Avaliação do Controle do HIV/Aids na Atenção Primária no Município de Palmas - TO

Abstract

Introduction: In the fight against the HIV/AIDS epidemic, the Ministry of Health is implementing decentralized actions, previously restricted to reference services, for Primary Health Care. Despite the strong expansion in Brazil, this service still has problems that demonstrate the need of a better structure to support the insertion or strengthening of actions in the field of HIV∕Aids. Objective: To assess, through a questionnaire, the care offered by Primary Health Care for the control of HIV/AIDS from the perspective of higher education professionals. Methodology: Cross-sectional study carried out by non-probabilistic sampling for convenience of nurses, doctors and dentists inserted in the PHC network through a questionnaire to assess the control of HIV/AIDS in PHC from the perspective of health professionals electronically between months August and November 2018. The information offered will be consolidated and analyzed by frequency, using Excel (2007) and the Google Form. Results: The research sample consisted of 127 professionals. As for the availability of teaching materials, 58.3% of professionals reported that the unit makes available in educational activities, and actions about HIV/AIDS are carried out without difficulties by 47.2% of them. The action of delivering condoms (male condoms) takes place outside the physical space of the health unit by 66.1% of professionals, and 63% provide guidance on its use during delivery. Regarding rapid tests, 99.2% reported offering to partners of people diagnosed with HIV/AIDS and that 95.3% carry out rapid pre-test and post-test counseling for HIV/AIDS, however, 15% do not request the rapid test or HIV serology for women who present complaints suggestive of gynecological infection. Specifically on the management of HIV, 93% carry out an active search for people whose HIV diagnosis was positive and did not return to receive the result, while 80.3% carry out an active search for partners when the HIV/AIDS diagnosis was positive . Discussion: To ensure quality care and follow-up, it is recommended that the process of decentralization of care from PLWHA to PHC is carried out, initially with the qualification of professionals from the RAS, since humanized care, free from prejudice and stigma, is necessary, recognizing the subject's health needs through a multidisciplinary and integrated approach, in order to develop appropriate actions for health promotion and disease prevention, diagnosis and assistance for users. Final Considerations: The actions of education, prevention, diagnosis and treatment, despite existing, still have a long way to go, as an investment point in professional qualification for adequate assistance.