Loading...
Please wait, while we are loading the content...
Similar Documents
Dimensão programática da vulnerabilidade ao HIV/Aids na fronteira no norte do Brasil com a Guiana Francesa
| Content Provider | Semantic Scholar |
|---|---|
| Author | Trindade, João Farias Da |
| Copyright Year | 2017 |
| Abstract | Human immunodeficiency virus (HIV) infection and AIDS are characterized as public health problems, with high incidence and prevalence in key populations. In Brazil, the main route of transmission in individuals aged 13 years and over is sexual, but there is a tendency to increase the proportion of cases in men who have sex with other men in the last ten years. There is little literature on the vulnerability to HIV in populations living in the border region, particularly in Brazil, and even more on the Brazilian border with French Guiana. The study aimed to analyze the vulnerability to HIV/Aids in the programmatic dimension in a border municipality of Brazil with French Guiana. It is a descriptive study, a case study, and ten deponents were interviewed: managers and health professionals from Basic Health Units, coordinators of STD / HIV actions in the municipality of Oiapoque, the local manager of the state hospital, the border laboratory, the municipal and state coordinators of the STD / Aids program and a representative of a local non-governmental organization involved in HIV/Aids prevention and care. It has also been analyzed the state and municipal health plans, the minutes of meetings of the cross-border commission Brazil-French Guiana, the international agreements and funding for the region of Oiapoque in the context of HIV/Aids in the period 2012-2015. The data collection instruments were semi-structured interview scripts, with questions guided to the participants, and a script for documentary analysis. The interviews were recorded with the consent of the participants, carried out by the researcher from March to April, 2016. The transcribed contents of the interviews and obtained in the documents were studied by content analysis, guided by the concept of vulnerability, with emphasis on the programmatic dimension. As a result, six categories were highlighted: Expression of the commitment of governments; Participation and social control; Workers' actions on HIV care; Multisector articulation of actions; Access to services and inputs and Composition of the service network. It was concluded there is programmatic vulnerability to the extent that the commitment of state and municipal governments in the action against HIV is limited, evidenced in the state and municipal health plans and by the scarcity of financial investments in actions against the disease; the participation and social control to face up the epidemic have not occurred efficiently, because only a non-governmental organization keeping with external resources has effective action in Oiapoque in the prevention actions; that the involvement of the professionals of the basic units isn’t effective, with concentration of activities in the figure of the professional nurse; that the multi sector articulation for the development of actions to combat HIV hasn’t materialized, because the health sector has been working in isolation; that condoms and diagnostic tests are offered, but the treatment and follow-up of the cases are not done in the municipality, these are being realized in Macapá or in Saint Georges and, finally, the service network in HIV and aids care isn’t fully organized. |
| File Format | PDF HTM / HTML |
| DOI | 10.11606/T.7.2018.tde-27042018-105753 |
| Alternate Webpage(s) | https://teses.usp.br/teses/disponiveis/7/7141/tde-27042018-105753/publico/JoaoFT_Corrigida.pdf |
| Alternate Webpage(s) | https://doi.org/10.11606/T.7.2018.tde-27042018-105753 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
