Plan to combat the AIDS epidemic and to control sexually transmitted diseases among gay men, transvestites and other men who have sex with men (MWSM) in the state of Sao Paulo, Brazil: a government strategy to reduce vulnerability to infection among priority grou
M. Giovanetti1, A. Yamaçake1, C. Westin2, E. Filipe1, M.C. Gianna3, V. Epidemiologica4, N. Planejamento4, N. Assistencia4, O. Organização Sociedade Civil5, Work Group on the Elaboration MWSM PLAN
1Coordenação Estadual DST Aids de São Paulo, Prevenção, Sao Paulo, Brazil, 2Secretaria Estadual da Saúde de São Paulo, Prevenção, Sao Paulo, Brazil, 3Coordenação Estadual DST Aids de São Paulo, Diretoria Técnica, Sao Paulo, Brazil, 4Secretaria Estadual da Saúde de São Paulo, CRT Aids, Sao Paulo, Brazil, 5Organizações da Sociedade Civil do Estado de São Paulo, Foruns Representativos, São Paulo, Brazil
Issues: The Brazilian health information system indicates that although the AIDS epidemic has changed its profile over the years, the number of cases and incidentce rates among gay and other MHSM is still very high. These findings reinforce the importance of formulating public health policies aimed at reducing the vulnerability of these populations.
Description: The São Paulo State Program for STD/Aids established in 2008, the state plan to combat the AIDS epidemic and to control sexually transmitted diseases among gay, other MWSM and, transvestites, which aims for the period from 2009 to 2012 to reduce their vulnerability, through policies of promotion, prevention and health care.
The Plan was developed in a participatory manner through workshops involving health professionals, representatives of other public institutions and members of NGOs
Lessons learned: The process enabled the articulation with new governmental institutions that are important for achieving the goals such as the Department of Justice and Defense of Citizenship, Culture, Education and Labor. The inclusion of other health areas such as the Program of Viral Hepatitis, Adolescent and Mental Health was fundamental. And the involvement of organized movements provides social control
Next steps: Goals such as the disclosure of the Plan and articulation with other state secretaries have already been achieved. Numerous actions such as training, production of educational materials, distribution of condoms and gel lubricant and the creation of a Comprehensive Health Clinic for Transgenders are being developed. In 2010 a media campaign focused on combating homophobia and vaccination against hepatitis B in this population will be held.
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