BACKGROUND: High prevalence of human immunodeficiency virus (HIV) infection and occurrence of drug-resistant strains have been recorded in northern Brazil. Abandonment of treatment and insufficient and inadequate adherence to antiretroviral therapy (ART) among people living with HIV/AIDS (PLWHA) have been recorded in the metropolitan area of Belém, the capital of the state of Pará. OBJECTIVES: To identify the sociodemographic profile and level of adherence to ART among women seen at a referral unit in the interior of Pará, northern Brazil. DESIGN AND SETTING: Cross-sectional study at a referral unit for care for PLWHA. METHODS: We included 86 women living with HIV/AIDS (WLWHA) in the Rio Caeté integrated region, northeastern Pará. Social, demographic and behavioral information, as well as the ART level, were obtained using forms that have been described in the scientific literature. Logistic regression models were used to assess associations of variables with ART. RESULTS: Most WLWHA were single (52.4%), young (47.7%) and heterosexual (97.7%), had low levels of education (63.0%), were unemployed (69.8%), had one sexual partner (75.7%), used condoms (46.7%) and were not using either licit drugs (68.7%) or illicit drugs (89.6%). Their adherence level was classified as insufficient , and only their viral load showed an association with ART. CONCLUSIONS: The participants' low level of education and poor socioeconomic conditions may have been interfering with their adherence to ART. Such influences can be minimized through multiprofessional interventions that take the individuality of women served by the healthcare service into consideration.

A saber, as doenças mais prevalentes associadas ao Aedes aegypti têm impacto social elevado, pois, resultam em absenteísmo, impactos na previdência social e no sistema de saúde, com altos gastos em campanhas de prevenção e combate aos vetores. Nesse contexto, a partir da preocupação com o aumento de casos de doenças transmitidas por este vetor, a pesquisa apresentada possui como objetivo descrever a criação e validação de website aplicado ao enfrentamento do Aedes aegypti. Trata-se de estudo de desenvolvimento e validação de tecnologia. O website foi desenvolvido em cinco fases: definição, seleção de conteúdo, desenvolvimento e implementação, posteriormente, passando para a validação dele. Participaram do processo de validação da tecnologia 10 juízes especialistas em resposta a instrumento validado para a pesquisa. A validação do conteúdo do website foi realizada por meio da escala de Likert. A validação realizada pelos juízes e dos itens de resposta da escala utilizada, o website alcançou o índice de 95% de concordância entre os juízes especialistas e Índice de Validade de Conteúdo de 0,95. O foi validado e considerado bom instrumento para uso na saúde coletiva, estando apto a contribuir no controle e monitoramento do vetor e das doenças provocadas por ele pelo seu caráter aberto e interativo.

This study aimed to evaluate the social and professional profile and knowledge of Primary Care professionals on maternal and child health. Cross-sectional descriptive study, from May to July 2018. It included 30 nurses and 73 Community Health Workers (CHW) from the municipality of Bragança, Pará. The form had three phases: participants’ profile; close-ended questions on their profile, knowledge and resourcefulness on the First Week of Integral Care guideline; and four open-ended questions. Quantitative data was analyzed through Microsoft Office ExcelTM 2016, as qualitative data was arranged through word clouds and similarity trees in IRaMuTeQTM. The majority of nurses and CHW were female (70.9%) and worked in urban areas (60.2%), as 40% of nurses were graduated recently, with an 80% specialization courses, and 83.6% CHW had completed high school. On both categories, 82.5% did not know the First Week of Integral Health guideline, although the word clouds and similarity trees had shown that several national standardized orientations were provided. First Week of Integral Care guidelines’ insufficient knowledge by nurses and CHW in the municipality points to fragility in Primary Care on maternal and child health. Although basic orientations are provided, improvement is necessary.

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