Despite the benefits of antiretroviral therapy in treating HIV/AIDS, government responses have varied substantially, from provisions guaranteeing nearly universal access to insufficient provisions providing almost no access. This research seeks to specifically examine primary explanations, such as economic capacity, and emerging explanations, such as the role of electoral accountability and the presence of stigma, and the coordination between the epistemic community and political leadership as potential causes for the variance in the government provision. By controlling for state economic capacity, this research furthers the importance of examining other explanations for state response in light of a public health crisis. While electoral accountability and the role of stigma had marginal impacts, the level of scientific coordination and understanding among the states political leadership had perceptible impacts. This research also tests broader aspects of the political economy such as the role of state capacity and subsequent government crisis response.

<p>This study utilised secondary data from a larger study that looked at individuals that are already infected by HIV which is entitled Implicative personal dilemmas and cognitive conflicts in health decision making in HIV positive adults and adults with AIDS. The primary aim of the larger study was to examine the cognitive construction of the individual and how they utilised their individual resources to construct who they are and how they perceived the difficulties and challenges that they face and the decisions they make regarding their health. HIV and AIDS is a debilitating disease and it affects millions worldwide. South Africa, presently, has the largest burden of this disease with those between the ages of 15 &ndash / 49 years of age being most affected. As previously&nbsp / mentioned the decisions that individuals make can impact on their health. Decisions to take necessary precautions such as protected sex during sexual intercourse can decrease the&nbsp / progression of the disease. Decisions made regarding abstinence of risky behaviour as well as being committed to taking medication could also positively impact health. People living with HIV and AIDS find it&nbsp / difficult to adjust to the challenges that this disease presents. Depression is often experienced due to the changes in self image and perception. Studies show that&nbsp / females are twice more likely to experience depression than men. There has however been no conclusive evidence showing the reason for this, however, the perception of stress based on&nbsp / gender could shed some light on this matter and how these perceptions can increase the likelihood of women being more vulnerable to depression. Due to the limitation of this study, it will&nbsp / only look at depression as it relates to HIV and AIDS. Psychological problems such as depression can hamper the adjustment process and the effect of depression is evident in that it can lower the CD 4 + cells. Not only are those&nbsp / living with HIV and AIDS affected by depression, but they also have a lifetime prevalence to depression. It is important to have an effective screening tool for depression so that the detection of this&nbsp / disease can be made and effective treatment can be implemented to enhance health. The sample consisted of 113 adult participants that have already been diagnosed with HIV and AIDS. The&nbsp / primary aim of this study was to compare the Beck&rsquo / s Depression Inventory II (BDI II) and the Hospital Anxiety and Depression Scale &ndash / (the Depression component) (HADS-D) as a screening tool&nbsp / &nbsp / for depression. Exploratory Factor Analysis revealed a 5 factor structure which accounted for 60.14 % of the total variance. The HADS yielded one factor accounting for 14.33% of total variance. The BDI II has proven to be more a reliable measure of depression with 0.89 according to the Cronbach&rsquo / s Alpha co efficient opposed to 0.375 as per the HADS-D. The secondary aim was to establish&nbsp / the sociodemographic and disease profiles of the participants under study. </p>

This study utilised secondary data from a larger study that looked at individuals that are already infected by HIV which is entitled Implicative personal dilemmas and cognitive conflicts in health decision making in HIV positive adults and adults with AIDS. The primary aim of the larger study was to examine the cognitive construction of the individual and how they utilised their individual resources to construct who they are and how they perceived the difficulties and challenges that they face and the decisions they make regarding their health. HIV and AIDS is a debilitating disease and it affects millions worldwide. South Africa, presently, has the largest burden of this disease with those between the ages of 15 – 49 years of age being most affected. As previously mentioned the decisions that individuals make can impact on their health. Decisions to take necessary precautions such as protected sex during sexual intercourse can decrease the progression of the disease. Decisions made regarding abstinence of risky behaviour as well as being committed to taking medication could also positively impact health. People living with HIV and AIDS find it difficult to adjust to the challenges that this disease presents. Depression is often experienced due to the changes in self image and perception. Studies show that females are twice more likely to experience depression than men. There has however been no conclusive evidence showing the reason for this, however, the perception of stress based on gender could shed some light on this matter and how these perceptions can increase the likelihood of women being more vulnerable to depression. Due to the limitation of this study, it will only look at depression as it relates to HIV and AIDS. Psychological problems such as depression can hamper the adjustment process and the effect of depression is evident in that it can lower the CD 4 + cells. Not only are those living with HIV and AIDS affected by depression, but they also have a lifetime prevalence to depression. It is important to have an effective screening tool for depression so that the detection of this disease can be made and effective treatment can be implemented to enhance health. The sample consisted of 113 adult participants that have already been diagnosed with HIV and AIDS. The primary aim of this study was to compare the Beck’s Depression Inventory II (BDI II) and the Hospital Anxiety and Depression Scale –(the Depression component) (HADS-D) as a screening tool for depression.Exploratory Factor Analysis revealed a 5 factor structure which accounted for 60.14 % of the total variance. The HADS yielded one factor accounting for 14.33% of total variance. The BDI II has proven to be more a reliable measure of depression with 0.89 according to the Cronbach’s Alpha co efficient opposed to 0.375 as per the HADS-D. The secondary aim was to establish the sociodemographic and disease profiles of the participants under study. / Magister Psychologiae - MPsych

Neste estudo, busca-se compreender o existir da criança com aids no mundo da vida de uma Casa de Apoio, sob o olhar da Teoria de Enfermagem Humanística de Paterson e Zderad. Trata-se de uma pesquisa qualitativa com abordagem existencial-fenomenológico-humanística proposta por Paterson e Zderad, tendo como cenário uma Casa de Apoio a Crianças com HIV/aids, na cidade de Santa Maria, Rio Grande do Sul. A Casa abriga crianças portadoras ou não do vírus HIV/aids, as quais são privadas do núcleo da família biológica por seus pais serem portadores do HIV e não terem condições de cuidá-las. O estudo obteve aprovação do Comitê de Ética em Pesquisa do Centro Universitário Franciscano-UNIFRA. Os participantes da pesquisa foram três crianças com aids, que residem ou já residiram nessa Casa. Para a coleta das informações, utilizaram-se a entrevista fenomenológica e o desenho como recurso, que emergiram quatro unidades de significação: criança mostra que brincar é um modo de estar-melhor; criança se percebe no mundo com os outros; criança visualiza a família como parte do seu existir; criança preocupa-se com o estar-melhor e o vir-a-ser.A interpretação das informações foi fundamentada na Nursology de Paterson e Zderad. Assim, este estudo possibilitou compreenderem-se as necessidades expressas pela criança com aids que vive ou viveu em uma Casa de Apoio, na qual o cuidado de Enfermagem possibilita a criança ser-mais no mundo da vida. Espera-se que este estudo auxilie os cuidadores em saúde e, em especial, em Enfermagem a lançarem um outro olhar para essas crianças, com o intuito de perceberem que, nelas, há um ser humano com sentimentos singulares, que tem potencialidades para vir-a-ser, limitações de não-ser e que necessita do outro para realizar-se no mundo. Por fim, apresentam-se recomendações nas áreas da pesquisa, do ensino, da extensão e do cuidado em Enfermagem. / In this study, one searchs to understand existing of the child with AIDS in the worldlife of a House of Support, under the look of the Theory of Humanistic Nursing of Paterson and Zderad. One is about a qualitative research with existentialphenomenological- humanist boarding, having as scene a House of Support the Children with HIV/aids, in the city of Santa Maria, Rio Grande Do Sul. The House shelters carrying children or not of the HIV/aids virus, which finishes being private it nucleus of the biological family for its parents to be carrying of the HIV and not there are conditions to take care of them. The study it got approval of the Committee of Ethics in Research of the University Center Franciscano-UNIFRA. The partners of the research had been three children with AIDS and its familiar ones, that they inhabit or already they had inhabited in this House. For the collection of the information, they had used it phenomenological interview and the drawing as resource, that four units, of unification had emerged: child sample that to play is a way to be-good; child if perceives in the world with the others; child visualizes the family as part of its to exist; child is worried about being-good and come-the-to be. The interpretation of the information was based on the Humanistic Nursology of Paterson and Zderad. Thus, this study it made possible to understand the express necessities for the child with AIDS that lives or lived in a House of Support, in which the care of Nursing makes possible the child to be-more in the world of the life. One expects that this study it assists the cuidadores in health and, in special, in Nursing launching one another look for these children, with intention to perceive that, in them, it has a human being with singular only feelings e, that have potentialities come-the-to be, limitations of not-being and that needs the other to become fullfilled itself in the world. And so, we point to proposals in areas of search, teaching, extension and nursing taking care / En este estudio nosotros buscamos comprender el existir del niño portador de la sida en el mundo del vida de una Casa de Apoyo, bajo la mirada de la Teoría de Enfermage Humanística de Paterson y Zderad. El escenario en que se desarrolló fue el de una Casa de Apoyo para niños con AIV/Sida, en la ciudad de Santa Maria, Río Grande del Sur. La Casa abriga niños, portadoras o no del virus del HIV/Sida, los cuáles acaban por ser privados de la familia biológica una vez que sus padres son portadores del HIV e no tienen condiciones de cuida-los. Los participantes de la encuesta han sido tres niños con Sida y sus familiares, que residen o ya residieron en esa Casa. Para la coleta de las informaciones, fue utilizada la entrevista fenomenológica y la observación. La interpretación de los datos fue fundamentada en la Teoría Humanística de Paterson y Sderad. El estudio obtuvo aprobación del Comité de Ética en Pesquisa. Emergieron cuatro categorías: el niño muestra que brincar es un modo de estar-mejor; el niño que se percibe en el mundo con los otros, habla de sus amiguitos, de su familia, de la escuela y de la Casa de Apoyo como un lugar de cuidados; el niño muestra que la familia hace parte de su existir; las manifestaciones de la enfermedad causan en el niño la preocupación con el estarmejor y con el venir-a-ser. Este estudio posibilitó comprender las necesidades expresas por el niño con Sida que vive o vivió en una Casa de Apoyo, en la cual el cuidado de Enfermage hace el niño ser-más en el mundo de la vida. Sin embargo, se espera que ayude los cuidadores en salud y, en especial, en Enfermage, a tener un mirar diferenciado a eses niños, con el intuito de percibieren que existe un ser humano con sentimientos únicos y singulares, que tienen potencialidades de venir-aser, limitaciones de no-ser y que necesita del otro para realizar-se en el mundo. Como recomendaciones, quedan propuestas en las áreas de la pesquisa, de la enseñanza de la extensión y del cuidado en Enfermage.

This study sought to explore and describe the perceptions and beliefs of physicians about adherence to antiretroviral treatment by patients in the South-East district of Botswana. The Health Belief Model (Naidoo & Willis 2003:222) was adapted to suit and be used in the study. A descriptive, exploratory qualitative design was used. Unstructured interviews and unstructured observation data collection methods were applied. Informed consent was obtained prior to data collection. For triangulation purposes, observations were done following interviews, and data analysis was done by two different people. The findings of the study revealed that the perceptions and beliefs of treating physicians contributed towards adherence. Physicians perceived adherence as an important aspect in the success of antiretroviral treatment. Giving patients correct information, personal motivation, patients' understanding of treatment, traditional and religious beliefs were among other factors perceived by physicians to be impacting on adherence. / Health Studies / M.A. (Public Health)

Puberty rites are practised in many countries including South Africa. In South Africa the puberty rites have different names and different practices. This study focused on vukhomba among the Manchangana/Vatsonga. Vukhomba is conducted exclusively for girls who have reached menarche. The purpose of this study was to explore the possibility of utilising vukhomba for the improvement of the health status of women. The study design is a qualitative, exploratory, descriptive contextual research study conducted in the Northern region of the Northern Province among Vatsonga\Manchangana in four selected areas. The ethnographic strategy was used to gain access to the vukhomba to view and describe the rite from an emic perspective. The sample included all girls who were initiates during January 1998 and December 1999 in the four selected areas, as well as Vadzabi, varileri, initiated girls, initiated women and vukhomba elders who attended the initaitions. The techniques for data collection included participant observation, semi-structured interviews, focus group discussions, key informant interviews and feedback workshops. The findings indicate that vukhomba is conducted during the school holidays in order to cater for girls who are still attending school. The sexuality education in this rite is mainly about encouraging initiates to maintain their virginity for their future husbands. Vukhomba therefore teaches girls attending the initiation the facts of life. It was however, found that girls often attend the initiation for material gain and respect for elders. The content of sexuality education information given to girls during the rite is inadequate. Initiated women and girls wanted to gain more knowledge about their bodies, their health, menstruation, child bearing and pregnancy, contraceptives and pregnancy. After reviewing the findings of the research an intervention programme was developed and discussed with the initiated women and initiated girls. Vukhomba elders accepted the intervention programme, however, certain topics were not approved e.g. contraception. The intervention programme is expected to form part of the initiation programme in the future. Initiated community members will be trained to facilitate the activities of this programme. / Health Studies / D.Litt. et Phil.

HIV/AIDS is a global challenge and its impact is evident. This places a burden on hospitals and health professionals. To ease this burden there are home-based care programmes which, through home-based caregivers, provide patients living with HIV/AIDS with physical and palliative care. However, these HBCGs face various challenges such as poverty, discrimination and stigma when caring for PALHIV, and their own emotional strain, which becomes burdensome without sufficient support from the home-based care centre. The qualitative study undertaken investigates the challenges and coping mechanisms of the HBCGs. Thirteen research participants were drawn from a centre in Mamelodi. Data was gathered through interviews and observations, categorised into themes and analysed. Major findings revealed that social challenges faced by HBCGs include poverty, stigmatisation and discrimination. Emotions experienced by HBCGs include guilt, anger, hopelessness, but they have spiritual reliance through prayer as one of their coping mechanisms. / Sociology / M.A. (Social Behaviour Studies in HIV/AIDS)

The purpose of this study is to explore the EAP environment and provide a better understanding of the related roles of the Employee Assistant Practitioners/Professionals (EAPs) in respect of their treatment of various forms of illnesses in the workplace – particularly HIV and AIDS. The EAP role is not aligned to any individual profession, as it is designed to match employees’ holistic needs. It is in this context that the repertoire of EAP roles would include caring, psycho-social, therapeutic and technical skills. The EAP role is therefore endowed with the potential to meet a range of inter-departmental and multi-disciplinary needs – such as Nursing, Allied Health Professions, and Healthcare Sciences. A generic Assistant Practitioners Performance Management system (scorecard) had to be developed and agreed to with the City of Johannesburg’s (CoJ) Management in order to maintain consistency when developing APE programmes and roles. Notwithstanding the fact that the Employee Assistant Practitioners do also address the growing HIV/AIDS concerns in the workplace – including psycho-social problems of employees and their families – there is minimal acknowledgment of the EAPs’ roles, and little recognition of their welfare and well-being programmes. Drawing eclectically from various inter-related disciplinary terrains, the study centripetally explores the roles of EAPs as well as HIV/AIDS frameworks in the workplace. Quantitative and qualitative descriptive research methods were employed to assess challenges encountered by the City of Johannesburg (C.o.J) employees and their dependants. Questionnaires were used for the data collection of this study. The repertoire of participants in the study (n=55) comprised of doctors, social workers, nurses, HR officers, and other CoJ employees themselves. vi The questionnaire became the pivotal quantitative data analysis reference point ias it focused on numbers or quantities, and less on the qualitative analysis, which focused on differences in quality. The results of the study are based on numeric analysis and statistics to quantify the qualitative analysis. The prevalence of fewer participants was largely influenced by the depth of the data collection process, which did not allow for large numbers of research participants. The findings of the study revealed, amongst other factors, that there was an unsurpassed need to integrate different HIV/AIDS frameworks in order that the roles of EAPs becomes more effectively and efficiently defined and executed. The roles of EAPs were hitherto not well defined, resulting in duplication and confusion of service delivery to some employees utilising the EAP services. However, some of the EAP roles are highly appreciated and increasingly supported by managers and employees. Based on the findings of the study, recommendations were made for clarifying and extending the criticality of EAP roles and functions. / Health Studies / Ph. D. (Health Studies)

Neste estudo, busca-se compreender o existir da criança com aids no mundo da vida de uma Casa de Apoio, sob o olhar da Teoria de Enfermagem Humanística de Paterson e Zderad. Trata-se de uma pesquisa qualitativa com abordagem existencial-fenomenológico-humanística proposta por Paterson e Zderad, tendo como cenário uma Casa de Apoio a Crianças com HIV/aids, na cidade de Santa Maria, Rio Grande do Sul. A Casa abriga crianças portadoras ou não do vírus HIV/aids, as quais são privadas do núcleo da família biológica por seus pais serem portadores do HIV e não terem condições de cuidá-las. O estudo obteve aprovação do Comitê de Ética em Pesquisa do Centro Universitário Franciscano-UNIFRA. Os participantes da pesquisa foram três crianças com aids, que residem ou já residiram nessa Casa. Para a coleta das informações, utilizaram-se a entrevista fenomenológica e o desenho como recurso, que emergiram quatro unidades de significação: criança mostra que brincar é um modo de estar-melhor; criança se percebe no mundo com os outros; criança visualiza a família como parte do seu existir; criança preocupa-se com o estar-melhor e o vir-a-ser.A interpretação das informações foi fundamentada na Nursology de Paterson e Zderad. Assim, este estudo possibilitou compreenderem-se as necessidades expressas pela criança com aids que vive ou viveu em uma Casa de Apoio, na qual o cuidado de Enfermagem possibilita a criança ser-mais no mundo da vida. Espera-se que este estudo auxilie os cuidadores em saúde e, em especial, em Enfermagem a lançarem um outro olhar para essas crianças, com o intuito de perceberem que, nelas, há um ser humano com sentimentos singulares, que tem potencialidades para vir-a-ser, limitações de não-ser e que necessita do outro para realizar-se no mundo. Por fim, apresentam-se recomendações nas áreas da pesquisa, do ensino, da extensão e do cuidado em Enfermagem. / In this study, one searchs to understand existing of the child with AIDS in the worldlife of a House of Support, under the look of the Theory of Humanistic Nursing of Paterson and Zderad. One is about a qualitative research with existentialphenomenological- humanist boarding, having as scene a House of Support the Children with HIV/aids, in the city of Santa Maria, Rio Grande Do Sul. The House shelters carrying children or not of the HIV/aids virus, which finishes being private it nucleus of the biological family for its parents to be carrying of the HIV and not there are conditions to take care of them. The study it got approval of the Committee of Ethics in Research of the University Center Franciscano-UNIFRA. The partners of the research had been three children with AIDS and its familiar ones, that they inhabit or already they had inhabited in this House. For the collection of the information, they had used it phenomenological interview and the drawing as resource, that four units, of unification had emerged: child sample that to play is a way to be-good; child if perceives in the world with the others; child visualizes the family as part of its to exist; child is worried about being-good and come-the-to be. The interpretation of the information was based on the Humanistic Nursology of Paterson and Zderad. Thus, this study it made possible to understand the express necessities for the child with AIDS that lives or lived in a House of Support, in which the care of Nursing makes possible the child to be-more in the world of the life. One expects that this study it assists the cuidadores in health and, in special, in Nursing launching one another look for these children, with intention to perceive that, in them, it has a human being with singular only feelings e, that have potentialities come-the-to be, limitations of not-being and that needs the other to become fullfilled itself in the world. And so, we point to proposals in areas of search, teaching, extension and nursing taking care / En este estudio nosotros buscamos comprender el existir del niño portador de la sida en el mundo del vida de una Casa de Apoyo, bajo la mirada de la Teoría de Enfermage Humanística de Paterson y Zderad. El escenario en que se desarrolló fue el de una Casa de Apoyo para niños con AIV/Sida, en la ciudad de Santa Maria, Río Grande del Sur. La Casa abriga niños, portadoras o no del virus del HIV/Sida, los cuáles acaban por ser privados de la familia biológica una vez que sus padres son portadores del HIV e no tienen condiciones de cuida-los. Los participantes de la encuesta han sido tres niños con Sida y sus familiares, que residen o ya residieron en esa Casa. Para la coleta de las informaciones, fue utilizada la entrevista fenomenológica y la observación. La interpretación de los datos fue fundamentada en la Teoría Humanística de Paterson y Sderad. El estudio obtuvo aprobación del Comité de Ética en Pesquisa. Emergieron cuatro categorías: el niño muestra que brincar es un modo de estar-mejor; el niño que se percibe en el mundo con los otros, habla de sus amiguitos, de su familia, de la escuela y de la Casa de Apoyo como un lugar de cuidados; el niño muestra que la familia hace parte de su existir; las manifestaciones de la enfermedad causan en el niño la preocupación con el estarmejor y con el venir-a-ser. Este estudio posibilitó comprender las necesidades expresas por el niño con Sida que vive o vivió en una Casa de Apoyo, en la cual el cuidado de Enfermage hace el niño ser-más en el mundo de la vida. Sin embargo, se espera que ayude los cuidadores en salud y, en especial, en Enfermage, a tener un mirar diferenciado a eses niños, con el intuito de percibieren que existe un ser humano con sentimientos únicos y singulares, que tienen potencialidades de venir-aser, limitaciones de no-ser y que necesita del otro para realizar-se en el mundo. Como recomendaciones, quedan propuestas en las áreas de la pesquisa, de la enseñanza de la extensión y del cuidado en Enfermage.

Submitted by Maria Suzana Diniz (msuzanad@hotmail.com) on 2015-11-13T15:03:06Z No. of bitstreams: 1 arquivototal.pdf: 1784577 bytes, checksum: 45a5338416ec6fd122f654a04ea42a30 (MD5) / Made available in DSpace on 2015-11-13T15:03:06Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1784577 bytes, checksum: 45a5338416ec6fd122f654a04ea42a30 (MD5) Previous issue date: 2015-02-23 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Introduction: The sexual behavior of the elderly over the sixties is marked by myths and taboos and has suffered several changes that altered the epidemiological profile of some diseases such as aids, making the elderly more vulnerable. It is well known that the construction of nursing diagnosis statements stimulate discussions about the planning of health initiatives directed to the needs of the elderly people and also the prevention, control and care of the elderly in a context of vulnerability. Objective: The present study aims to build nursing diagnosis statements for the elderly in the context of vulnerabilities to the HIV/Aids. Methodology: It is a descriptive explanatory study carried out with 20 elderly in a Family Health Unity in João Pessoa/Paraíba from June to July/2014. The data collection was made through semi-structured interview. All the information was organized and analyzed by the categorical theme technique of content analysis. After the identification of theme categories and subcategories, a term database was built in order to cross map the information with the terms of the International Classification for Nursing Practice (ICNP® 2013). Finally, the present study built nursing diagnosis statements based on the Seven Axes Model of ICNP®2013 and classified them according to the vulnerability conceptual framework. Approved by the ethics committee by the judgment nº 084/14. CAEE: 27945014.0.0000.5188. Results: Among the studied population there was a prevalence of elderly women (55%), married (55%), Catholic (70%), with a family income of one minimum wage (80%), age group from 60 to 65 years old (45%) and low education (40%). Two term database were built, one with terms present in the CIPE® 2013 and the other with non CIPE® 2013 terms; these two groups resulted in the construction of 24nursing diagnosis statements according to the following thematic categories:1) Social Conditions category, 10 nursing diagnosis statements were built, such as health knowledge, appropriate; family knowledge about the disease, present; health knowledge, damaged; sadness; fear of death; lifespan, conflictive; anguish; ability to talk about the death process, present; anxiety to death; communication service, damaged; health pursuit, damaged; 2) Cognitive Conditions, 7 nursing diagnosis statements were built: awareness of prevention measures; risk of exposure to contamination; self knowledge about the disease, present; lack of knowledge about the disease; prevention role, inadequate; fear of exposure to contamination and lack of knowledge about sexual behavior; 3)Behavioral Conditions, 7 nursing diagnosis statements were built: sexual performance, present; sexual performance, absent; denial of adherence to safety measures (condoms); gender role, damaged; fear of contamination; risky sexual relation; ability to protect, damaged. Conclusion: By describing conceptions and behaviors in a context of vulnerability to the HIV/Aids it was clear, in a broad way, that aids is connected with different types of vulnerabilities. Constructing the nursing diagnosis statements brought to light the needs of the health care, such as reflexions about the elderly health needs in a context of vulnerabilities to the HIV/Aids that will allow the planning of a systematic nursing care, benefit the nurse in his practices and also help to improve health initiatives to this age group. / Introdução: O comportamento sexual a partir dos sessenta anos de idade, no ser humano é marcado por muitos mitos e tabus, e o mesmo tem sofrido mudanças que tem alterado o perfil epidemiológico de doenças como a aids, tornando a população idosa mais vulnerável a contaminação pelo HIV. Acredita-se que a construção de enunciados diagnósticos de enfermagem instigue discussões acerca do planejamento de ações de saúde direcionado às necessidades da pessoa idosa, na prevenção, controle e cuidado a pessoa idosa no contexto da vulnerabilidade ao problema. Objetivo: Construir enunciados de diagnósticos de enfermagem para idosos no contexto de vulnerabilidades ao HIV/Aids. Método: Trata-se de um estudo exploratório descritivo, realizado com 20 idosos numa Unidade de Saúde da Família no município de João Pessoa/Paraíba, no período de junho à julho de 2014. Para coleta de dados foi utilizada uma entrevista semiestruturada. As informações foram organizadas e analisadas pela técnica de análise de conteúdo temática categorial. Após a identificação de categorias e subcategorias temáticas, foi construído um banco de termos para mapeamento cruzado com termos da Classificação Internacional para a Prática de Enfermeiros (CIPE® 2013). Por fim, foram construídos enunciados diagnósticos de enfermagem com base no modelo de sete eixos da CIPE® 2013. Aprovado pelo comitê de ética, mediante o parecer nº 084/14. CAEE: 27945014.0.0000.5188. Resultados: Dente a população estudada houve uma prevalência de mulheres idosas (55%), casadas (55%), de religião católica (70%), com renda familiar de um salário mínimo (80%), faixa etária entre 60-65 anos (45%) e com baixa escolaridade (40%).Foi construído dois bancos de termos, um com termos constantes na CIPE® 2013 e um com termos não constantes CIPE® 2013, que resultaram na construção de 24 enunciados diagnósticos de Enfermagem, por categorias temáticas:1) Condições sociais com 10 enunciados - Conhecimento em saúde, adequado, Conhecimento da família sobre a doença, presente, Conhecimento em saúde, prejudicado, Tristeza, Medo da morte, Expectativa da morte, conflituosa, Angústia, Capacidade para falar sobre o processo morte/morrer, presente, serviço de comunicação, prejudicado e comportamento de busca em saúde, prejudicada; 2) Condições cognitivas com 07 enunciados - Conhecimento sobre medidas de prevenção, Risco de exposição à contaminação, Autoconhecimento sobre a doença, presente, Falta de conhecimento sobre a doença, Papel de prevenção, inadequado, Medo de exposição à contaminação e Falta de conhecimento sobre comportamento sexual; 3) Condições comportamentais que apresentou 07 enunciados - Relação sexual, presente, Relação sexual, ausente, Não à adesão a medida de prevenção (preservativo), Papel de gênero, prejudicado, Medo de contágio, Relação sexual de risco e Capacidade para proteger, prejudicado. Conclusão: Descrever concepções e comportamentos de idosos no contexto de vulnerabilidades ao HIV/Aids, observou-se de uma forma ampla que a aids está atrelada com distintos tipos de vulnerabilidades, e a construção de enunciados diagnósticos de enfermagem, detectou-se as necessidades de saúde, como reflexões acerca das necessidades de saúde da pessoa idosa no contexto de vulnerabilidades ao HIV/Aids, que permitirão o planejamento da assistência de enfermagem sistematizada, beneficiando o enfermeiro em suas práticas, como também em ações de saúde.