Pesquisas brasileiras psicossociais e operacionais face às metas da UNGASS

Abstract

Items from the UNGASS Draft Declaration of Commitment on HIV/AIDS (2001) are analyzed. The Brazilian experience of new methods for testing and counseling among vulnerable populations, preventive methods controlled by women, prevention, psychosocial support for people living with HIV/AIDS, and mother-child transmission, is discussed. These items were put into operation in the form of keywords, in systematic searches within the standard biomedicine databases, also including the subdivisions of the Web of Science relating to natural and social sciences. The Brazilian experience relating to testing and counseling strategies has been consolidated through the utilization of algorithms aimed at estimating incidence rates and identifying recently infected individuals, testing and counseling for pregnant women, and application of quick tests. The introduction of alternative methods and new technologies for collecting data from vulnerable populations has been allowing speedy monitoring of the epidemic. Psychosocial support assessments for people living with HIV/AIDS have gained impetus in Brazil, probably as a result of increased survival and quality of life among these individuals. Substantial advances in controlling mother-child transmission have been observed. This is one of the most important victories within the field of HIV/ AIDS in Brazil, but deficiencies in prenatal care still constitute a challenge. With regard to prevention methods for women, Brazil has only shown a shy response. Widespread implementation of new technologies for data gathering and management depends on investments in infrastructure and professional skills acquisition.

The first ten years: achievements and challenges of the Brazilian program of universal access to HIV/AIDS comprehensive management and care, 1996-2006

“…Brazilian scientific capacity has been growing quickly in recent years, but is still timid and limited in terms of its broad scientific output in the field of HIV/AIDS 3,82 , as well in many other areas. Most studies and researchers (in the field of HIV/AIDS, as in any other field) are concentrated in a few research centers which are located in the major metropolitan areas of the industrialized southeastern and southern regions.…”

A posição de jovens de ensino médio sobre o risco e testagem do HIV/aids

“…O Brasil, ainda, conta com um contingente expressivo de crianças vivendo com HIV/Aids, mesmo sendo reduzidos, a praticamente zero, o risco de transmissão, se usadas as medidas eficazes. O problema é a disponibilidade de recursos financeiros, infraestrutura, pronta oferta de medicamentos antirretrovirais e capacitação de profissionais da saúde (Bastos & Hacker, 2006), que dificulta as ações de prevenção.…”

“…Isso porque a oferta de suporte psicossocial constitui-se numa estratégia fundamental de prevenção secundária, com desdobramentos individuais e coletivos (Bastos & Hacker, 2006).…”

Voluntariado e negociação de protocolos de vacinas anti-HIV no Brasil

“…Saúde Pública, Rio de Janeiro, 26 (7):1373-1382, jul, 2010 mento de amostras e farmácia para manipulação dos produtos vacinais. Ao mesmo tempo, deve ser instalada uma estrutura organizacional de registro, organização e gerenciamento dos dados oriundos dos testes 4 . Entram em jogo, também, instâncias regulatórias, nacionais e internacionais, para avaliação de questões éticas relacionadas às pesquisas com seres humanos e controle do padrão de qualidade, em relação às condições locais de aplicação dos testes 5,6 .…”