OBJECTIVE Analyzing the provision of actions related to managing clinical risk in managing specialized care for people living with AIDS. METHOD A cross-sectional study carried out in a reference outpatient clinic in Paraíba, with a sample of 150 adults with AIDS. Data were collected through primary and secondary sources using a structured questionnaire, analyzed using descriptive statistics, multiple correspondence analysis and logistic regression model to determine the association between "providing care" and "clinical risk." RESULTS Actions with satisfactory provision express a biological care focus; the dimensions that most contributed to a satisfactory assessment of care provision were "clinical and laboratory evaluations" and "prevention and self-care incentivization"; 45.3% of participants were categorized into high clinical risk, 34% into average clinical risk, and 20.7% into low clinical risk; a positive association between providing care and clinical risk was found. CONCLUSION The need to use risk classification technologies to direct the planning of local care provision became evident considering its requirements, and thus qualifying the care provided in these areas.

RESUMO Objetivo: analisar a oferta de ações de educação em saúde no cuidado às pessoas vivendo com AIDS. Método: estudo transversal desenvolvido em ambulatório especializado de referência na Paraíba, envolvendo 150 pessoas vivendo com AIDS, utilizando um formulário estruturado que contemplou variáveis nominais e intervalares. Os dados foram coletados de julho de 2011 a julho de 2012, após aprovação ética do projeto, e analisados segundo estatística descritiva. Resultados: observou-se valorização de aspectos da promoção da saúde voltados à adesão terapêutica, com ênfase na tomada dos medicamentos antirretrovirais e prevenção da transmissão da infecção, em detrimento de ações educativas inerentes à defesa dos direitos sociais e reprodutivos das pessoas em acompanhamento. Conclusão: as fragilidades na oferta de ações de educação em saúde comprometem a construção de competências por parte dos usuários do serviço para a corresponsabilização, autonomia e proatividade no cuidado com sua saúde e no controle da infecção. Palavras-chave: Síndrome de imunodeficiência adquirida; promoção da saúde; serviços de saúde; educação em saúde ABSTRACT Objective: to examine the supply of health education actions in care for people living with AIDS. Method: a cross-sectional study was conducted with 150 people with AIDS at a specialized outpatient referral clinic in Paraíba State, using a structured form that contemplating nominal and interval variables. Data were collected from July 2011 to July 2012, after ethics approval of the project, and analyzed by descriptive statistics. Results: emphasis was found to be placed on aspects of health promotion regarding adherence to therapy, particularly the taking of antiretroviral drugs and preventing transmission of infection, but to the detriment of educational actions addressing defense of the social and reproductive rights of people in treatment. Conclusion: weaknesses in the provision of health education actions undermine the service users' skill-building for co-responsibility, autonomy and proactivity in caring for their health and controlling the infection.

96T he process of population aging is a worldwide phenomenon and, in Brazil, has undergone an accelerated advancement. For 2025, the projection is that Brazil will be the sixth nation in the world with more elderly people corresponding to 15% of its population.This estimate of instigates investments growth in public policies toward the elderly person, for reorientation and restructuring of services that are provided to this population demands.The elderly population will exceed 22,71% of the total population estimate for 2050, and the life expectancy will increase of 72,7 years (2008) With the increase in life expectancy, decrease in birth rate, improving the quality of scientific discoveries to increase sexual activity and advances in knowledge in the area of health, people tend to grow in a more healthy, resulting in a population longevity, thereby determining their sexual activity4.Aging and sexuality, over the decades, were marked by myths and repression, which is why many elderly people feel uncomfortable to express their views on this subject, developing a challenge to live intensely your sexuality. Nowadays, a large part of society is still securing the sexuality as aware of years, favoring the younger ones, so there's a lack of interest in the elderly with regard to sexual issues4. It is believed in the importance of services and health teams approach, in the assistance to elderly, aspects related to sexuality, behaviors and their knowledge about STDs and aids (5) . It is believed in the importance of awareness of the health team in highlight the sexual life of the elderly as reality, as well as guidance on preventive measures to the STD/aids program, by means of discussion spaces and programs focused on the elderly because the lack of knowledge of the elderly can generate behaviors that are vulnerable to HIV infection 6 .