Tuberculosis/HIV/AIDS coinfection in Porto Alegre, RS/Brazil-invisibility and silencing of the most affected groups

Abstract

Objective: To analyze how belonging to certain social groups contributes to constituting the vulnerabilities associated with illnesses due to tuberculosis/HIV/AIDS coinfection. Methodology: This is a qualitative study carried out in the city of Porto Alegre, state of Rio Grande do Sul, in regions of high social vulnerability. Twenty coinfected people were interviewed in specialized health services between August and December 2016. The analysis was based on the frameworks The Sound of Silence and Vulnerability and Human Rights. Results: Socioeconomic conditions were decisive for the constitution of the vulnerability conditions. Processes of people invisibiliza-tion, and the silencing of their voices, in a scenario marked by economic, racial and gender inequalities, contributed for their health needs not to be understood and effectively taken into account in the services actions. Final considerations: The more effective strategies are to legitimize voices and to understand the needs of those affected by coin-fection, the greater the chances that programmatic responses to the problem will be successful.