Evaluation of outpatient services in the Brazilian Unified National Health System for persons living with HIV: a comparison of 2007 and 2010

Cadernos de saúde pública
Ana Paula LochAline Aparecida Monroe

Abstract

Health services play a crucial role in reaching the 90-90-90 target of controlling the HIV epidemic. This study evaluates the organization of Brazilian health services in improving, monitoring, and retention in HIV care and adherence support. Percentage variation (PV) was used to compare the responses by services to an evaluation questionnaire on organizational quality (Qualiaids) in 2007 and 2010. The study analyzed the 419 services that completed the questionnaire in 2007 (83.1% of respondents) and 2010 (63.6%). Management actions of retention and support although increased in the period, but remained at low rates, for example: systematic meetings for case discussion (32.7% in 2010; PV = 19.8%) and recording of missed medical appointments (35.3%; PV = 36.8%). Patient care actions related to adherence to ART remained largely exclusive to the attending physician. The supply of funds and resources from the Federal Government (medicines and specific HIV tests) remained high for the vast majority of the services (~90%). It will not be possible to achieve a significant decrease in HIV transmission as long as retention in treatment is not a priority in all the health services.

References

Dec 17, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Michael J MugaveroJeroan J Allison
Jun 12, 2010·Lancet·Deborah DonnellUNKNOWN Partners in Prevention HSV/HIV Transmission Study Team
Jul 22, 2010·Medical Care·Bruce E Landon
Sep 23, 2010·AIDS Patient Care and STDs·Michael J MugaveroThomas P Giordano
Apr 12, 2012·International Journal of Epidemiology·UNKNOWN Collaboration of Observational HIV Epidemiological Research Europe (COHERE) in EuroCoordGeneviève Chêne
Aug 17, 2012·Journal of Health Care for the Poor and Underserved·Karen L SchneiderLisa R Hirschhorn
Feb 5, 2013·Journal of Health Care for the Poor and Underserved·Arthur E BlankUNKNOWN Women of Color initiative
Apr 23, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Chinazo O CunninghamBruce D Agins
Oct 11, 2014·International Journal of Medical Informatics·Beth ChaplinPhyllis Kanki
Nov 4, 2015·Journal of the International Association of Providers of AIDS Care·UNKNOWN International Advisory Panel on HIV Care Continuum Optimization

❮ Previous
Next ❯

Citations

Oct 3, 2019·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Maria Ines Battistella NemesIraty Nunes Lima

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Revista de saúde pública
Maria Ines Battistella NemesMaria Altenfelder Santos
Journal of the Royal Society of Medicine
Thomas Fysh
Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
Shalom CoodinSandy McLandress
© 2022 Meta ULC. All rights reserved