The social construction of the PrEP1519 study

Conditions of possibility for advances in HIV/Aids prevention

Datos Bibliográficos

ID5166556
AutoresSandra Garrido De Barro (0000-0002-8255-1230, Universidade Federal da Bahia), Sandra Assis Brasil (0000-0002-1873-4577, Universidade do Estado da Bahia), Thais Regis Aranha Rossi (0000-0002-2561-088X, Universidade Federal da Bahia)
Año2023
Volumen39
Númerosuppl 1
Páginase00201621-e00201621
Fecha de publicación2023-01-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaCadernos de Saude Publica (JOURNAL)
Identificadores de la revistaISSN: 0102-311X • E-ISSN: 1678-4464
EditorialFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen201621
PMID36995869
OpenAlexW4361003821
SCIELO_PIDS0102-311X2023001305007
IdiomaEN
Citas recibidas6
Referencias citadas10

This paper analyzed the genesis of the PrEP1519 study and feasibility conditions for its construction. A qualitative-approach study was conducted using the Bourdieusian sociology framework to reconstruct the dynamics of the social environment where PrEP1519 emerged during 2015-2018. A document analysis and ten in-depth interviews were carried out to analyze the trajectory of the project. Pre-exposure prophylaxis (PrEP) was introduced in Brazil as a public policy in 2017. The lack of scientific evidence available among the adolescent population led to the development of a demonstrative cohort study, associated with an intervention, aimed at combining the prevention and treatment of sexually transmitted infections at three sites in Brazil. PrEP1519 sought to generate evidence for global use and to help the Brazilian Ministry of Health apply PrEP among adolescents. The articulation of bureaucratic, scientific, and activist stakeholders enabled this study. The feasibility conditions for developing PrEP1519 included a favorable relationship of national organizations with international organizations, the favorable approach that public administrators had at the time towards new technologies and prevention strategies, the researchers' previous experience in studies with the target population or with PrEP, articulation efforts with social movements, civil society organizations, and other public agencies, and the integration between scientific institutions, which allowed using international resources and developing a response to the problem. Completing this study at a moment when conservatism advances in Brazil demands that the scientific community and activists closely monitor and take stances on PrEP to ensure its availability for adolescents as a public policy

Bureaucracy · Civil society · Conservatism · Environmental health · Political science · Population · Public health · Public relations · Sociology · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Law · Medicine · Nursing · Public Administration · Syphilis Diagnosis and Treatment