scholarly journals Atuação da equipe multiprofissional na assistência especializada em HIV/AIDS

2021 ◽  
Vol 11 (34) ◽  
pp. 3-12
Author(s):  
Caroline Monte Caldas ◽  
Amuzza Aylla Pereira dos Santos ◽  
Maraysa Jéssyca de Oliveira Vieira ◽  
José Augustinho Mendes Santos ◽  
Deborah Moura Novaes Acioli ◽  
...  
Keyword(s):  
Health Care ◽  
Multidisciplinary Team ◽  
Hiv Infections ◽  
Care Patient ◽  
Patient Care Team ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Multiprofessional Team ◽  
Living With Hiv ◽  
Hiv Aids

A assistência às pessoas vivendo com Vírus da Imunodeficiência Humana/Síndrome da Imunodeficiência Adquirida sugere investimentos na prática interdisciplinar, substituindo a concepção fragmentária pela compreensão integral da saúde. Assim, objetivou-se conhecer a percepção das pessoas que vivem com síndrome da imunodeficiência adquirida sobre a assistência recebida pela equipe multiprofissional na perspectiva da integralidade da atenção. Trata-se de um estudo qualitativo, exploratório, fundamentado na teoria da integralidade em saúde. Participaram da pesquisa 18 pessoas que vivem com síndrome da imunodeficiência adquirida acompanhadas no serviço de assistência especializada. Os dados foram coletados mediante entrevista semiestruturada, e submetidos à análise de conteúdo segundo Bardin. Emergiram as categorias: “Percepção da assistência à saúde como modo de acolher o usuário”, “Percepção da assistência às necessidades de saúde como garantia de acesso a procedimentos e serviços” e “A assistência à saúde centrada na figura de um único profissional”. Constatou-se que a assistência da equipe multiprofissional é pouco perceptível pelos usuários, que reconhecem apenas um profissional como responsável pelo cuidado.Descritores: Infecções por HIV, Assistência à Saúde, Equipe de Assistência ao Paciente, Integralidade em Saúde. Performance of the multiprofessional team in specialized care in HIV/AIDSAbstract: Assistance to people living with HIV/AIDS suggests investments in interdisciplinary practice, replacing the fragmentary conception with a comprehensive understanding of health. Thus, the objective was to know the perception of people living with HIV/AIDS on the assistance received by the multidisciplinary team in the perspective of comprehensive care. It is a qualitative, exploratory study, based on the theory of integrality in health. The study included 18 people living with HIV/AIDS accompanied by the specialized assistance service. Data were collected through semi-structured interviews, and submitted to content analysis according to Bardin. The categories emerged: “Perception of health care as a way of welcoming the user”, “Perception of assistance to health needs as a guarantee of access to procedures and services” and “Health care centered on the figure of a single professional”. It was found that the assistance of the multidisciplinary team is barely noticeable by users, who recognize only one professional as responsible for care.Descriptors: HIV Infections, Delivery of Health Care, Patient Care Team, Integrality in Health. Desempeño del equipo multiprofesional en atención especializada en VIH/SIDAResumen: La asistencia a las personas que viven con el VIH/SIDA sugiere inversiones en la práctica interdisciplinaria, reemplazando el concepto fragmentario con una comprensión integral de la salud. Por lo tanto, el objetivo era conocer la percepción de las personas que viven con el VIH/SIDA sobre la asistencia recibida por el equipo multidisciplinario en la perspectiva de la atención integral. Este es un estudio cualitativo, exploratorio, basado en la teoría de la integralidad en salud. El estudio incluyó a 18 personas que viven con VIH/SIDA acompañadas por el servicio de asistencia especializada. Los datos se recopilaron a través de entrevistas semiestructuradas y se sometieron a análisis de contenido según Bardin. Surgieron las categorías: “Percepción de la atención médica como una forma de acoger al usuario”, “Percepción de la asistencia a las necesidades de salud como garantía de acceso a procedimientos y servicios” y “Atención médica centrada en la figura de un solo profesional”. Se descubrió que la asistencia del equipo multidisciplinario apenas se nota por los usuarios, que reconocen a un solo profesional como responsable de la atención.Descriptores: Infecciones por VIH, Prestación de Atención de Salud, Grupo de Atención al Paciente, Integralidad en Salud.

scholarly journals CARE FOR THE PERSON WHO LIVES WITH HIV/AIDS IN PRIMARY HEALTH CARE

2019 ◽  
Vol 28 ◽  
Author(s):  
Aline Daiane Colaço ◽  
Betina Hörner Schlindwein Meirelles ◽  
Ivonete Teresinha Schülter Buss Heidemann ◽  
Mariana Vieira Villarinho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Term Care ◽  
Descriptive Research ◽  
Primary Health ◽  
Centered Care ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objective: to understand the process of caring for the person with HIV/AIDS in the Primary Health Care of a capital in southern Brazil. Method: qualitative, exploratory and descriptive research, carried out in the Health Centers of this city, from March to August 2015. Sixteen nurses participated through semi-structured interviews, which were organized and codified with the help of the software QSR Nvivo®, version 10. Afterwards, the data were analyzed through comparative analysis. Results: results were described in two categories: “The inter-subjective encounter given the vulnerability to HIV/AIDS”, and, “Accepting needs and formulating actions given the reality”. Potentialities and weaknesses were evidenced through these categories, such as: reception, long-term care, active search, home visits, and, in return, lacking a formal flow of care for people living with HIV/ AIDS, lack of HIV/AIDS line of care and medical/centered care. Conclusion: the need to implement HIV/AIDS management in primary care was verified, as well as to overcome the fragilities in this care with the aid of implementing a formal care flow, establishing managerial processes and permanent education for the professionals. Then, expanding and qualifying care in HIV/AIDS, with important contributions of the nurse in the perspective of integral care in the process of living with HIV/AIDS.

scholarly journals Consequences of COVID-19 crisis for persons with HIV: the impact of social determinants of health

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristie C. Waterfield ◽  
Gulzar H. Shah ◽  
Gina D. Etheredge ◽  
Osaremhen Ikhile
Keyword(s):  
Public Health ◽  
Health Care ◽  
Clinical Care ◽  
Hiv Infections ◽  
People Living With Hiv ◽  
Negative Consequences ◽  
Persons Who Inject Drugs ◽  
Persons Living With Hiv ◽  
Living With Hiv ◽  
The Impact

Abstract Background With the indiscriminate spread of COVID-19 globally, many populations are experiencing negative consequences such as job loss, food insecurity, and inability to manage existing medical conditions and maintain preventive measures such as social distancing and personal preventative equipment. Some of the most disadvantaged in the COVID-19 era are people living with HIV/AIDS and other autoimmune diseases. Discussion As the number of new HIV infections decrease globally, many subpopulations remain at high risk of infection due to lack of or limited access to prevention services, as well as clinical care and treatment. For persons living with HIV or at higher risk of contracting HIV, including persons who inject drugs or men that have sex with men, the risk of COVID-19 infection increases if they have certain comorbidities, are older than 60 years of age, and are homeless, orphaned, or vulnerable children. The risk of COVID-19 is also more significant for those that live in Low- and Middle-Income Countries, rural, and/or poverty-stricken areas. An additional concern for those living the HIV is the double stigma that may arise if they also test positive for COVID-19. As public health and health care workers try to tackle the needs of the populations that they serve, they are beginning to realize the need for a change in the infrastructure that will include more efficient partnerships between public health, health care, and HIV programs. Conclusion Persons living with HIV that also have other underlying comorbidities are a great disadvantage from the negative consequences of COVID-19. For those that may test positive for both HIV and COVID-19, the increased psychosocial burdens stemming from stress and isolation, as well as, experiencing additional barriers that inhibit access to care, may cause them to become more disenfranchised. Thus, it becomes very important during the current pandemic for these challenges and barriers to be addressed so that these persons living with HIV can maintain continuity of care, as well as, their social and mental support systems.

scholarly journals Stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) among primary health care providers in Kinta District, Perak

2021 ◽  
Vol 16 (1) ◽  
pp. 31-38
Author(s):  
Yuen Ching Chan ◽  
Maliza Mawardi ◽  
Adibah Hanim Ismail@Daud
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
People Living With Hiv ◽  
Care Providers ◽  
Primary Health ◽  
Primary Health Care Providers ◽  
Stigmatizing Attitudes ◽  
Living With Hiv ◽  
Hiv Aids

Background: Stigmatizing attitudes expressed by health care providers prevent some members of at-risk populations from accessing human immunodeficiency virus (HIV) screening and care. This attitude contributes to the continuity of the infection dissemination within our community, which gives an impact on the healthcare service and the curtailment of the global HIV/acquired immunodeficiency syndrome (AIDS) pandemic. Objective: This study was conducted to identify stigmatizing attitudes toward people living with HIV/AIDS (PLWHA) and their determinants among primary health care providers in Kinta District, Perak. Methodology: A cross-sectional study was conducted in 36 primary care clinics in Kinta District, Perak. Using stratified random sampling, 365 primary health care providers were recruited into the study. A validated self-administered questionnaire was used to obtain sociodemographic data as well as information on the healthcare experiences of healthcare providers, their knowledge of HIV/AIDS, and attitudes toward PLWHA. Determinants were identified using multiple linear regression. Results: More than half of the respondents (54.1%) had never provided care to HIV/AIDS patients. A minority (29.9%) had received training on HIV/AIDS. This study shows that doctors (Coef.= -9.50, 95% CI: -18.93, -0.07, p= 0.048), respondents with HIV-positive relatives, (Coef.= -5.61, 95% CI: -10.57, -0.65, p= 0.027), those who had provided care to HIV/AIDS patients (Coef.= -2.38, 95% CI: -4.31, -0.45, p= 0.016), and those with a higher knowledge score on HIV/AIDS (Coef.= -0.86, 95% CI: -1.59, -0.13, p= 0.021) were less likely to show stigmatizing attitudes toward PLWHA. Conclusion: The issue of stigmatizing attitudes toward PLWHA among primary health care providers needs to be addressed. This study finds that knowledge, profession, experiences with caring for PLWHA, gender, and having HIV-positive relatives are significant predictors of stigmatizing attitudes toward PLWHA among primary health care providers in Kinta District, Perak. Interventional programs to improve knowledge and awareness, as well as decrease stigma toward PLWHA, should be implemented among all health care providers, especially those who have no opportunity to provide direct care.

scholarly journals Self Picture Stigma of People with HIV AIDS in Polyclinic Cendana Ngudi Waluyo Wlingi Hospital

2016 ◽  
Vol 3 (3) ◽  
pp. 213-217
Author(s):  
Endah Tri Suryani
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Social Withdrawal ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Internalized Stigma ◽  
Stigma And Discrimination ◽  
Stigma Of Mental Illness ◽  
Living With Hiv ◽  
Hiv Aids

The spread of HIV and AIDS in Indonesia over the last five years is quite high. United NationsAIDS (UNAIDS) even dub Indonesia as an Asia’s country with most spread of HIV/AIDS. However thefear of stigma and discrimination against PLWHA (people living with HIV/AIDS) remains a majorobstacle. The purpose of this research was to describe self stigma of HIV/AIDS in poly Cendana NgudiWaluyo Hospital Wlingi based questionnaire ISMI (Internalized Stigma of Mental Illness) that includeda portrait of alienation, acceptance of stereotypes, experience of discrimination, social withdrawal,and rejection of stigma. The samples were 27 people with HIV/AIDS. The results showed that generallyself stigma of HIV/AIDS were low 44.4% (12 patients). This result, indicated that the motivation ofpeople living with HIV/AIDS as well as their moral support was instrumental in lowering self-stigma.Recommendations from this study were expected for health care to prevent and overcome self stigma ofHIV/AIDS.

scholarly journals Harm Reduction Outreach Services and Engagement of Chemically Dependent Homeless People Living with HIV/AIDS: An Analysis of Service Utilization Data to Evaluate Program Theory

2016 ◽  
Vol 23 (1) ◽  
pp. 26 ◽  
Author(s):  
Benjamin Shepard
Keyword(s):  
Health Care ◽  
Harm Reduction ◽  
Service Utilization ◽  
Access To Health Care ◽  
Homeless People ◽  
People Living With Hiv ◽  
Outreach Services ◽  
Low Threshold ◽  
Living With Hiv ◽  
Hiv Aids

This study examines service utilization patterns among a socially vulnerable population of homeless people living with HIV/AIDS and who have a history of chemical dependence, as they are engaged through outreach services. CitiWide Harm Reduction collaborates with Montefiore Medical Center to connect homeless people with health care through harm reduction outreach and low threshold medical services. Analysis of two cohorts – individuals engaged through harm reduction outreach and individuals who “walk-in” to engage in services at CitiWide Harm Reduction’s drop-in center – assesses the program’s theory that outreach engagement is a mediating variable increasing service utilization. These results demonstrate that low-threshold harm reduction outreach, a brand of outreach designed to reduce barriers to services, does increase access to health care and related services for a socially vulnerable, traditionally “hard-to-reach,” population. Harm reduction outreach is a valuable intervention for increasing service utilization among this highly marginalized group.

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