O paradoxo do território e os processos de estigmatização no acesso ao diagnóstico de HIV na atenção básica em saúde

Zambenedetti, Gustavo; Silva, Rosane Azevedo Neves da

doi:10.5935/1678-4669.20150024

Cited by 22 publications

(32 citation statements)

References 9 publications

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“…[18][19] Although HIV/AIDS infection, when well managed, shows excellent prospects for quality of life and many years of survival, unlike what happened at the beginning of the epidemic, an irreversible and stigmatizing diagnosis remains. 20 The professionals feel vulnerable to this situation and express the need for emotional preparation to lead the moment on the disclosure of seropositivity, or the revelation of the bad news. That is, the professionals feel unfit and/or unprepared for conducting this moment because they identify their emotional and technical vulnerability given such situation.…”

Section: /14mentioning

confidence: 99%

Care for the Person Who Lives With Hiv/Aids in Primary Health Care

Colaço

Meirelles

Heidemann

et al. 2019

Texto contexto - enferm.

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Objective: to understand the process of caring for the person with HIV/AIDS in the Primary Health Care of a capital in southern Brazil. Method: qualitative, exploratory and descriptive research, carried out in the Health Centers of this city, from March to August 2015. Sixteen nurses participated through semi-structured interviews, which were organized and codified with the help of the software QSR Nvivo®, version 10. Afterwards, the data were analyzed through comparative analysis. Results: results were described in two categories: “The inter-subjective encounter given the vulnerability to HIV/AIDS”, and, “Accepting needs and formulating actions given the reality”. Potentialities and weaknesses were evidenced through these categories, such as: reception, long-term care, active search, home visits, and, in return, lacking a formal flow of care for people living with HIV/ AIDS, lack of HIV/AIDS line of care and medical/centered care. Conclusion: the need to implement HIV/AIDS management in primary care was verified, as well as to overcome the fragilities in this care with the aid of implementing a formal care flow, establishing managerial processes and permanent education for the professionals. Then, expanding and qualifying care in HIV/AIDS, with important contributions of the nurse in the perspective of integral care in the process of living with HIV/AIDS.

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Section: /14mentioning

confidence: 99%

Care for the Person Who Lives With Hiv/Aids in Primary Health Care

Colaço

Meirelles

Heidemann

et al. 2019

Texto contexto - enferm.

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“…Analysis of the paradoxical dimension of the territory and the processes of stigmatization in access to HIV diagnosis in the context of Primary Health Care (29) .…”

Section: Institutional Analysis Socioanalysismentioning

confidence: 99%

“…Zambenedetti and Silva, 2015 (29) Something that can be interrogated in its multiple crystallized meanings.…”

Section: Institution As Multiple Crystallized Meaningsmentioning

confidence: 99%

Institutional analysis in scientific health production: an integrative literature review

Kasper

Fortuna

Braghetto

et al. 2020

Rev. esc. enferm. USP

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Objective: To analyze the use of the Institutional Analysis theoretical-methodological framework and of the central concept of institution in its three moments - instituted, instituting and institutionalizing in health studies. Method: Integrative review conducted in databases of PubMed/Medline, LILACS, Scopus, and CINAHL including original research articles published between 2012 and 2017. Results: Analysis of 26 publications. A plurality of study objects was found, and the most common were related to collective health, namely: mental health, violence, family-team relationship, family health, primary care, health of women, children and adolescents, oral health, continuing education, micropolitics of health work, health surveillance, HIV, law, pedagogical practices, school education and Autism. Nursing and psychology were the areas that most opted for Institutional Analysis. The polysemy of the institution concept was confirmed in the findings, indicating the richness of modes and uses of the concepts. Conclusion: Institutional Analysis presents tool-concepts to perform analyzes of health practices consistent with the Unified Health System.

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“…Os exemplos dessas falas apresentam a descentralização da atenção e do tratamento do HIV como uma iniciativa positiva, facilitando o fortalecimento de vínculos, ao considerar que na AB há uma maior proximidade entre o serviço e a comunidade (33,34) . Assim, o vínculo estabelecido entre usuários e profissionais parece funcionar como elemento protetivo contra o estigma e a discriminação, promovendo maior liberdade e abertura ao diálogo entre usuário e profissional.…”

Section: ) Aqui Na Unidade Tu Conheces Todo Mundo Tu Sabes Com Qunclassified

Estigma e teste rápido na atenção básica: percepção de usuários e profissionais

Ferreira

Moro

et al. 2018

Rev Bras Promoc Saúde

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Estigma e teste rápido na Atenção Básica Rev Bras Promoç Saúde, 31(3): 1-11, jul./set.Este artigo está publicado em acesso aberto (Open Access) sob a licença Creative Commons, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho seja corretamente citado. Pontifícia Universidade Católica do Rio Grande do Sul -PUCRS -Porto Alegre (RS) -Brasil RESUMOObjetivo: Analisar como o estigma e a discriminação estão presentes no cotidiano de usuários e profissionais no contexto de implementação do teste rápido para HIV/AIDS na Atenção Básica. Métodos: Estudo qualitativo, de caráter exploratório, realizado em 2015, em 15 unidades de saúde de Porto Alegre, Brasil. Participaram 64 pessoas, sendo 34 usuários e 30 profissionais de saúde com diferentes formações. Os dados foram coletados através de entrevistas semiestruturadas e organizados a partir da análise temática das falas dos participantes. Resultados: O estigma associado ao HIV/AIDS se faz presente nas diferentes falas dos entrevistados. Os participantes apresentaram semelhanças na indicação de quem deveria realizar o teste rápido de HIV/ AIDS, citando usuários de drogas, adolescentes e mulheres. Os entrevistados referem estigma e discriminação na comunidade e nos serviços de saúde, sendo que os profissionais afirmam que existe preconceito por parte de membros da equipe e dos próprios usuários do serviço, sem implicarem-se nesse processo. Considerar a AIDS como uma doença qualquer é uma forma de neutralizar a identificação do estigma, não reconhecendo as especificidades históricas do HIV e as singularidades das pessoas afetadas. Conclusão: O desafio da Atenção Básica é reconhecer quais são os conceitos que embasam a identificação de pessoas vulneráveis ao HIV/AIDS, para que não se reproduzam estigmas que entravam a promoção de saúde. Descritores: Estigma Social; Atenção Primária à Saúde; Sorodiagnóstico da AIDS. ABSTRACT Objective: To analyze how stigma and discrimination related to Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) are presented in the everyday lives of users and professionals in the context of the implantation of rapid testing for HIV and other Sexually Transmitted Infections (STI) in Primary HealthCare. Methods: Qualitative, exploratory study, performed in 2015 in 15 health care units of Porto Alegre, Brazil. Participants were 64 people, 34 users and 30 health professionals of different fields. Data was collected using semi-structured interview and organized based on the thematic analysis of the participants' statements. Results: The stigma associated with HIV/AIDS is present in the different speeches of the interviewees. Participants showed similarities in indicating who should take the rapid HIV test, citing drug users, adolescents and women. The respondents perceive stigma and discrimination in the community and health services, and the professionals say that there is prejudice on the part of staff members and even the service users, not becoming involved in this process. Considering...

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O paradoxo do território e os processos de estigmatização no acesso ao diagnóstico de HIV na atenção básica em saúde

Cited by 22 publications

References 9 publications

Care for the Person Who Lives With Hiv/Aids in Primary Health Care

Care for the Person Who Lives With Hiv/Aids in Primary Health Care

Institutional analysis in scientific health production: an integrative literature review

Estigma e teste rápido na atenção básica: percepção de usuários e profissionais

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