Counseling practices in Sexually Transmitted Infections/AIDS: the female health professionals’ perspective

Abstract

Objective: to analyze the health professionals’ perception about counseling in a Centro de Testagem e Aconselhamento em Infecções Sexualmente Transmissíveis (Center for Testing and Counseling in Sexually Transmitted Infections (STIs) and AIDS) in Maceió, Alagoas. Method: it is a qualitative research, with theoretical framework of the Discursive Practices and Production of Senses in the daily life carried out with the participation of 6 counselors. For research material production, the ‘Conversation Round’ technique and the semi-structured script were used. For material treatment the Discourse Analysis method was used, resulting in the production of analysis categories and Dialogic Maps. Results: in the current policies and actions of STI/AIDS, there is centralization in the procedures of anti-HIV testing and displacement of the professional counselor, undoing the testing and counseling. Final considerations: the study indicates the need to overcome the instrumental and prescriptive models of counseling to produce a dialogical process of care and co-responsibility.

Performance of the nursing team in the rapid HIV tes

“…8 It was observed, in this direction, in order to favor the interaction between user and professional, the collective pre-test counseling as a potential in the practice of the nursing team that performs the HIV test. 9 Collective groups become important tools for the exchange of information on the theme of HIV / AIDS among professionals and patients, as well as among the participants themselves. 9 In this perspective, it constitutes an important strategy in the fight against HIV / AIDS, either due to the low cost of applying the technique, its potential effectiveness or the distribution of preventive inputs such as condoms and, also, postexposure prophylaxis.…”

“…9 Collective groups become important tools for the exchange of information on the theme of HIV / AIDS among professionals and patients, as well as among the participants themselves. 9 In this perspective, it constitutes an important strategy in the fight against HIV / AIDS, either due to the low cost of applying the technique, its potential effectiveness or the distribution of preventive inputs such as condoms and, also, postexposure prophylaxis. [9][10] It is added that another potential observed was individual advice and the delivery of results in a confidential manner.…”

“…9 In this perspective, it constitutes an important strategy in the fight against HIV / AIDS, either due to the low cost of applying the technique, its potential effectiveness or the distribution of preventive inputs such as condoms and, also, postexposure prophylaxis. [9][10] It is added that another potential observed was individual advice and the delivery of results in a confidential manner. It is portrayed in the literature that individual counseling favors the client's safety regarding the confidentiality of their results, allows the exchange of information, in addition to providing comfort when talking about their background, history and possible risk behaviors.…”

“…the result is very important so that the user does not feel embarrassed under any circumstances. [8][9] It referred to the precarious physical structure of the BHU as a limitation in the process of care and counseling, since the lack of an adequate place to talk privately with the client causes prejudice, shame and low adherence to treatment by the users. 8,12 As weaknesses in the team's practice regarding the realization of the HIV RT, it was verified the use of improper form for data collection.…”

The care provided to the sexual partners of people living with the human immunodeficiency virus

“…Essa nova e cada vez mais frequente realidade requer uma atuação profissional capaz de lidar com esse público, assim como um serviço comprometido em atuar nos diferentes aspectos do cuidado, contemplando holisticamente os aspectos biopsicossociais do paciente. Essa ação deve ser baseada na prevenção eficaz da transmissão do vírus, na proteção contra discriminação, na redução do estigma, liderança, num maior acesso à triagem rotineira do HIV, e, mais importante, no atendimento e tratamento de qualidade ao paciente (8)(9) .…”