Policies directed towards STD/AIDS and their political-care integration in the context of the SUS: a study of the city of Florianópolis, SC, Brazil

Abstract

This qualitative study, with a socio-historical perspective, aimed to examine how the process of decentralization of STD/AIDS actions took place in Florianópolis, SC, Brazil, and its effects on the level of care and administration. The data collection was based on documentary and oral sources. A total of 11 health professionals were interviewed, who performed care and/or management activities linked to STD/AIDS, during the study period (2006-2010). The results were analyzed using content analysis, resulting in two categories: The administrative decentralization of the Municipal STD/AIDS Program; The decentralization of STD/AIDS care. The restructuring of the STD/AIDS Program was part of the reorganization process of the municipal health system and the progressive incorporation of the concept of Health Surveillance. Decentralization of the actions was perceived as a condition necessary for the integration of STD/AIDS policies into the macropolitics of the SUS, however, continuous monitoring of the directions of the epidemic from the new conformation of this care policy is required.

Bibliometric analysis about hiv vulnerability / Análise bibliométrica acerca da vulnerabilidade ao HIV

“…16 The vulnerability of the subject or group reveals the existing inequalities in access to quality and comprehensive care linked to health promotion in a given region. [17][18] It is believed that the educational practices that promote integral care are essential conducts in reducing the incidence of HIV, since social behavior cannot be isolated from socio-cultural and economic factors that guide the individual's life. In this context, it is important that actions encompassing health promotion programmes are carried out effectively in order to reduce such vulnerability.…”

Avaliação da integralidade da atenção primária à saúde de crianças e adolescentes com HIV: experiência dos profissionais

“…2 A demanda de articulação entre os pontos de atenção preconizada pela política pública nacional da APS atende as demandas da cronificação de algumas doenças, como a infecção pelo HIV, sobretudo após o advento da terapia antirretroviral. 3,4 Na APS é evidente a ênfase em aconselhamento, educação em saúde e distribuição de insumos de prevenção; contudo, as ações às pessoas infectadas são escassas ou inexistentes, além de encontrar a barreira de uma Rede de Atenção à Saúde desarticulada e fragmentada. 2 Embora a atenção às pessoas com HIV ocorra majoritariamente nos serviços especializados, a consolidação da APS, como porta de entrada preferencial da Rede de Atenção à Saúde, é importante para prevenção e manejo de complicações e agravos nos diversos contextos sanitários.…”

Vulnerability to Human Immunodeficiency Virus infection among women of childbearing age

“…Vulnerability can also be perceived by the degree of access to health services, their quality, the integrated network of care and the difficulty of health services in the prevention care that direct the actions to the individual, not to the couple. Another point to be highlighted is the lack of specialized care for the patient under such conditions, especially involving the affective sexual life (9) .…”