Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil
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Publication Date: | 2018 |
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Format: | Article |
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Download full: | http://hdl.handle.net/10183/205291 |
Summary: | Objective To analyze how health professionals and health service users assess counseling on Rapid HIV test, as well as its implementation, which started in Brazil in 2010, focusing on positive aspects, barriers, and limitations, and analyzing possible meanings that are given to STD and HIV/AIDS. Method Qualitative, exploratory, and descriptive research. Semi-structured interviews were administered to 27 service users and 14 health care professionals; a thematic analysis of the interviews was performed. The study was carried out in one of the first Counseling and Testing Centers (CTC) designed to implement Rapid HIV tests in Porto Alegre, Brazil. Results Positive aspects of Rapid HIV testing implementation included a reduced waiting time for obtaining the test results, better assistance provision, an increase in the number of service hours, personalized pre- and post-tests, and better prepared health care professionals regarding health care during counseling. Limitations included beliefs about the effectiveness of Rapid HIV testing, physical structure, bad publicity on this technology, and poor health care capacity. Likewise, there are some who oppose this type of test, since they believe rapid tests may not be effective. Conclusions Integrating the perspectives of health care professionals and users on this policy will favor future rapid test implementations in other CTCs, and increase health care access possibilities. |
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Machado, Rodrigo de OliveiraCarvalho, Fernanda Torres dePizzinato, AdolfoRocha, Kátia BonesFreire, Isadora Nogueira2020-02-01T04:14:18Z20180124-0064http://hdl.handle.net/10183/205291001109342Objective To analyze how health professionals and health service users assess counseling on Rapid HIV test, as well as its implementation, which started in Brazil in 2010, focusing on positive aspects, barriers, and limitations, and analyzing possible meanings that are given to STD and HIV/AIDS. Method Qualitative, exploratory, and descriptive research. Semi-structured interviews were administered to 27 service users and 14 health care professionals; a thematic analysis of the interviews was performed. The study was carried out in one of the first Counseling and Testing Centers (CTC) designed to implement Rapid HIV tests in Porto Alegre, Brazil. Results Positive aspects of Rapid HIV testing implementation included a reduced waiting time for obtaining the test results, better assistance provision, an increase in the number of service hours, personalized pre- and post-tests, and better prepared health care professionals regarding health care during counseling. Limitations included beliefs about the effectiveness of Rapid HIV testing, physical structure, bad publicity on this technology, and poor health care capacity. Likewise, there are some who oppose this type of test, since they believe rapid tests may not be effective. Conclusions Integrating the perspectives of health care professionals and users on this policy will favor future rapid test implementations in other CTCs, and increase health care access possibilities.Objetivo Analizar cómo los profesionales y usuarios de un servicio de salud evalúan el asesoramiento y las implementaciones de pruebas rápidas de VIH, que comenzaron en 2010, destacando aspectos positivos, barreras y limitaciones, e investigando los posibles sentidos y significados asignados a las EST/VIH/SIDA. Método Es una investigación cualitativa, exploratoria y descriptiva. Se realizaron entrevistas semi dirigidas con 27 usuarios de servicios y 15 profesionales de la salud, analizadas con el análisis temático. El estudio se realizó en uno de los primeros Centros de Asesoramiento y Pruebas (CTC) a implementar pruebas rápidas de VIH para todos los usuarios, en Porto Alegre, Brasil. Resultados Aspectos positivos de la implementación de pruebas rápidas de VIH: disminución del tiempo de espera de los resultados, mejor resolución de asistencia, expansión de las horas de servicio, pruebas pre y post personalizadas, y competencia en el enfoque de atención realizada por profesionales de la salud durante el asesoramiento. Limitaciones: creencias sobre la eficacia de la prueba rápida de VIH, la estructura física, la mala publicidad de la prueba rápida y poca capacidad de asistencia. Hay algunas oposiciones a la tecnología, debido a la creencia de que las pruebas rápidas pueden no ser efectivas. Conclusiones La integración de las perspectivas de los profesionales y usuarios de atención médica para esta política beneficiará las futuras implementaciones de pruebas rápidas en otros Centros de asesoramiento e incrementar el acceso a los servicios de salud.application/pdfspaRevista de Salud Pública. Bogotá: Facultad de Medicina, Universidad Nacional de Colombia, 1999-. Vol. 20, n. 5 (2018), p. 560-567Políticas públicas de saúdeInfecções por HIVDiagnósticoBrasilVIHConsejo sexualAtención a la saludPolítica públicaStrengths and weaknesses of rapid hiv test implementation in a specialized center in BrazilFortalezas y fragilidades en la implantación de la prueba rápida para VIH en un centro especializado en Brasil Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001109342.pdf.txt001109342.pdf.txtExtracted Texttext/plain39650http://www.lume.ufrgs.br/bitstream/10183/205291/2/001109342.pdf.txt929f0cf2d2c4e119bfb2fad110b10a48MD52ORIGINAL001109342.pdfTexto completo (inglês)application/pdf424201http://www.lume.ufrgs.br/bitstream/10183/205291/1/001109342.pdfd128661a78606c6b2f252e2ab61ec6fcMD5110183/2052912024-01-08 04:22:25.713163oai:www.lume.ufrgs.br:10183/205291Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2024-01-08T06:22:25Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
dc.title.alternative.es.fl_str_mv |
Fortalezas y fragilidades en la implantación de la prueba rápida para VIH en un centro especializado en Brasil |
title |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
spellingShingle |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil Machado, Rodrigo de Oliveira Políticas públicas de saúde Infecções por HIV Diagnóstico Brasil VIH Consejo sexual Atención a la salud Política pública |
title_short |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
title_full |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
title_fullStr |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
title_full_unstemmed |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
title_sort |
Strengths and weaknesses of rapid hiv test implementation in a specialized center in Brazil |
author |
Machado, Rodrigo de Oliveira |
author_facet |
Machado, Rodrigo de Oliveira Carvalho, Fernanda Torres de Pizzinato, Adolfo Rocha, Kátia Bones Freire, Isadora Nogueira |
author_role |
author |
author2 |
Carvalho, Fernanda Torres de Pizzinato, Adolfo Rocha, Kátia Bones Freire, Isadora Nogueira |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Machado, Rodrigo de Oliveira Carvalho, Fernanda Torres de Pizzinato, Adolfo Rocha, Kátia Bones Freire, Isadora Nogueira |
dc.subject.por.fl_str_mv |
Políticas públicas de saúde Infecções por HIV Diagnóstico Brasil |
topic |
Políticas públicas de saúde Infecções por HIV Diagnóstico Brasil VIH Consejo sexual Atención a la salud Política pública |
dc.subject.spa.fl_str_mv |
VIH Consejo sexual Atención a la salud Política pública |
description |
Objective To analyze how health professionals and health service users assess counseling on Rapid HIV test, as well as its implementation, which started in Brazil in 2010, focusing on positive aspects, barriers, and limitations, and analyzing possible meanings that are given to STD and HIV/AIDS. Method Qualitative, exploratory, and descriptive research. Semi-structured interviews were administered to 27 service users and 14 health care professionals; a thematic analysis of the interviews was performed. The study was carried out in one of the first Counseling and Testing Centers (CTC) designed to implement Rapid HIV tests in Porto Alegre, Brazil. Results Positive aspects of Rapid HIV testing implementation included a reduced waiting time for obtaining the test results, better assistance provision, an increase in the number of service hours, personalized pre- and post-tests, and better prepared health care professionals regarding health care during counseling. Limitations included beliefs about the effectiveness of Rapid HIV testing, physical structure, bad publicity on this technology, and poor health care capacity. Likewise, there are some who oppose this type of test, since they believe rapid tests may not be effective. Conclusions Integrating the perspectives of health care professionals and users on this policy will favor future rapid test implementations in other CTCs, and increase health care access possibilities. |
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2018 |
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2018 |
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2020-02-01T04:14:18Z |
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Revista de Salud Pública. Bogotá: Facultad de Medicina, Universidad Nacional de Colombia, 1999-. Vol. 20, n. 5 (2018), p. 560-567 |
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