Testagem anti-HIV: indagações sobre a expansão da oferta sob a perspectiva do acesso e da construção da demanda

Abstract

Saúde em Debate • Rio de Janeiro, v. 37, n. 99, p. 636-645, out/dez 2013 RESUMO: Reconhecendo a relevância do incremento na oferta de testagem anti-HIV, problematiza-se a concepção de oferta à luz dos conceitos de acesso e demanda. O mero foco na oferta da testagem mostra-se insuficiente frente à complexidade e dinamicidade do processo, desde a identificação da sua necessidade até a realização do teste e seus possíveis desdobramentos, incluindo o tratamento. Ademais, o modelo de campanha para incentivo à testagem não se coaduna com proposições que valorizem o protagonismo social dos cidadãos nem atendam às especificidades da disseminação da epidemia de AIDS. Postula-se a importância de desenvolver estudos que focalizem mais detidamente a demanda por testagem anti-HIV. PALAVRAS-CHAVE:Síndrome da imunodeficiência adquirida; Diagnóstico HIV; Acesso; Necessidades e demandas de serviços de saúde. ABSTRACT: Despite the relevance of the supply increase in anti-HIV testing, this article raises the problem behind the conception of supply in light of the concepts of access and demand. The supply of tests is in itself insufficient to handle the complexity and the dynamicity of a process that involves since the identification of its needs till the carrying out of the tests and their

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