Banca de DEFESA: BRUNO RAPHAEL DA SILVA FEITOSA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : BRUNO RAPHAEL DA SILVA FEITOSA
DATE: 12/05/2025
TIME: 09:30
LOCAL: BLOCO DA PÓS GRADUAÇÃO
TITLE:

A descentralização do cuidado de média complexidade de pessoas vivendo com
HIV para a Atenção Primária à Saúde na região metropolitana de Macapá

KEY WORDS:

Keywords: descentralization; HIV; primary health care.

PAGES: 78
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

In 2023, approximately 39.9 million people were living with HIV. In Brazil, the renewal
of health policies aims to reduce the transmission of the virus and increase adherence
to treatment. In view of this, the decentralization of care for PLWHA began to be
considered, with Primary Health Care (PHC) as its central focus. However, there are
certain challenges that permeate this decentralization of care. In view of this, the
general objective is to understand the process of decentralization of care for patients
with HIV in the metropolitan region of Macapá. This is a descriptive study, with a
qualitative approach, divided into two stages. In the first stage, a bibliographic survey,
of the State of the Art type, was carried out, which analyzed the decentralization of
care for people living with HIV in Brazil. The second stage of the study was conducted
in the cities of Macapá and Santana, where interviews were conducted with 36 health
professionals who work in the care of people living with HIV/AIDS. The interviews took
place in three health units, in addition to the Specialized Assistance Service (SAE) and
the Testing and Counseling Center (CTA). Data collection took place between March
and June 2024, with interviews recorded, transcribed, and analyzed in the ATLAS.ti
software, resulting in three discussion categories. The findings revealed that, despite
the implementation of rapid tests and specific training, the decentralization of care still
faces obstacles such as social stigma, overload in UBS, shortage of trained
professionals, lack of resources, discontinuity in post-diagnosis follow-up, and evasion
of services. The emerging categories were: Decentralization of care for people living
with HIV in PHC from the perspective of health professionals and managers in Amapá;
Main difficulties in the process of decentralization of care for PLHIV in Amapá; and
Strategies for consolidating the decentralization of care. The high turnover of
professionals in the UBS of Macapá was a limitation of the research. In view of this, it
is essential to implement ongoing training, multidisciplinary support and public policies
that strengthen health units. These measures are essential to ensure comprehensive
care and strengthen the SUS in the region.
Keywords: descentralization; HIV; primary health care.

COMMITTEE MEMBERS:
Externa ao Programa - 3067137 - INANA FAURO DE ARAÚJO - nullInterna - 3299691 - LETHICIA BARRETO BRANDÃO
Presidente - 1015007 - MARLUCILENA PINHEIRO DA SILVA
Interno - 2269635 - RUBENS ALEX DE OLIVEIRA MENEZES