase with an annual
percentage variation of 11.9%. Despite the growth without number of cases and the gross rate
of hospitalization, there was a reduction in the lethality rate. As hospitalizations for registered
SC resulted in an expense to SUS of R $ 6,014,782.17, with R $ 927.20 being the average
expenditure of hospitalizations. A spatial analysis indicates direct spatial autocorrelation in
the high-high pattern in the two periods. As for the flow, one Metropolitana I was the only
one that received all hospitalizations from its residents in the region itself. Thus, there was a
greater absorption of interactions from other regions and a positive balance. Conclusion: The
results presented here showed a significant increase in the rate of hospitalization for SC in
Pará, in several regions and in all health macro-regions, with a proportional increase in
expenses. Despite failures in primary health care, there was an improvement in the quality of
tertiary care. The mapping of care networks and flows pointed to the predominance of HI that
occurred in the same place of residence as the inpatient. However, it demonstrated differences
in the organization and compliance with the foundations of the Cegonha Network, within the
health regions and macro-regions, with Macroregion I being the one that most managed to
guarantee the resolution of hospital health care.
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