Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31486 |
Resumo: | OBJECTIVES: Despite the growing number of AIDS cases in women reported, community-based interventions, which are essential in this context, are scarce and rarely evaluated. The aim of this study was to carry out a community-based research intervention, to develop and evaluate a set of STD/ AIDS prevention actions targeting the vulnerability of low income women population. METHODS: The study was carried out in Monte Azul slum in the city of São Paulo, SP, Brazil, in the period 1998-1999. The following actions were put in place: training of health professionals from the local outpatient clinic, availability of prevention resources (male and female condoms), educational groups, educational materials and community radio programs. For evaluating intervention, data from four different research instruments were assessed: pre and post training testing of health professionals, monitoring of condom supply, direct observation of community activities, and record of health professionals and target population's voluntary statements during activities. RESULTS: It was observed an increase in demand for male condom and an interest in female condoms. There were relevant gender and age differences in adhering to proposed activities. Although there were good results regarding sensitization and training of health professionals, their involvement in prevention activities was limited. CONCLUSIONS: Strategies relating to codes, demands and specific interests of the local society, especially those related to gender roles, have successfully performed as preventive actions. Health professionals' overwork at the local outpatient clinic proved to be an important limitation for maintaining preventive actions. |
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Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil Intervenção comunitária e redução da vulnerabilidade de mulheres às DST/ Aids em São Paulo, SP WomenAcquired immunodeficiency syndrome^i2^sprevention & contSexually transmitted diseases^i2^sprevention & contCommunity participationVulnerabilitySocioeconomic factorsPoverty areasHealth promotionHealth educationResult evaluation of preventive actionsGenderMulheresSíndrome de imunodeficiência adquirida^i1^sprevenDoenças sexualmente transmissíveis^i1^sprevenParticipação comunitáriaVulnerabilidadeFatores socioeconômicosÁreas de pobrezaPromoção da saúdeEducação em saúdeAvaliação de resultado de ações preventivasGênero OBJECTIVES: Despite the growing number of AIDS cases in women reported, community-based interventions, which are essential in this context, are scarce and rarely evaluated. The aim of this study was to carry out a community-based research intervention, to develop and evaluate a set of STD/ AIDS prevention actions targeting the vulnerability of low income women population. METHODS: The study was carried out in Monte Azul slum in the city of São Paulo, SP, Brazil, in the period 1998-1999. The following actions were put in place: training of health professionals from the local outpatient clinic, availability of prevention resources (male and female condoms), educational groups, educational materials and community radio programs. For evaluating intervention, data from four different research instruments were assessed: pre and post training testing of health professionals, monitoring of condom supply, direct observation of community activities, and record of health professionals and target population's voluntary statements during activities. RESULTS: It was observed an increase in demand for male condom and an interest in female condoms. There were relevant gender and age differences in adhering to proposed activities. Although there were good results regarding sensitization and training of health professionals, their involvement in prevention activities was limited. CONCLUSIONS: Strategies relating to codes, demands and specific interests of the local society, especially those related to gender roles, have successfully performed as preventive actions. Health professionals' overwork at the local outpatient clinic proved to be an important limitation for maintaining preventive actions. OBJETIVOS: Com o aumento do número de casos notificados de Aids em mulheres, as intervenções comunitárias, que são fundamentais nesse contexto, são poucas e raramente avaliadas. Assim, objetivou-se realizar um estudo-intervenção de base comunitária, buscando desenvolver e avaliar um conjunto de ações de prevenção das DST e da Aids voltadas a atingir a vulnerabilidade da população feminina de baixa renda. MÉTODOS: O estudo foi realizado na favela Monte Azul, na cidade de São Paulo, SP, no período de um ano (1998-1999). Foram desenvolvidas as seguintes ações: treinamento de profissionais de saúde do ambulatório local, disponibilidade de recursos preventivos (camisinha masculina e feminina), realização de grupos educativos, distribuição de materiais educativos e realização de programas na rádio comunitária. Para avaliar a intervenção, foram analisados dados provenientes de quatro diferentes instrumentos de investigação: pré e pós-teste sobre capacitação de profissionais de saúde para o trabalho preventivo, monitoramento de retirada de preservativos, observação participante das atividades comunitárias e registro de depoimentos espontâneos dos profissionais de saúde e população-alvo durante as atividades. RESULTADOS: Entre os achados do estudo, destacam-se o aumento da demanda pela camisinha masculina e o interesse pela camisinha feminina; diferenças relevantes relacionadas a gênero e idade e à adesão às atividades propostas; e bons resultados na sensibilização e capacitação dos profissionais de saúde, embora com limites na manutenção de seu envolvimento com as atividades preventivas. CONCLUSÕES: As estratégias que corresponderam aos códigos, às demandas e aos interesses específicos da cultura local, principalmente em relação a papéis de gênero, tiveram sucesso como ações preventivas. A sobrecarga dos profissionais de saúde do ambulatório local mostrou-se um limite importante para uma ação preventiva sustentada. Universidade de São Paulo. Faculdade de Saúde Pública2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/.pdfhttps://www.revistas.usp.br/rsp/article/view/3148610.1590/S0034-89102002000500014Revista de Saúde Pública; Vol. 36 No. 4 supl.0 (2002); 96-107 Revista de Saúde Pública; Vol. 36 Núm. 4 supl.0 (2002); 96-107 Revista de Saúde Pública; v. 36 n. 4 supl.0 (2002); 96-107 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31486/33371Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFigueiredo, ReginaAyres, José Ricardo CM2012-07-08T14:46:51Zoai:revistas.usp.br:article/31486Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:46:51Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil Intervenção comunitária e redução da vulnerabilidade de mulheres às DST/ Aids em São Paulo, SP |
title |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil |
spellingShingle |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil Figueiredo, Regina Women Acquired immunodeficiency syndrome^i2^sprevention & cont Sexually transmitted diseases^i2^sprevention & cont Community participation Vulnerability Socioeconomic factors Poverty areas Health promotion Health education Result evaluation of preventive actions Gender Mulheres Síndrome de imunodeficiência adquirida^i1^spreven Doenças sexualmente transmissíveis^i1^spreven Participação comunitária Vulnerabilidade Fatores socioeconômicos Áreas de pobreza Promoção da saúde Educação em saúde Avaliação de resultado de ações preventivas Gênero |
title_short |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil |
title_full |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil |
title_fullStr |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil |
title_full_unstemmed |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil |
title_sort |
Community based intervention and reduction of women's vulnerability to STD/AIDS in Brazil |
author |
Figueiredo, Regina |
author_facet |
Figueiredo, Regina Ayres, José Ricardo CM |
author_role |
author |
author2 |
Ayres, José Ricardo CM |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Figueiredo, Regina Ayres, José Ricardo CM |
dc.subject.por.fl_str_mv |
Women Acquired immunodeficiency syndrome^i2^sprevention & cont Sexually transmitted diseases^i2^sprevention & cont Community participation Vulnerability Socioeconomic factors Poverty areas Health promotion Health education Result evaluation of preventive actions Gender Mulheres Síndrome de imunodeficiência adquirida^i1^spreven Doenças sexualmente transmissíveis^i1^spreven Participação comunitária Vulnerabilidade Fatores socioeconômicos Áreas de pobreza Promoção da saúde Educação em saúde Avaliação de resultado de ações preventivas Gênero |
topic |
Women Acquired immunodeficiency syndrome^i2^sprevention & cont Sexually transmitted diseases^i2^sprevention & cont Community participation Vulnerability Socioeconomic factors Poverty areas Health promotion Health education Result evaluation of preventive actions Gender Mulheres Síndrome de imunodeficiência adquirida^i1^spreven Doenças sexualmente transmissíveis^i1^spreven Participação comunitária Vulnerabilidade Fatores socioeconômicos Áreas de pobreza Promoção da saúde Educação em saúde Avaliação de resultado de ações preventivas Gênero |
description |
OBJECTIVES: Despite the growing number of AIDS cases in women reported, community-based interventions, which are essential in this context, are scarce and rarely evaluated. The aim of this study was to carry out a community-based research intervention, to develop and evaluate a set of STD/ AIDS prevention actions targeting the vulnerability of low income women population. METHODS: The study was carried out in Monte Azul slum in the city of São Paulo, SP, Brazil, in the period 1998-1999. The following actions were put in place: training of health professionals from the local outpatient clinic, availability of prevention resources (male and female condoms), educational groups, educational materials and community radio programs. For evaluating intervention, data from four different research instruments were assessed: pre and post training testing of health professionals, monitoring of condom supply, direct observation of community activities, and record of health professionals and target population's voluntary statements during activities. RESULTS: It was observed an increase in demand for male condom and an interest in female condoms. There were relevant gender and age differences in adhering to proposed activities. Although there were good results regarding sensitization and training of health professionals, their involvement in prevention activities was limited. CONCLUSIONS: Strategies relating to codes, demands and specific interests of the local society, especially those related to gender roles, have successfully performed as preventive actions. Health professionals' overwork at the local outpatient clinic proved to be an important limitation for maintaining preventive actions. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31486 10.1590/S0034-89102002000500014 |
url |
https://www.revistas.usp.br/rsp/article/view/31486 |
identifier_str_mv |
10.1590/S0034-89102002000500014 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31486/33371 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/.pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 36 No. 4 supl.0 (2002); 96-107 Revista de Saúde Pública; Vol. 36 Núm. 4 supl.0 (2002); 96-107 Revista de Saúde Pública; v. 36 n. 4 supl.0 (2002); 96-107 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
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1800221780540915712 |