Assistência aos pacientes com HIV/Aids no Brasil

Abstract

This study was intended to assess care provided to those living with HIV/AIDS in Brazil and the Brazilian Unified Health System (SUS) capacity of delivering interventions to cope with the epidemic as well as to discuss the sustainability of the Brazilian initiative of providing universal free access to antiretrovirals (ARVs). Original data from a study comprising 119 respondents on the potential capacity of delivering a prospective HIV vaccine in Brazil was used. Inpatient and pharmaceutical care was based on data from the SUS Hospital Information System and Drug Logistics Management Systems of the National Program for STD/AIDS. The study results indicate good performance of the Brazilian ARV Access Program but access to treatment of opportunistic infections was, however, unsatisfactory. The rates covered by SUS for AIDS hospital admissions remained very low, on average around R$700 in 2004. Health care to HIV/AIDS patients has been considered a citizen's right strongly supported by an effective joint action of the Brazilian government and civil society. The current challenges are fine monitoring of processes and program results and ensuring sustainability of universal free ARV access.

Metabolic abnormalities and overweight in HIV/AIDS persons-treated with antiretroviral therapy

“…Currently, AIDS treatment reached important advances after the introduction of the highly active antiretroviral therapy (HAART), resulting in a more effective control of the infection, restoration of immunity and reduction of morbidity and mortality, turning AIDS into a chronic disease 3 . HAART must include at least 3 drugs: 2 nucleoside analog reverse transcriptase inhibitors (NARTIs) associated with a nonnucleoside reverse transcriptase inhibitor (NNRTI) or to a protease inhibitor (PI) 4 .…”

Políticas públicas de saúde face à epidemia da AIDS e a assistência às pessoas com a doença

“…Apesar dos inúmeros serviços de assistência à saúde às pessoas com HIV/AIDS e das políticas públicas de combate à AIDS representarem um nível de excelência e terem o reconhecimento internacional, ainda apresentam grandes desafios em sua execução. A destacar, a necessidade de integração de todas as esferas de atenção, para que seja oferecido um serviço de prevenção e assistência de maior qualidade (11,30) . A estruturação de uma rede assistencial em HIV/AIDS contemplando majoritariamente ações de média e alta complexidade não tem sido suficiente para garantir a integralidade da atenção à saúde.…”

“…Finalmente, a quarta fase, que se estende de 1993 até o presente momento, caracteriza-se pela reorganização do PNDST/AIDS no Ministério da Saúde e pela efetivação da política de controle da epidemia, decorrente dos empréstimos do Banco Mundial ao governo brasileiro (10) . Os acordos internacionais até então firmados com o Banco Mundial, a partir de 1993, passaram a ser os grandes mantenedores de ações programáticas, dentre as quais, destacam-se àquelas referentes aos Programas Assistenciais às pessoas com HIV/AIDS (11) .…”

Characterisation of clinical epidemiological profile of patients with facial lipoatrophy, living with AIDS, submitted to facial filling with polymethylmethacrylate

“…Brazil was a pioneer in offering free surgical repair for patients with HIV/AIDS who have Lipodystrophy [8,9].…”