Implantação do serviço de PrEP no hospital universitário de Sergipe: análise das dificuldades e perspectivas

• Autor(a) principal: Santana, Milena Menezes de
• Data de Publicação: 2019
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: https://ri.ufs.br/jspui/handle/riufs/14950
• topic: Profilaxia pré-exposição; HIV; Prevenção; Pre-exposure prophylaxis; prevention

The human immunodeficiency virus (HIV) is the cause of one of the world's major epidemics. epidemics. According to a report by UNAIDS, it is estimated that more than 35 million people died since the beginning of the HIV-AIDS epidemic. In Brazil, HIV prevalence is approximately 0.4% in the entire population, and in 2017, 15,653 new cases were registered in 2017. This prevalence increases in certain population subgroups such as transgender people, drug users, men who have sex with men (MSM) sex workers, and serodiscordant couples, respectively. PrEP is the combination of the antiretroviral drugs tenofovir and emtricitabine (TDF/FTC), indicated for HIV-negative HIV-negative people who are at high risk of contracting HIV. Several studies have proven the effectiveness of PrEP. Objective: To verify the difficulties and perspectives of the implementation of the reference service of Prophylaxis Pre-Exposure Prophylaxis reference service at the Sergipe University Hospital. Justification: it is important to consider PrEP as one more tool in combating and controlling HIV, being a strategy that needs to have its implementation studied, especially in pioneer sites. The Hospital University Hospital of the Federal University of Sergipe is a state reference for people who prevention of HIV/AIDS through Pre-Exposure Prophylaxis. In this way, the study of the difficulties of implementation is essential for the improvement and expansion of PrEP programs. Methods: Cross-sectional, descriptive, and qualitative study. Conducted with 66 participants, including health professionals, medical students and users of PrEP in the HU-UFS HU-UFS in the period between April and September 2019. The data analysis was performed according according to the sample size, using measures of central tendency and Fisher's exact test for the quantitative data and discourse analysis for the qualitative questions. Results: A mean age of the participants was 33.5 years, the mean age among the male was 30.2 years and among females 41 years. The majority (69.2%) of the participants are male, homosexual, single, brown, and have studied for 12 years or more. Among the females, all identified themselves as female, heterosexual, had only one fixed sexual partner, and studied for up to 11 years. The main concern was to develop any side effects. The majority of the participants did not encounter any difficulty in accessing the service. The biggest expectation of the users was the increase in disclosure (30.7%). Among the multiprofessional team the main points approached during health health education were condom use and adherence to treatment. Conclusions: Health education education and continuing education of the professionals that make up the service is a key component in the component in the implementation of PrEP. It is suggested, with this work, to expand the training to other professional professional categories besides the core of PrEP, as well as expand the dissemination of the service