Evaluation of access to testing and linking to HIV/AIDS treatment in Curitiba, Brazil
Evaluation of MSM access to HIV / AIDS testing and treatment
DOI:
https://doi.org/10.21527/2176-7114.2021.43.11077Keywords:
health evaluation, serological testing, periodic care, HIV/aids, male homosexualityAbstract
This work aims to analyze the implementation of the “A Hora é Agora” Project was developed, in 2015, different strategies to expand HIV testing and treatment for men who have sex with men living in Curitiba/PR. The analysis started from the perspective of the key actors involved, using a qualitative research approach. The methodology was based on document review, direct observations, semi-structural interviews and discussion in focus groups. The results focused on four access subcategories: coverage; adequacy; quality and acceptability. The improvement in coverage was seen in the increase of testing points, in the extension of the days and times of testing and withdrawal of antiretrovirals. In terms of adequacy, the precepts of human rights were reflected in respect for privacy and agility in making appointments / exams. The quality indicated the barriers faced, such as stigma and discrimination by some health professionals. Finally, acceptability revealed how each strategy was accepted by users. It is concluded that the project was a successful intervention, expanding testing and helping users to start HIV treatment, incorporating new technologies and approaches to Men who have Sex with Men care.
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