As ações voltadas à prevenção ao HIV/aids em serviços de atenção primária à saúde (APS) é uma estratégia proposta no Brasil desde meados dos anos 1990. Com o aumento do número de casos de aids no Brasil, houve a necessidade de elaborar uma estratégia de intervenção em HIV/aids, sendo a Unidade Básica de Saúde (UBS) um espaço privilegiado para realizar as ações de prevenção e acompanhamento das pessoas vivendo com HIV/aids. Não foram encontrados estudos que tratam da análise das ações neste âmbito da atenção no Estado do Mato Grosso (MT). Objetivo geral: Analisar a Vulnerabilidade Programática ao HIV/aids nas UBS de Cuiabá (MT). Pesquisa quantitativa, com base no conceito de Vulnerabilidade em sua dimensão programática; realizada por meio da aplicação de um instrumento com respostas fechadas e abertas, respondido por 69 gerentes, de junho a agosto de 2014. A análise foi realizada com base na reunião dos elementos constantes nos seguintes marcadores de vulnerabilidade programática: a) Infraestrutura para realização das ações de prevenção e assistência em HIV/aids; b) Respostas às necessidades de tratamento em HIV/aids; c) Ações de pré-natal e puerpério em relação a atenção às HIV/aids; d) Ações de prevenção em relação às HIV/aids; e) Integração das ações entre UBS, CRT/SAE em HIV/aids e maternidade. Cada elemento analisado foi estabelecido o valor de 1 quando a resposta era positiva (atende ao requisito) e 0 quando não. Com base na soma dos valores ponderados para cada um dos marcadores obteve-se valor mínimo e máximo de pontos; classificando as UBS segundo o score de alta vulnerabilidade (abaixo de 25%), média (25 a 75%) e baixa (75 a 100%). A maioria das UBS operava o modelo Estratégia da Saúde da Família (63,8%) e era gerenciada por Enfermeiros (79,1%). Maior parte encontra-se em média vulnerabilidade de âmbito programático; há alta vulnerabilidade nos marcadores d e e. As UBS possuem, em algum grau, vulnerabilidades no âmbito programático de Estrutura e Dinâmica de Organização do Serviço de Saúde e de Operacionalização das Ações na atenção às HIV/aids. São necessários investimentos na atenção em HIV/aids na APS no município de Cuiabá. / The implementation of HIV/Aids prevention actions at Health First Care Services (APS in Portuguese) is a strategy that has been adopted in Brazil since mid-90s. With the increasing number of Aids cases in the country, the need to create a strategy to curb this growing HIV/Aids curve has become urgent. Health First Care Services Unities have since then been a privileged space of prevention and caring for HIV/Aids infected people. No other studies about the analysis of these actions at Health First Care Services Unities in the State of Mato Grosso (MT) have been found. General objective of this research: to assess HIV/Aids programmatic vulnerability for HIV caring at Health First Care Services (UBS, in Portuguese) in Cuiabá, Mato Grosso State. Quantitative research, based on the vulnerability concept in its programmatic dimension; carried by applying an instrumental survey with open and closed answers, that have been replied by 69 UBS managers, from June to August 2014. The analysis has been carried based on assembling the elements present in the following programmatic vulnerability assessment tools: a) Infrastructure for delivering prevention and caring actions for HIV/Aids; b) Responses to the HIV/Aids treatment needs; c) Caring STD/HIV/Aids actions during pregnancy; d) Prevention actions regarding STD/HIV/Aids; e) Integration of treatment actions among Treatment and Reference Center/Specialized Ambulatory Service in STD/HIV and Aids, Basic Health Care Units and Maternity Hospitals. Each element has been studied and the 1 value has been stablished when the answer was positive and 0 when it was negative. Based in the sum of the average value for each one of the items a minimum and maximum standards have been acquired; Basic Health Care Units have been divided according to programmatic vulnerability degrees, being High (lower than 25%), Medium (from 25% to 75%) and Low (from 75% to 100%). Results: The majority of Basic Health Care Units carried Family Health Strategies (63.8%), managed by Nurses (79.1%). In general terms Basic Health Care Units vulnerability is medium. There is high programmatic vulnerability at Basic Health Care Units, in the d and e assessment criteria. Basic Health Care Units have to some degree vulnerability in the programmatic realm of Structure and Organization Dynamics in the Health Service and Operationalization of Actions in HIV/Aids caring. Investments in HIV/Aids caring and attention to the Health First Care Services in Cuiabá municipality are highly necessary.

As ações voltadas à prevenção ao HIV/aids em serviços de atenção primária à saúde (APS) é uma estratégia proposta no Brasil desde meados dos anos 1990. Com o aumento do número de casos de aids no Brasil, houve a necessidade de elaborar uma estratégia de intervenção em HIV/aids, sendo a Unidade Básica de Saúde (UBS) um espaço privilegiado para realizar as ações de prevenção e acompanhamento das pessoas vivendo com HIV/aids. Não foram encontrados estudos que tratam da análise das ações neste âmbito da atenção no Estado do Mato Grosso (MT). Objetivo geral: Analisar a Vulnerabilidade Programática ao HIV/aids nas UBS de Cuiabá (MT). Pesquisa quantitativa, com base no conceito de Vulnerabilidade em sua dimensão programática; realizada por meio da aplicação de um instrumento com respostas fechadas e abertas, respondido por 69 gerentes, de junho a agosto de 2014. A análise foi realizada com base na reunião dos elementos constantes nos seguintes marcadores de vulnerabilidade programática: a) Infraestrutura para realização das ações de prevenção e assistência em HIV/aids; b) Respostas às necessidades de tratamento em HIV/aids; c) Ações de pré-natal e puerpério em relação a atenção às HIV/aids; d) Ações de prevenção em relação às HIV/aids; e) Integração das ações entre UBS, CRT/SAE em HIV/aids e maternidade. Cada elemento analisado foi estabelecido o valor de 1 quando a resposta era positiva (atende ao requisito) e 0 quando não. Com base na soma dos valores ponderados para cada um dos marcadores obteve-se valor mínimo e máximo de pontos; classificando as UBS segundo o score de alta vulnerabilidade (abaixo de 25%), média (25 a 75%) e baixa (75 a 100%). A maioria das UBS operava o modelo Estratégia da Saúde da Família (63,8%) e era gerenciada por Enfermeiros (79,1%). Maior parte encontra-se em média vulnerabilidade de âmbito programático; há alta vulnerabilidade nos marcadores d e e. As UBS possuem, em algum grau, vulnerabilidades no âmbito programático de Estrutura e Dinâmica de Organização do Serviço de Saúde e de Operacionalização das Ações na atenção às HIV/aids. São necessários investimentos na atenção em HIV/aids na APS no município de Cuiabá. / The implementation of HIV/Aids prevention actions at Health First Care Services (APS in Portuguese) is a strategy that has been adopted in Brazil since mid-90s. With the increasing number of Aids cases in the country, the need to create a strategy to curb this growing HIV/Aids curve has become urgent. Health First Care Services Unities have since then been a privileged space of prevention and caring for HIV/Aids infected people. No other studies about the analysis of these actions at Health First Care Services Unities in the State of Mato Grosso (MT) have been found. General objective of this research: to assess HIV/Aids programmatic vulnerability for HIV caring at Health First Care Services (UBS, in Portuguese) in Cuiabá, Mato Grosso State. Quantitative research, based on the vulnerability concept in its programmatic dimension; carried by applying an instrumental survey with open and closed answers, that have been replied by 69 UBS managers, from June to August 2014. The analysis has been carried based on assembling the elements present in the following programmatic vulnerability assessment tools: a) Infrastructure for delivering prevention and caring actions for HIV/Aids; b) Responses to the HIV/Aids treatment needs; c) Caring STD/HIV/Aids actions during pregnancy; d) Prevention actions regarding STD/HIV/Aids; e) Integration of treatment actions among Treatment and Reference Center/Specialized Ambulatory Service in STD/HIV and Aids, Basic Health Care Units and Maternity Hospitals. Each element has been studied and the 1 value has been stablished when the answer was positive and 0 when it was negative. Based in the sum of the average value for each one of the items a minimum and maximum standards have been acquired; Basic Health Care Units have been divided according to programmatic vulnerability degrees, being High (lower than 25%), Medium (from 25% to 75%) and Low (from 75% to 100%). Results: The majority of Basic Health Care Units carried Family Health Strategies (63.8%), managed by Nurses (79.1%). In general terms Basic Health Care Units vulnerability is medium. There is high programmatic vulnerability at Basic Health Care Units, in the d and e assessment criteria. Basic Health Care Units have to some degree vulnerability in the programmatic realm of Structure and Organization Dynamics in the Health Service and Operationalization of Actions in HIV/Aids caring. Investments in HIV/Aids caring and attention to the Health First Care Services in Cuiabá municipality are highly necessary.

Made available in DSpace on 2016-08-10T10:38:31Z (GMT). No. of bitstreams: 1 MICHELLE CHRISTINE CARLOS RODRIGUES.pdf: 555304 bytes, checksum: 013acceaa7a318df34a1985d5405b098 (MD5) Previous issue date: 2011-09-16 / HIV-infected women are more likely to be infected with high-risk HPV genotypes that have the potential for progressing to cervical cancer. To Know the prevalence of type-specific human papillomavirus (HPV) infections in HIV-infected women is necessary in order to plan effective screening and preventive strategies in such population. Here, we compare the prevalence of infections with multiple HPV types and cytological abnormalities in two groups of women, HIV-positive and HIVnegative, in the city of Goiânia-GO, Brazil. Cervical smears obtained from 57 HIVpositive and 57 HIV-negative women were collected in a preservative medium and submitted to DNA extraction. HPV-DNA detection and genotyping were performed by using the Linear Array HPV Genotyping Test according to the manual provided by the manufacturer. Both groups were similar in regard to social aspects, demographics and behavioral characteristics. HPV DNA was significantly more prevalent in HIV-positive women, compared to HIV-negative women (56.7% vs. 28.3%, p = 0.003). Coinfections with HPV multiple genotypes was also more prevalent in the HIV-positive group (88.2% vs. 58.8%, p = 0.028). HPV16 was the most prevalent in both groups. Cytological abnormalities were observed in 5.3% of HIV-negative women and in 29.8% HIV-positive women. The presence of HPV was significantly associated with cytological abnormalities only in HIV-negative women. Our results demonstrated a greater prevalence of HPV infection in the HIV-positive group of women, with a greater prevalence of infection with multiple genotypes. We here emphasize the need of frequent monitoring of HIV-infected women, in order to allow early detection and efficient treatment for cervical intraepithelial neoplasia (CIN) in this high-risk group. / Mulheres infectadas pelo HIV são mais susceptíveis à infecção por HPVs de alto risco oncogênico, que apresentam um potencial para a progressão para o câncer cervical. Conhecer a prevalência dos tipos específicos do papilomavirus humano nas mulheres HIV infectadas é necessário para planejar um rastreamento eficaz e estabelecer estratégias preventivas em tal população. Aqui, pudemos comparar a prevalência de infecções por múltiplos genótipos de HPV e de alterações citológicas em dois grupos de mulheres, HIV-positivas e HIV-negativas, da cidade de Goiânia- GO, Brasil. Esfregaços cervicais obtidos de 57 mulheres HIV-positivas e 57 mulheres HIV-negativas foram colhidos em meio conservante e enviadas para extração de DNA. A detecção de DNA e genotipagem do HPV foram realizadas usando o Kit Linear Array HPV Genotyping Test, de acordo com o manual fornecido pelo fabricante. Ambos os grupos foram semelhantes no que diz respeito à demografia, aos aspectos sociais e comportamentais. A detecção do DNA de HPV foi significativamente mais prevalente em mulheres HIV positivas, em comparação com as mulheres HIV-negativas (56,7% vs. 28,3%, p = 0,003). Coinfecção por vários genótipos de HPV também foi mais prevalente no grupo de HIV-positivas (88,2% vs. 58,8%, p = 0,028). O HPV16 foi o genótipo mais prevalente em ambos. Anormalidades citológicas foram observadas em 5,3% das mulheres HIV-negativas e 29,8% das mulheres HIV-positivas. A presença de HPV foi significativamente associada com anormalidades citológicas somente nas mulheres HIV-negativas Nossos resultados demonstraram uma maior prevalência de infecção por HPV no grupo de mulheres HIV-positivas, com um elevado número de casos de infecção por vários genótipos. Enfatizamos aqui a necessidade de monitoramento frequente de mulheres infectadas pelo HIV, de modo a permitir o diagnóstico precoce e tratamento eficaz para neoplasia intra-epitelial cervical (NIC) neste grupo de alto risco.

This dissertation is a challenge to the Pentecostal churches, particularly, the Apostolic Faith Mission Church in Tumahole, to take an action in meeting the challenges posed by HIV/AIDS. This disease, HIV/AIDS, is the latest enemy to human life that the nations are faced with. In the newspapers like Sowetan, there is an article almost daily about HIV and AIDS. In this dissertation, I have tried to show shocking figures of how this disease is spreading in Africa. The seriousness of the disease, unlike other diseases, is its in curability. The secular organisations are far ahead of the churches in as far as the relevant programmes on combating HIV/AIDS are concerned. Despite these massive programmes, the disease is spreading like the wild fire. Deducing from this background, it is no longer the question of whether the Pentecostal churches have any role to play, but what specific role should the church play in this challenge. In this challenging times, many people look at the church as one of the most important institute that would play a positive role in bringing hope to the hopeless. / Christian Spirituality, Church History and Missiology / M. Th. (Missiology (Urban Ministry))

This dissertation is a challenge to the Pentecostal churches, particularly, the Apostolic Faith Mission Church in Tumahole, to take an action in meeting the challenges posed by HIV/AIDS. This disease, HIV/AIDS, is the latest enemy to human life that the nations are faced with. In the newspapers like Sowetan, there is an article almost daily about HIV and AIDS. In this dissertation, I have tried to show shocking figures of how this disease is spreading in Africa. The seriousness of the disease, unlike other diseases, is its in curability. The secular organisations are far ahead of the churches in as far as the relevant programmes on combating HIV/AIDS are concerned. Despite these massive programmes, the disease is spreading like the wild fire. Deducing from this background, it is no longer the question of whether the Pentecostal churches have any role to play, but what specific role should the church play in this challenge. In this challenging times, many people look at the church as one of the most important institute that would play a positive role in bringing hope to the hopeless. / Christian Spirituality, Church History and Missiology / M. Th. (Missiology (Urban Ministry))