Integralidade em saúde: avaliando a articulação e a co-responsabilidade entre o Programa Saúde da Família e um serviço de referência em HIV/aids

Abstract

The work process on the scope of HIV/AIDS is wide and complex, and it has required different actions and articulation of health services, which must be prepared for this kind of assistance. The aims of this research are to investigate the articulation between the Family Health Program (PSF) and the specialized assistance service in HIV/AIDS (SAE), to identify factors that both facilitate and inhibit this articulation and to propose forms of work that can function together. This research is a descriptive study with qualitative approaches, developed in one SAE and five basic units of the Family Health Program in the city of Fortaleza, Ceará State, Brazil, during the period from August 2003 to October 2003. The subjects of this study were 19 representatives of several professional categories that work both in the PSF and in the SAE. Semi-structured interviews and direct observations of work were performed using a methodology of analysis of the discourse to evaluate the analysis and discussion of collected data. The study results revealed that the PSF team members were unaware of the activities developed in the SAE, the number of HIV-positive individuals in the area of the team and problems resulted from individuals not accepting anti-retroviral medication. The authors consider that this study will help to elicit questions linked to the work process in SAE, that have been troublesome for a more articulated action with PSF in the sense of decreasing the number of persons with infection and improving the quality of life for persons with HIV/AIDS.