Ações de prevenção ao HIV/AIDS na estratégia saúde da família sob a ótica da vulnerabilidade programática / Actions to prevent HIV/AIDS in the family health strategy from the perspective of programmatic vulnerability

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

09/06/2011

RESUMO

Actions to prevent HIV/AIDS in the FHS were objects of this study, whose objective was to analyze them from the perspective of vulnerability in its programmatic dimension, to identify how the family health teams recognize the vulnerability to HIV/AIDS in their territories; describe the preventive actions directed to the populations recognized by the teams as vulnerable and characterize the problems, potentiality and challenges in the prevention of HIV/AIDS. To achieve these goals was chosen an exploratory study with a qualitative approach, using the methodology of the Case Study. The concept of vulnerability in its programmatic dimension, was used as a theoric framework. Data collection was conducted through semi-structured interviews with managers of Basic Health Units or people appointed from them and through focus group technique with family health teams. The study was conducted from June to December 2009, in 11 units in the district of Capão Redondo, south of São Paulo city, Brazil. The results show that teams recognize the vulnerability to HIV / AIDS in their territories linked to the individual dimension, grounded in the notion of risk in traditional epidemiology, identifying risk groups or risk behaviors. Reasoned on the same concepts, it was noted the predominance of interventions informational, and normative and prescriptive character that had as main purpose to change the behavior of individual. Actions strongly based on the hegemonic biomedical model. As difficulties faced stood out to those linked to the process of work teams, which aim to work overload by the demands of the priority programs, high turnover and lack of professional training to prevent HIV/AIDS. The biggest potential of the FHS is in the principle of longitudinality, which allows to qualify the recognition of the vulnerability of the territory and to plan preventive actions according to the needs of the population. The biggest challenge is appointed by the teams in recognize the process of social production and reproduction as a determinant of vulnerability to HIV/AIDS. Finally, we conclude that the current technical health care model in primary care, despite its recognized potential also presents practices based in the notion of risk and the hegemonic biomedical model, thus determining the programmatic vulnerability in preventing HIV/AIDS.

ASSUNTO(S)

acquired immune deficiency syndrome case study estudo de caso hiv hiv pesquisa qualitativa qualitative research síndrome da imunodeficiência adquirida vulnerabilidade vulnerability

ACESSO AO ARTIGO

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