research as a strategy to qualify sustainable actions to control STD/HIV/AIDS in
the city of Vitoria da Conquista, Southwest of Bahia, Brazil
K. Aguiar1, E. Souza1, R. Silva2, L. Embiruçu1, T. Fernandes1, G. Oliveira1, M.C. Pinho1, M.T. Morais1, C.H. Alencar3, A. Ramos Junior3, C. Jardim1
1Centro de Referencia DST/Aids de Vitoria da Conquista, Secretria de Saude, Vitoria da Conquista, Brazil, 2Programa de Saude da Familia, Secretria de Saude, Vitoria da Conquista, Brazil, 3Universidade Federal do Ceara, Saude Coletiva, Fortaleza, Brazil
Issues: The complexity of sustainable actions to control STD/AIDS surpasses the biological dimension. Issues including management, epidemiology, comprehensive health care, prevention, and communication/information, expand challenges. The State of Bahia, northeastern Brazil, represents an area with major operational and social challenges. The city of Vitoria da Conquista (VC) is reference to control of STD/HIV/AIDS in a sub-area with approximately 700,000 inhabitants.
Description: The city administration has supported the development of strategic operational researches. The process is based on the Health Systems Research method proposed by WHO. From 2008 to 2010, this action involves: definition of priority issues, construction of research projects, data collecting and analysis to define recommendations. All 7 proposed studies were approved by the Institutional Ethics Committee: 1-serum-prevalence of HTLV I and II, syphilis, HIV and hepatitis B/C in blood centers; 2-access to prevention and early diagnosis of HIV infection in vulnerable populations; 3-profile of patients with HPV; 4-oral health status of children exposed to HIV; 5-adherence to laboratorial and therapeutic monitoring of HIV infection; 6-inadequate treatment of pregnant women with syphilis; 7-intervenions to reduce and monitoring MTCT of HIV. The total cost (national resources) was $38,500.
Lessons learned: Reflections on work processes, involvement of health professionals and users with the planning of control actions, qualification of health information systems, network integration of primary health care, specialized care, blood banks, universities and NGOs, development of continuing education activities and the use of evidence/recommendations to guide governmental or non-governmental actions. We concluded that it is feasible to integrate research activities to other components of the programs.
Next steps: The municipal administration is reviewing all its components from the integrated strategic planning in health and education sectors keeping the focus on sustainability. The next steps will have expanded moments for debate with the society, including dissemination of epidemiological and operational scenarios.
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