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21	Mudanças na vida sexual após o sorodiagnóstico para o HIV: uma comparação entre homens e mulheres / Changings in sexual life after HIV serodiagnosis: a comparison between men and women Polistchuck, Lígia 05 October 2010 (has links) Após a disponibilização dos antirretrovirais (ARV), a sexualidade dos portadores de HIV/Aids passou a ser mais freqüentemente estudada, especialmente com enfoque na prevenção e no risco. Objetivos: Descrever a vida sexual de portadores de HIV/Aids e identificar as associações da piora na vida sexual após o diagnóstico de HIV com variáveis relativas às características socioeconômicas, à vida sexual, ao uso do ARV e dos serviços de saúde. Métodos: Os dados utilizados procedem de dois estudos transversais com 250 homens e 729 mulheres portadores de HIV/Aids (amostras consecutivas), realizados em dois centros de referência para o HIV/Aids da cidade de São Paulo, entre setembro de 1999 e fevereiro de 2002.A resposta para a questão sobre a mudança na vida sexual, após o diagnóstico de HIV/Aids de cada questionário, foi avaliada e categorizada como piora ou não. A comparação foi realizada entre os grupos de homens e mulheres em relação à piora na vida sexual após o diagnóstico de HIV. Fatores associados foram estimados por regressão múltipla de Poisson. Os testes foram conduzidos em nível de significância de 5 por cento. Resultados: Os homens relataram mais mudança negativa que as mulheres 59 por cento e 41 por cento, respectivamente (p<0,001). Para mulheres, os fatores associados às mudanças negativas na vida sexual, após o diagnóstico, foram: passar por dor ou desconforto físico no atendimento recebido no serviço de saúde, não ser atendida por enfermeiro, dificuldade de falar com ginecologista sobre a vida sexual, desejo de ter filhos/estar grávida, ausência de desejo de ter filhos e abstinência sexual. Fatores negativamente associados foram: renda entre 2 e 4 salários mínimos, via sexual de infecção para o HIV. Para homens, os fatores associados a mudanças negativas na vida sexual após o diagnóstico foram: desemprego e facilidade moderada de falar com psicólogo sobre a vida sexual. Fatores negativamente associados foram: número de parcerias sexuais durante a vida (pelo menos 6) e uso prévio de maconha. Conclusões: Os resultados parecem apontar para uma vulnerabilidade programática elevada das mulheres portadoras em relação ao desfecho, bem como vulnerabilidades individuais e sociais que acompanham roteiros de gênero específicos / After Highly Active AntiRetroviral Treatment (HAART) became available, the sexuality of people living with HIV/Aids has been more frequently studied, especially focusing prevention and risk. Objectives: Describe sexual life of people living with HIV/Aids and identify the associations between worsening in sexual life after serodiagnosis and variables such as sociodemographic, related to sexual life, use of HAART, use and relation to healthcare services. Methods: The data came from two previous cross-sectional studies with 729 women and 250 men living with HIV/Aids in São Paulo (consecutive samples), carried out in two reference centers in the city, between September 1999 and February 2002. The answer to the question about changing in sexual life after the diagnosis of HIV/Aids in each questionary was rated and categorized as worsening or not. Comparison was done between men and women groups that showed worsening of sexual life after serodiagnosis. Associated factors were estimated by Poissons Multiple Regression. The tests were conducted with a 5 per cent significance level. Results: Men reported more negative changes in sexual life after diagnosis than women 59 per cent and 41 per cent, respectively (p<0.001). Associated factors for women were: experiencing pain or physical discomfort when being attended by healthcare services, not being attended by a nurse, difficulty in talking about sexual life with the gynecologist; desire to have children/being pregnant, absence of desire to have children and sexual abstinence. Negatively associated factors were: monthly income of 2-4 minimum wages, sexual infection for HIV. In men, the associated factors were: unemployment, moderate easiness to talk to a psychologist about sexual life. Negatively associated factors were; sexual partnership through life (at least 6), previous or current use of marijuana. Conclusions: The results seem to point out to a high programmatic vulnerability of women regarding the outcome, as well as individual and social vulnerabilities of men and women, that accompany specific gender scripts Cross-Sectional Study Estudo Transversal Gender Gênero Mudanças Negativas People Living with HIV/Aids Pessoas Vivendo com HIV/Aids Sexualidade Sexuality Vulnerabilidade Vulnerability
22	E "fazer tudo direitinho" : cuidados e enfrentamentos nas políticas de sáude em resposta HIV/AIDS e mulheres Pires, Patrícia Vitória January 2016 (has links) A dissertação inscreve-se nos campos dos Estudos de Gênero e dos Estudos Culturais pós-estruturalistas, em interface com a Saúde Coletiva. Nela, problematizo a feminização do HIV/aids no Rio Grande do Sul, tomando como foco o enfrentamento da doença em mulheres grávidas, e considerando o que está disposto nos textos normativos do Plano Integrado de Enfrentamento da Feminização da Epidemia de Aids e outras DST (BRASIL, 2009), da Linha de Cuidado para PVHA e outras DST do Estado do Rio Grande do Sul (2014a) e em alguns de seus desdobramentos. Os documentos foram examinados na perspectiva da análise cultural; para realizá-la, construí um jeito de olhar e de fazer, operando com alguns conceitos como ferramentas analíticas, entre eles: gênero, cultura, linguagem, educação, além de uma redefinição do termo vigilância epidemiológica. Por meio da realização de um exercício intensivo de multiplicação de sentidos dos termos centrais que nomeiam os dois principais documentos – cuidado e enfrentamento –, construí duas unidades analíticas: mulheres, gravidez e cuidados; e a feminização do HIV/aids e seus enfrentamentos. Através da descrição e análise das posições de sujeito corpo grávido e mãe responsável, foi possível problematizar os modos como a feminização do HIV/aids tem sido pautada nos programas de enfrentamento, quando se trata de mulheres grávidas, destacando-se aí os investimentos das biopolíticas sobre os corpos e a vida das mulheres, que incidem nas formas de cuidar, de enfrentar e de ser mulher em tempos de HIV/aids. / This dissertation is inserted in the fields of Gender Studies and post-structuralist Cultural Studies, approaching Public Health. It address the feminization of HIV/AIDS in Rio Grande do Sul, especially how pregnant women cope with the disease, considering what is provided in the normative texts in the Integrated Plan to Combat the Feminization of AIDS Epidemic and other STDs (BRASIL, 2009), in the Care Guidelines for PLWHA and other STDs of Rio Grande do Sul (2014a) and in some of its consequences. The documents were analyzed from the perspective of cultural analysis, through the conception of a way of looking and doing, considering some concepts as analytical tools, including gender: culture, language, education, and a redefinition of the term epidemiological surveillance. By conducting an intensive exercise of multiplying the meanings of central terms that name the two main documents - care and combat -, two analytical units were established: women, pregnancy and care; and the feminization of HIV/AIDS and how to combat it. Through the description and analysis from the positions of the subjects pregnant body and responsible mother, it was possible to discuss the ways how the feminization of HIV/AIDS has been addressed in the prevention programs of HIV infection, when it comes to pregnant women, highlighting the investments in biopolitics concerning the bodies and lives of women, that focus on ways of protecting, coping with and being a woman in HIV/AIDS times. Feminização Aids : Feminização Saúde pública : Brasil Estudos de gênero Políticas públicas de saúde : Brasil Public health Gender studies Public policy Biopolitics Feminization of AIDS Women living with HIV/AIDS Pregnancy
23	Mudanças na vida sexual após o sorodiagnóstico para o HIV: uma comparação entre homens e mulheres / Changings in sexual life after HIV serodiagnosis: a comparison between men and women Lígia Polistchuck 05 October 2010 (has links) Após a disponibilização dos antirretrovirais (ARV), a sexualidade dos portadores de HIV/Aids passou a ser mais freqüentemente estudada, especialmente com enfoque na prevenção e no risco. Objetivos: Descrever a vida sexual de portadores de HIV/Aids e identificar as associações da piora na vida sexual após o diagnóstico de HIV com variáveis relativas às características socioeconômicas, à vida sexual, ao uso do ARV e dos serviços de saúde. Métodos: Os dados utilizados procedem de dois estudos transversais com 250 homens e 729 mulheres portadores de HIV/Aids (amostras consecutivas), realizados em dois centros de referência para o HIV/Aids da cidade de São Paulo, entre setembro de 1999 e fevereiro de 2002.A resposta para a questão sobre a mudança na vida sexual, após o diagnóstico de HIV/Aids de cada questionário, foi avaliada e categorizada como piora ou não. A comparação foi realizada entre os grupos de homens e mulheres em relação à piora na vida sexual após o diagnóstico de HIV. Fatores associados foram estimados por regressão múltipla de Poisson. Os testes foram conduzidos em nível de significância de 5 por cento. Resultados: Os homens relataram mais mudança negativa que as mulheres 59 por cento e 41 por cento, respectivamente (p<0,001). Para mulheres, os fatores associados às mudanças negativas na vida sexual, após o diagnóstico, foram: passar por dor ou desconforto físico no atendimento recebido no serviço de saúde, não ser atendida por enfermeiro, dificuldade de falar com ginecologista sobre a vida sexual, desejo de ter filhos/estar grávida, ausência de desejo de ter filhos e abstinência sexual. Fatores negativamente associados foram: renda entre 2 e 4 salários mínimos, via sexual de infecção para o HIV. Para homens, os fatores associados a mudanças negativas na vida sexual após o diagnóstico foram: desemprego e facilidade moderada de falar com psicólogo sobre a vida sexual. Fatores negativamente associados foram: número de parcerias sexuais durante a vida (pelo menos 6) e uso prévio de maconha. Conclusões: Os resultados parecem apontar para uma vulnerabilidade programática elevada das mulheres portadoras em relação ao desfecho, bem como vulnerabilidades individuais e sociais que acompanham roteiros de gênero específicos / After Highly Active AntiRetroviral Treatment (HAART) became available, the sexuality of people living with HIV/Aids has been more frequently studied, especially focusing prevention and risk. Objectives: Describe sexual life of people living with HIV/Aids and identify the associations between worsening in sexual life after serodiagnosis and variables such as sociodemographic, related to sexual life, use of HAART, use and relation to healthcare services. Methods: The data came from two previous cross-sectional studies with 729 women and 250 men living with HIV/Aids in São Paulo (consecutive samples), carried out in two reference centers in the city, between September 1999 and February 2002. The answer to the question about changing in sexual life after the diagnosis of HIV/Aids in each questionary was rated and categorized as worsening or not. Comparison was done between men and women groups that showed worsening of sexual life after serodiagnosis. Associated factors were estimated by Poissons Multiple Regression. The tests were conducted with a 5 per cent significance level. Results: Men reported more negative changes in sexual life after diagnosis than women 59 per cent and 41 per cent, respectively (p<0.001). Associated factors for women were: experiencing pain or physical discomfort when being attended by healthcare services, not being attended by a nurse, difficulty in talking about sexual life with the gynecologist; desire to have children/being pregnant, absence of desire to have children and sexual abstinence. Negatively associated factors were: monthly income of 2-4 minimum wages, sexual infection for HIV. In men, the associated factors were: unemployment, moderate easiness to talk to a psychologist about sexual life. Negatively associated factors were; sexual partnership through life (at least 6), previous or current use of marijuana. Conclusions: The results seem to point out to a high programmatic vulnerability of women regarding the outcome, as well as individual and social vulnerabilities of men and women, that accompany specific gender scripts Estudo Transversal Gênero Mudanças Negativas Pessoas Vivendo com HIV/Aids Sexualidade Vulnerabilidade Cross-Sectional Study Gender People Living with HIV/Aids Sexuality Vulnerability
24	Assessment of health-related quality of life of adult highly active anti-retroviral therapy recipients at the Kagera Regional Hospital Tanzania. Magafu, Mgaywa. 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style="font-size: 10pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / ">Background: The care and treatment for people with HIV/AIDS (PLWHA) at the Kagera regional hospital began in February 2005. It is important to evaluate quality of life (QOL) of highly active anti-retroviral therapy (HAART) recipients periodical to assess HAART&rsquo / s effectiveness. This study aimed to assess the health-related QOL (HRQOL) of HAART recipients and determine factors associated with it, two years after the programme had started at the kagera regional hospital in Tanzania. Results: The HRQOL of HAART recipients was generally lower than that of the general population. However, the general health perceptions (p=0.191) and mental health (p=0.161) means score of HAART recipients were not different from those of the Tanzanian general population. About 89% of the HAART recipients reported better health than in the previous years. Chronic diseases were associated with lower HRQOL of HAART recipients independently of other factors. HAART recipients with chronic diseases co-morbidity were more likely to score below the general population&rsquo / s mean score for mental health (p=0.007). While the effect of chronic diseases on HRQOL among those who recorded CD4+ cell increase was negative (OR=13.6,95%CI=3.7 / 49.9), there was no effect on those who did not have such an increase. Adherence to ARVs and CD4+ cell count were not associated with HRQOL. &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / <span style=""> <o:p></o:p></span></span></p> <p style="margin-bottom: 0.0001pt / line-height: normal / " class="MsoNormal"><span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><o:p>&nbsp / </o:p></span></p> <span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style=""> </span><o:p></o:p></span></p> <p>&nbsp / </p> HIV/AIDS People living with HIV/AIDS Highly active anti-retroviral therapy care and treatment anti-retroviral therapy Kagera regional hospital Tanzania.
25	Assessment of health-related quality of life of adult highly active anti-retroviral therapy recipients at the Kagera Regional Hospital Tanzania. Magafu, Mgaywa. 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style="font-size: 10pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / ">Background: The care and treatment for people with HIV/AIDS (PLWHA) at the Kagera regional hospital began in February 2005. It is important to evaluate quality of life (QOL) of highly active anti-retroviral therapy (HAART) recipients periodical to assess HAART&rsquo / s effectiveness. This study aimed to assess the health-related QOL (HRQOL) of HAART recipients and determine factors associated with it, two years after the programme had started at the kagera regional hospital in Tanzania. Results: The HRQOL of HAART recipients was generally lower than that of the general population. However, the general health perceptions (p=0.191) and mental health (p=0.161) means score of HAART recipients were not different from those of the Tanzanian general population. About 89% of the HAART recipients reported better health than in the previous years. Chronic diseases were associated with lower HRQOL of HAART recipients independently of other factors. HAART recipients with chronic diseases co-morbidity were more likely to score below the general population&rsquo / s mean score for mental health (p=0.007). While the effect of chronic diseases on HRQOL among those who recorded CD4+ cell increase was negative (OR=13.6,95%CI=3.7 / 49.9), there was no effect on those who did not have such an increase. Adherence to ARVs and CD4+ cell count were not associated with HRQOL. &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / <span style=""> <o:p></o:p></span></span></p> <p style="margin-bottom: 0.0001pt / line-height: normal / " class="MsoNormal"><span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><o:p>&nbsp / </o:p></span></p> <span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style=""> </span><o:p></o:p></span></p> <p>&nbsp / </p> HIV/AIDS People living with HIV/AIDS Highly active anti-retroviral therapy care and treatment anti-retroviral therapy Kagera regional hospital Tanzania.
26	E "fazer tudo direitinho" : cuidados e enfrentamentos nas políticas de sáude em resposta HIV/AIDS e mulheres Pires, Patrícia Vitória January 2016 (has links) A dissertação inscreve-se nos campos dos Estudos de Gênero e dos Estudos Culturais pós-estruturalistas, em interface com a Saúde Coletiva. Nela, problematizo a feminização do HIV/aids no Rio Grande do Sul, tomando como foco o enfrentamento da doença em mulheres grávidas, e considerando o que está disposto nos textos normativos do Plano Integrado de Enfrentamento da Feminização da Epidemia de Aids e outras DST (BRASIL, 2009), da Linha de Cuidado para PVHA e outras DST do Estado do Rio Grande do Sul (2014a) e em alguns de seus desdobramentos. Os documentos foram examinados na perspectiva da análise cultural; para realizá-la, construí um jeito de olhar e de fazer, operando com alguns conceitos como ferramentas analíticas, entre eles: gênero, cultura, linguagem, educação, além de uma redefinição do termo vigilância epidemiológica. Por meio da realização de um exercício intensivo de multiplicação de sentidos dos termos centrais que nomeiam os dois principais documentos – cuidado e enfrentamento –, construí duas unidades analíticas: mulheres, gravidez e cuidados; e a feminização do HIV/aids e seus enfrentamentos. Através da descrição e análise das posições de sujeito corpo grávido e mãe responsável, foi possível problematizar os modos como a feminização do HIV/aids tem sido pautada nos programas de enfrentamento, quando se trata de mulheres grávidas, destacando-se aí os investimentos das biopolíticas sobre os corpos e a vida das mulheres, que incidem nas formas de cuidar, de enfrentar e de ser mulher em tempos de HIV/aids. / This dissertation is inserted in the fields of Gender Studies and post-structuralist Cultural Studies, approaching Public Health. It address the feminization of HIV/AIDS in Rio Grande do Sul, especially how pregnant women cope with the disease, considering what is provided in the normative texts in the Integrated Plan to Combat the Feminization of AIDS Epidemic and other STDs (BRASIL, 2009), in the Care Guidelines for PLWHA and other STDs of Rio Grande do Sul (2014a) and in some of its consequences. The documents were analyzed from the perspective of cultural analysis, through the conception of a way of looking and doing, considering some concepts as analytical tools, including gender: culture, language, education, and a redefinition of the term epidemiological surveillance. By conducting an intensive exercise of multiplying the meanings of central terms that name the two main documents - care and combat -, two analytical units were established: women, pregnancy and care; and the feminization of HIV/AIDS and how to combat it. Through the description and analysis from the positions of the subjects pregnant body and responsible mother, it was possible to discuss the ways how the feminization of HIV/AIDS has been addressed in the prevention programs of HIV infection, when it comes to pregnant women, highlighting the investments in biopolitics concerning the bodies and lives of women, that focus on ways of protecting, coping with and being a woman in HIV/AIDS times. Feminização Aids : Feminização Saúde pública : Brasil Estudos de gênero Políticas públicas de saúde : Brasil Public health Gender studies Public policy Biopolitics Feminization of AIDS Women living with HIV/AIDS Pregnancy
27	E "fazer tudo direitinho" : cuidados e enfrentamentos nas políticas de sáude em resposta HIV/AIDS e mulheres Pires, Patrícia Vitória January 2016 (has links) A dissertação inscreve-se nos campos dos Estudos de Gênero e dos Estudos Culturais pós-estruturalistas, em interface com a Saúde Coletiva. Nela, problematizo a feminização do HIV/aids no Rio Grande do Sul, tomando como foco o enfrentamento da doença em mulheres grávidas, e considerando o que está disposto nos textos normativos do Plano Integrado de Enfrentamento da Feminização da Epidemia de Aids e outras DST (BRASIL, 2009), da Linha de Cuidado para PVHA e outras DST do Estado do Rio Grande do Sul (2014a) e em alguns de seus desdobramentos. Os documentos foram examinados na perspectiva da análise cultural; para realizá-la, construí um jeito de olhar e de fazer, operando com alguns conceitos como ferramentas analíticas, entre eles: gênero, cultura, linguagem, educação, além de uma redefinição do termo vigilância epidemiológica. Por meio da realização de um exercício intensivo de multiplicação de sentidos dos termos centrais que nomeiam os dois principais documentos – cuidado e enfrentamento –, construí duas unidades analíticas: mulheres, gravidez e cuidados; e a feminização do HIV/aids e seus enfrentamentos. Através da descrição e análise das posições de sujeito corpo grávido e mãe responsável, foi possível problematizar os modos como a feminização do HIV/aids tem sido pautada nos programas de enfrentamento, quando se trata de mulheres grávidas, destacando-se aí os investimentos das biopolíticas sobre os corpos e a vida das mulheres, que incidem nas formas de cuidar, de enfrentar e de ser mulher em tempos de HIV/aids. / This dissertation is inserted in the fields of Gender Studies and post-structuralist Cultural Studies, approaching Public Health. It address the feminization of HIV/AIDS in Rio Grande do Sul, especially how pregnant women cope with the disease, considering what is provided in the normative texts in the Integrated Plan to Combat the Feminization of AIDS Epidemic and other STDs (BRASIL, 2009), in the Care Guidelines for PLWHA and other STDs of Rio Grande do Sul (2014a) and in some of its consequences. The documents were analyzed from the perspective of cultural analysis, through the conception of a way of looking and doing, considering some concepts as analytical tools, including gender: culture, language, education, and a redefinition of the term epidemiological surveillance. By conducting an intensive exercise of multiplying the meanings of central terms that name the two main documents - care and combat -, two analytical units were established: women, pregnancy and care; and the feminization of HIV/AIDS and how to combat it. Through the description and analysis from the positions of the subjects pregnant body and responsible mother, it was possible to discuss the ways how the feminization of HIV/AIDS has been addressed in the prevention programs of HIV infection, when it comes to pregnant women, highlighting the investments in biopolitics concerning the bodies and lives of women, that focus on ways of protecting, coping with and being a woman in HIV/AIDS times. Feminização Aids : Feminização Saúde pública : Brasil Estudos de gênero Políticas públicas de saúde : Brasil Public health Gender studies Public policy Biopolitics Feminization of AIDS Women living with HIV/AIDS Pregnancy
28	A Dissertation entitledDevelopment and Validation of the Mental Health Professionals’ Attitude Towards People Living with HIV/AIDS Scale (MHP-PLHIV-AS) Rose, Jared S. January 2016 (has links) No description available. Counseling Education Counseling Psychology Public Health Multicultural Education Psychology Therapy HIV AIDS people living with HIV-AIDS PLHIV attitude competency mental health Rasch Measurement Model
29	Transmissão vertical do HIV no Estado de São Paulo, Brasil: a perspectiva das mulheres / Vertical transmission of HIV in São Paulo, Brazil: the perspective of women Sandra Regina de Souza 13 September 2011 (has links) Introdução: O cenário da epidemia da AIDS vem se modificando no Brasil e no mundo e o perfil epidemiológico das pessoas vivendo com HIV/AIDS vem sofrendo sucessivas alterações desde a década de 80. Embora os homens representem em números absolutos, o maior número de notificações do total de casos de AIDS, a velocidade de crescimento da epidemia é maior entre as mulheres. O Brasil tem uma resposta à epidemia de DST/AIDS reconhecida internacionalmente, baseada nos princípios do SUS à universalidade, à equidade e à integralidade na assistência. Um dos capítulos desta resposta é a prevenção da transmissão vertical do HIV. O tema que vem ganhando importância na medida em que a AIDS recebe status de doença crônica e as mulheres soropositivas podem fazer as suas escolhas reprodutivas. A prevenção da transmissão vertical do HIV contempla testagem para diagnóstico precoce, terapia antirretroviral durante a gravidez e o parto, terapia antirretroviral para o recém-nascido e a não amamentação. Objetivo- Conhecer como as ações de prevenção e controle da transmissão vertical do Vírus da Imunodeficiência Humana são percebidas pelas gestantes e puérperas atendidas pelo Programa Estadual de DST/AIDS, e sua satisfação, ou insatisfação, em relação à assistência recebida. Método- Nossa amostra foi composta por 14 mulheres, sendo 13 soropositivas para o HIV que engravidaram e tiveram pelo menos um filho no contexto da soropositividade e uma, soronegativa para o HIV e mãe adotiva de uma criança soropositiva. Para a coleta de dados foi utilizada a metodologia qualitativa, com base em entrevistas individuais, semiestruturadas, realizadas em 2010. Resultados - Não houve aconselhamento para a testagem de nenhuma mulher da amostra. As mulheres apresentaram, no geral, uma falta de identificação com o perfil de pessoas que podem se infectar com o HIV, sendo surpreendidas com o diagnóstico. Oito pais apresentaram status sorológico desconhecido, sendo que três negaram-se à testagem. Há dificuldades por parte das mulheres, para promoverem relações sexuais protegidas com o uso do preservativo masculino. Os efeitos adversos dos antirretrovirais são descritos como obstáculo importante à adesão ao tratamento. O alojamento conjunto foi o cenário das piores vivências dentre toda a assistência recebida, destaque dado ao tema aleitamento materno. Há uma lacuna entre as demandas das mulheres em produzir e relatar as suas narrativas e a inexistência de espaços de escuta, seja individualmente na relação com o profissional médico, seja em grupos. Conclusões - A ausência do aconselhamento como espaço de abordagem e esclarecimentos, informações e escolhas, dificulta uma ação mais oportuna para a redução da transmissão vertical do HIV. As mulheres comuns não são atingidas pelas informações sobre HIV/AIDS oferecidas pelas campanhas para prevenção da infecção. O uso do preservativo para evitar a infecção ainda é uma decisão masculina. As mulheres raramente encontram interlocução entre os profissionais, para tirarem suas dúvidas e planejarem sua vida reprodutiva de forma mais segura. Apesar da falta de discussão sobre o planejamento terapêutico, a via de parto e os cuidados com o bebê, as mulheres seguem a prescrição e seguem com seus medos e suas dúvidas / Introduction: The scenario of the AIDS epidemic has been changing in Brazil and worldwide, and epidemiological profile of people living with HIV / AIDS has undergone successive changes since the 80\'s. Although men represent in absolute numbers, the highest number of notifications of all cases of AIDS, the epidemic growth rate is higher among women. Brazil has a response to the epidemic of STD / AIDS internationally recognized principles of the SUS: universality, equity and integrity in service. One of the elements of this response is the prevention of vertical transmission of HIV. The theme that is gaining importance, as AIDS gets the status of chronic disease and HIV positive women can make their own reproductive choices. The prevention of vertical transmission of HIV includes testing for early diagnosis, antiretroviral therapy during pregnancy and delivery, antiretroviral therapy for the newborn and not breastfeeding. Objective -To study how the prevention and control of vertical transmission of human immunodeficiency virus are perceived by pregnant women and new mothers assisted by the State Program of STD / AIDS, and their satisfaction or dissatisfaction in relation to care received. Methods -Our sample consisted of 14 women, 13 HIV-positive pregnant and who had at least one child in the context of being HIV positive and one was seronegative for HIV and an adoptive mother of an HIV positive child. To collect data we used the qualitative methodology, based on individual interviews, semi-structured, conducted in 2010. Results - There was no counseling for the testing of any women in the sample. Women had, overall, a lack of identification with the profile of people who can become infected with HIV, being surprised by the diagnosis. Eight male partners had unknown HIV status, and three refused to be tested. There are difficulties, for women, to promote safe sex with condom use. Adverse effects of antiretroviral drugs are described as barrier to treatment adherence. Rooming-in was the scene of the worst experiences among all the care received, highlighting the theme of breastfeeding. There is a gap between women\'s demands to produce and report their stories and the lack of opportunities to listen, either individually in relation to the medical professional, either in groups. Conclusions - The lack of counseling as a space for dialogue and explanations, information and choices, hampers a more timely action to reduce vertical transmission of HIV. The \"ordinary\" women are not affected by information about HIV / AIDS provided by the campaigns to prevent infection. The use of condoms to prevent infection is still a male decision. Women are rarely have the opportunity to with professionals, to expose their questions and plan their reproductive lives more safely. In this setting of lack ofparticipation on treatment planning, delivery or baby care, women follow the \"prescription\" and move on with their fears and doubts Gestação HIV Mulheres Vivendo com HIV/Aids Síndrome da Imunodeficiência Adquirida Transmissão Materno-infantil do HIV Transmissão Vertical da Doença Acquired Immunodeficiency Syndrome HIV Mother-to-child HIV Transmission Pregnancy Vertical Disease Transmission Women Living with HIV/Aids
30	O ATENDIMENTO PÚBLICO EM HIV/AIDS NA CIDADE DE PONTA GROSSA – PR E A VISÃO DAS EQUIPES MULTIDISCIPLINARES SOBRE A UTILIZAÇÃO DA POLÍTICA NACIONAL DE HUMANIZAÇÃO NO GERENCIAMENTO DA EPIDEMIA Wisniewski, Marcelo 10 September 2015 (has links) Made available in DSpace on 2017-07-21T14:42:33Z (GMT). No. of bitstreams: 1 MARCELO WISNIEWSKI.pdf: 2182472 bytes, checksum: 6feb7e047dc964aaf318165e6ae31cb5 (MD5) Previous issue date: 2015-09-10 / Since the advent of AIDS in the 1980’s, much has been discussed about this syndrome. Either by strands designated as 'scientific' or not, the matter raised polemics, controversies, but also caused to science to put on demand urgent studies on the treatment of this disease. In Brazil, the arrival of innovative antiretroviral therapies from the second half of the 1990’s as well as the requirement for free distribution by the public health system, contributed undoubtedly to increase longevity and quality of life of people with HIV. Overcome this phase, the epidemic maintains its trajectory and other demands, among them, adherence to drug therapies, were outlined as mandatory elements for the successful treatment of this syndrome. In this study, it was intended to historically rescue the deployment of public services care for HIV / AIDS in Ponta Grossa - PR, from the point of view of multidisciplinary teams involved. Moreover, it was emphasized the historical trajectory of the management of these patients during the arrival of the National Humanization Policy (PNH). And how these professionals involved have assimilated this police of the Unified Health System to develop promotion strategies for adherence to antiretroviral therapies. The methodology proposed in this research was conducted through a qualitative analysis of the subject throught exploratory research. Using elements such as: a literature review, documentary research through newspapers, magazines and movies on the HIV/AIDS issues; and interviews with professionals who acted and act in the treatment of patients with HIV for further analysis of content. The results obtained from this research demonstrated the underspending of PNH as supportive tool to adherence of antiretroviral therapies in the researched county. / Desde o advento da AIDS nos anos 1980, muito se discutiu a respeito desta síndrome. Seja por vertentes designadas como ‘científicas’ ou não, o assunto suscitou polêmicas, controvérsias, mas também, provocou a Ciência a colocar em demanda de urgência estudos sobre o tratamento dessa enfermidade. No Brasil, a chegada de terapias antirretrovirais inovadoras a partir da segunda metade dos anos 1990, bem como a obrigatoriedade de sua distribuição gratuita pelo sistema público de saúde, contribuiu, indiscutivelmente, para o incremento na longevidade e qualidade de vida dos portadores de HIV. Superada essa fase, a epidemia mantém sua trajetória e outras demandas, dentre elas, a adesão às terapias medicamentosas, delinearam-se como elementos imperativos para o sucesso terapêutico sobre esta síndrome. Nesta pesquisa, pretendeu-se resgatar historicamente a implantação dos serviços públicos de atendimento para portadores de HIV/AIDS em Ponta Grossa – PR, sob o ponto de vista das equipes multidisciplinares envolvidas. Destacou-se a trajetória histórica da gestão desses pacientes à luz da chegada da Política Nacional de Humanização (PNH). Buscou-se, também, verificar como os profissionais envolvidos assimilaram essa política no Sistema Único de Saúde para desenvolver estratégias de promoção à adesão às terapias antirretrovirais. A metodologia proposta nessa pesquisa foi realizada através da análise qualitativa do tema por meio de pesquisa exploratória. Utilizando-se de elementos como: a revisão teórica, a pesquisa documental através de jornais, revistas e filmes sobre o tema HIV/AIDS; e entrevistas com profissionais que atuaram e atuam no tratamento de pacientes portadores de HIV, para posterior análise de conteúdo. O resultado obtido com essa pesquisa demonstrou a subutilização da PNH como ferramenta incentivadora da adesão as terapias antirretrovirais no município de estudo. CNPQ::CIENCIAS SOCIAIS APLICADAS

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