Reincidentes en el cuidado, pero sin derecho a la prevención

This study seeks to identify challenges in the implementation of post-exposure prophylaxis for HIV, based on an analysis of actions taken by healthcare professionals in the state-run health sector in Porto Alegre, Brazil. Based on a qualitative approach that included ethnographic observations and in-depth interviews, we found that contextual, institutional, and individual factors represented challenges to the implementation of post-exposure prophylaxis for HIV. Barriers to implementation included the historical context structuring healthcare services and practices, the lack of training and/or continued education in health, and certain attitudes on the part of healthcare professionals (ideas regarding both the strategy itself as well as the individuals that seek PEP). We conclude that there is a need for greater attention to specialized services for STI/HIV/AIDS as well as the professionals that provide these services, in order to guarantee greater effective access to this strategy at the local level

Context (archaeology · Ethnography · Family medicine · Geography · Health care · Health professionals · Human immunodeficiency virus (HIV · Humanities · Political science · Qualitative research · Social science · Sociology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Law · Medicine · Nursing · Sex work and related issues

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  Open Access•Alyssa Mathias, Lorruan Alves Dos Santos et al.•Ciência & Saúde Coletiva•2021

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• Semente para Luta

  Open Access•Bruno Kau, Maurício Polidoro et al.•Saúde e Sociedade•2021

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• The Interpersonal Dynamics of in-Depth Interviewing

  John M Johnson, Timothy Rowlands•The Sage Handbook Of Interview…•2012

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• Safe sex after post-exposure prophylaxis for HIV

  Henrike Körner, Olympia Hendry et al.•AIDS Care•2006

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• From a global crisis to the ‘end of Aids’

  Open Access•N Kenworthy, Matthew Thomann et al.•Global Public Health•2017

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• Beyond the Distinction Between Biomedical and Social Dimensions of HIV Prevention Through the Lens of a Social Public Health

  Susan Kippax, Niamh Stephenson•American Journal of Public Health•2012

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• O direito à prevenção e os desafios da redução da vulnerabilidade ao HIV no Brasil

  Open Access•Vera S F Paiva, Vera Paiva et al.•Revista de Saúde Pública•2006

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• Democracia e direito da antidiscriminação

  Open Access•Roger Raupp Rios, Rodrigo Da Silva•Ciência e Cultura•2017

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• Top-Down and Bottom-Up Approaches to Implementation Research

  Open Access•Paul A Sabatier, Paul Sabatier•Journal of Public Policy•1986

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• Politicians, Managers, and Street-Level Bureaucrats

  P J May, Stephen Winter et al.•Journal of Public Administration…•2009

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• Da evidência à ação

  Open Access•Eliana Miura Zucchi, Alexandre Grangeiro et al.•Cadernos de Saude Publica•2018

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• Moralidades, Racionalidades E Políticas Sexuais No Brasil Contemporâneo

  Open Access•Carrara, Sérgio Carrara•Mana•2015

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• Bodies That Matter

  Judith Butler•Bodies that matter•2011

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