Avaliação de serviços de assistência ambulatorial em aids, Brasil: estudo comparativo 2001/2007

Nemes, Maria Inês Battistella; Alencar, Tatianna Meirelles Dantas; Basso, Cáritas Relva; Castanheira, Elen Rose Lodeiro; Melchior, Regina; Alves, Maria Teresa Seabra Soares de Britto e; Caraciolo, Joselita Maria Magalhães; Santos, Maria Altenfelder

doi:10.1590/s0034-89102013000100018

Cited by 16 publications

(23 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Reports of a limited drug supply are concerning given Brazil's guarantee of ARVs and adoption of a test-and-treat strategy (Ministry of Health, 2013). While some studies have reported drug shortages (Melchior et al, 2006; Ribeiro et al, 2012), a national survey of providers described sufficient ARV stock (Nemes et al, 2013). Given these discrepancies, future research should investigate HIV drug supply in Brazil and its impact on patient care.…”

Section: Discussionmentioning

confidence: 99%

Barriers along the care cascade of HIV-infected men in a large urban center of Brazil

et al. 2015

View full text Add to dashboard Cite

Global and national HIV/AIDS policies utilize the care cascade to emphasize the importance of continued engagement in HIV services from diagnosis to viral suppression. Several studies have documented barriers that men experience in accessing services at specific stages of care, but few have analyzed how these barriers operate along the care cascade. Brazil offers a unique setting for analyzing barriers to HIV care because it is a middle-income country with a large HIV epidemic and free, universal access to HIV/AIDS services. Semi-structured interviews were conducted in 2011 with HIV-infected men (n=25) receiving care at the only HIV/AIDS state reference center in Salvador, Brazil, the third largest city in the country. Interviews were transcribed and coded for analysis. Researchers identified barriers to services along the care cascade: health service-related obstacles (poor quality care, lengthy wait times, and drug supply problems); psychosocial and emotional challenges (fear of disclosure and difficulty accepting HIV diagnosis); indirect costs (transportation and absenteeism at work or school); low perceived risk of HIV; and toxicity and complexity of ARV regimens. The stages of the care cascade interrupted by each barrier were also identified. Most barriers affected multiple, and often all, stages of care, while toxicity and complexity of ARV regimens was only present at a single care stage. Efforts to eliminate more prevalent barriers have the potential to improve care continuity at multiple stages. Going forward, assessing the relative impact of barriers along one's entire care trajectory can help tailor improvements in service provision, facilitate achievement of viral suppression, and improve access to life-saving testing, treatment, and care.

show abstract

Section: Discussionmentioning

confidence: 99%

Barriers along the care cascade of HIV-infected men in a large urban center of Brazil

et al. 2015

View full text Add to dashboard Cite

show abstract

“…These local improvements likely increased laboratory monitoring and may have contributed to our observed increase in good retention over time. Additionally, country-wide outpatient service assessments from 2001 and 2007 found that the proportion of sites with adequate CD4 and HIV-1 RNA monitoring increased by 31% and 90% (27), respectively, indicating that CD4 and HIV RNA-1 testing became increasingly available over the study period. Our findings of high retention in early HIV care and its improvement over time are reassuring.…”

Section: Discussionmentioning

confidence: 99%

Retention in Early Care at an HIV Outpatient Clinic in Rio de Janeiro, Brazil, 2000–2013

et al. 2015

View full text Add to dashboard Cite

Retention in early HIV care has been associated with virologic suppression and improved survival, but remains understudied in Brazil. We estimated retention in early HIV care for the period 2000–2013, and identified socio-demographic and clinical factors associated with good retention in an urban cohort from Rio de Janeiro, Brazil. Antiretroviral therapy-naïve, HIV-infected persons ≥18 years old linked to care between 2000–2011 were included. Retention in the first two years post-linkage (i.e. early care) was defined by the proportion of six-month intervals with ≥1 HIV laboratory result. “Good” retention was defined as ≥1 HIV laboratory result recorded in at least three intervals. Overall, 80% of participants met criteria for good retention and retention significantly improved over the study period. Older age, higher education level and early antiretroviral therapy initiation were associated with good retention. Efforts to improve retention in early care in this population should target younger and less-educated HIV-infected persons.

show abstract

“…Studies show how the social conditions, personal and cultural values and clinical factors influence the QoL 7 - 9 .…”

Section: Introductionmentioning

confidence: 99%

Quality of life of people living with HIV/AIDS: temporal, socio-demographic and perceived health relationship

Hipolito

Oliveira

Costa

et al. 2017

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: to analyze the quality of life of people living with HIV/AIDS and its relationship with sociodemographic variables, health satisfaction and time since diagnosis.Method: quantitative, cross-sectional study with a sample of 100 HIV positive people monitored in a specialized service in southeastern Brazil. Sociodemographic and health forms were applied, followed by the WHOQOL-HIV BREF, a short form instrument validated to evaluate the quality of life. Descriptive and inferential statistical analysis was performed. Results: the perception of quality of life was intermediate in all quality of life domains. A relationship was identified between greater satisfaction with health and better quality of life, as well as statistically significant differences among the dimensions of quality of life according to gender, employment status, family income, personal income, religious beliefs and time since diagnosis.Conclusions: the time since the diagnosis of HIV infection enables reconfigurations in the perception of quality of life, while spirituality and social relationships can assist in coping with living with this disease.

show abstract

Avaliação de serviços de assistência ambulatorial em aids, Brasil: estudo comparativo 2001/2007

Cited by 16 publications

References 11 publications

Barriers along the care cascade of HIV-infected men in a large urban center of Brazil

Barriers along the care cascade of HIV-infected men in a large urban center of Brazil

Retention in Early Care at an HIV Outpatient Clinic in Rio de Janeiro, Brazil, 2000–2013

Quality of life of people living with HIV/AIDS: temporal, socio-demographic and perceived health relationship

Contact Info

Product

Resources

About