Strengthening the policy of integration to reinforce STD/AIDS prevention at primary health care in the municipality of Sao Vicente, SP-Brazil
I.E. Maerrawi, P.J. Araujo, A. Polaco, G.H.F. Francatto, V.F. Aguiar, V.Z. Leite, C.D. Guimaraes, C.L.F. Gomes
Health Secretariat of São Vicente City, STD/Aids Program, Sao Vicente, Brazil
Issue: The Ministry of Health policy to integrate STD/AIDS prevention at primary health care has been a great challenge for STD/AIDS Programs in Brazil. The late HIV diagnosis, the lack of access to condoms and educational guidelines has difficult the improvement in controlling the AIDS epidemic. The need to expand the actions of STD / AIDS prevention in poor communities requires specific and effective strategies.
Description: The Municipal STD/AIDS Program in Sao Vicente City (SP - Brazil) is using the strategy of integration with Family Health Strategy (FHS) and Community Health Workers (CHW) for 13 years to reach poor communities and vulnerable population. As the rotation of health professionals is high, every year we have to “restart” the project by carrying out the necessary adjustments and training the new health professionals and community health workers in STD / AIDS and Harm Reduction.
Lessons learned: This strategy has brought significant expansion of STD/AIDS prevention in impoverished communities. 65% (9) of the FHS/CHW were trained in 2009. The CHW Field work and the prevention interventions at the FHS Health Units resulted in the increase of 224.17% of condoms available, raising from 39,312 to 88,128 units distributed during the 07 months of project and accessing 11,804 people, in which 5.515 are vulnerable population (9.97%, n=1177, drug users). The HIV test went from an average of 19 tests per month for 50 tests, with 263% magnification.
Next steps: In 2010, we want to strengthen the project training all FHS/CHW totaling 100% (14 units). Therefore, we intend to extend the prevention actions with special attention to the referrals to the health services, which is still low (44 % - 53). We intend to maintain continuing education to improve the harm reduction strategy and others to vulnerable population.
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