Integração entre diferentes níveis de atenção através do diagnóstico das ações de controle ao HIV/AIDS na atenção básica

Abstract

Introduction: The units for Basic Care (BC) are the preferred gateway to the health network. It has a privileged space for managing the care of people and fulfills a strategic role in the care network. However, it is observed that most primary care professionals are unaware of the ways of accessing other levels of care. Objective: To evaluate the quality of HIV / AIDS control actions in the basic care of a municipality in the central region of Rio Grande do Sul and through this evaluation to integrate the different levels of care. Method: A validated questionnaire for evaluation of HIV / AIDS control actions was applied to 08 managers of different Family Health Strategies (FHS) of the municipality and training was then carried out for 50 professionals working in this FHS addressing the relevant demands identified by the managers interviewed. Results: most of the actions proposed for the control of HIV / AIDS have been achieved in the ESFs evaluated, with some specific problems. Among the actions where there was no full agreement in relation to its effective implementation, some deserve to be highlighted: information / educational actions of risk behavior (prevention) for HIV infection due to lack of adequate physical space in the unit; the active search of the user with HIV positive diagnosis who returned to know the result; active search of the HIV partner and referral of the HIV individual. Final considerations: The updating of practices based on the Permanent Education in Health, which measures work processes as spaces of learning and production of knowledge in practice and by practice, is an ambitious and necessary challenge, which can be done in a simple way and systematic through health education actions such as the one carried out in the present study.