Luciane Ferreira do Val

Os conceitos de vulnerabilidade e adesão na Saúde Coletiva

Los conceptos de Vulnerabilidad y Adhesion han sido foco de debate en la Salud Colectiva. El desafio puesto por este campo, de propiciar tecnologias, dispositivos e instrumentos que apoyen la construccion de practicas calificadas, para atender a las necesidades de los grupos sociales, ha constituido el terreno donde se elabora el conocimiento, buscando la innovacion en el desarrollo de instrumentos que apoyen la captacion de la realidad, apoyen la lectura de las necesidades y en el desencadenamiento y sustentacion de proyectos de intervencion que produzcan el impacto deseado: atender los grupos sociales que mas carecen de apoyo para conquistar autonomia para vivir la vida con calidad y la consecucion del auto-cuidado, en el escenario de la equidad y de la justicia social. El articulo presenta aspectos de las categorias analiticas Adhesion y Vulnerabilidad, en cuanto a la proposicion de indicadores para su monitoreo, lo que puede contribuir para el desarrollo del concepto y para las practicas en el proceso de produccion a la salud.The Vulnerability and the Compliance are concepts that have being focus of debate in the Collective Health field. The challenge of the Collective Health is to promote tech- nologies, and tools to support qualified actions, and to answer to the social groups´ needs, looking for the innovation of the in- struments to apprehend the reality and to develop interventions that could produce impacts: attending these social groups who needs support to conquer autonomy in the self-care. This article presents aspects of the analytic categories Compliance and Vulnerability, proposing indicators for monitoring it, in order to contribute to the development of the concepts as to the health production process.

Comprehensiveness and programmatic vulnerability to stds/hiv/aids in primary care

This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).Objetivo Identificar a vulnerabilidade programatica as DST/HIV/aids na Atencao Basica para o enfrentamento do HIV/Aids. Metodo Estudo descritivo, com abordagem quantitativa, realizado no Municipio de Sao Paulo (MSP). Utilizou-se formulario online (FormSUS), com gerentes das 442 Unidades Basicas de Saude (UBS) do MSP. Participaram do estudo 74,2% gerentes, dos quais 53,6% eram enfermeiros. Resultados Destaca-se a vulnerabilidade programatica nas UBS com relacao a alguns itens de infraestrutura, acoes de prevencao, de tratamento, no pre-natal e de integracao entre os servicos na atencao as DST/HIV/aids. Conclusao Para a efetivacao da integralidade no enfrentamento do HIV/aids na Atencao Basica e necessario atentar para a vulnerabilidade programatica, alem de mais investimentos e reorganizacao dos servicos, num dialogo com os atores sociais envolvidos (usuarios, equipe multiprofissional, gerentes, gestores, entre outros).

Estudantes do ensino médio e o conhecimento em HIV/AIDS: que mudou em dez anos?

An exploratory, descriptive, comparative study with a quantitative approach, whose objective was to compare the knowledge of high school students from two public state schools of Peruíbe, SP, Brazil, about Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), in the years 1999 and 2010. In both of these years, the predominant population studied was female students, under 18 years old, unmarried and white. A statistically significant difference was found with respect to knowledge about HIV/AIDS among the groups studied. It was found that even with ten-year interval between the studies, the two groups of students did not consider themselves vulnerable to HIV and presented doubts as to the correct knowledge about the topic, which indicates the need for a continuous approach with young adolescents.

La integralidad y vulnerabilidad programática de las ets/vih/sida en la atención básica

This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).Objetivo Identificar a vulnerabilidade programatica as DST/HIV/aids na Atencao Basica para o enfrentamento do HIV/Aids. Metodo Estudo descritivo, com abordagem quantitativa, realizado no Municipio de Sao Paulo (MSP). Utilizou-se formulario online (FormSUS), com gerentes das 442 Unidades Basicas de Saude (UBS) do MSP. Participaram do estudo 74,2% gerentes, dos quais 53,6% eram enfermeiros. Resultados Destaca-se a vulnerabilidade programatica nas UBS com relacao a alguns itens de infraestrutura, acoes de prevencao, de tratamento, no pre-natal e de integracao entre os servicos na atencao as DST/HIV/aids. Conclusao Para a efetivacao da integralidade no enfrentamento do HIV/aids na Atencao Basica e necessario atentar para a vulnerabilidade programatica, alem de mais investimentos e reorganizacao dos servicos, num dialogo com os atores sociais envolvidos (usuarios, equipe multiprofissional, gerentes, gestores, entre outros).

A integralidade e a vulnerabilidade programática às DST/HIV/AIDS na Atenção Básica

This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).Objetivo Identificar a vulnerabilidade programatica as DST/HIV/aids na Atencao Basica para o enfrentamento do HIV/Aids. Metodo Estudo descritivo, com abordagem quantitativa, realizado no Municipio de Sao Paulo (MSP). Utilizou-se formulario online (FormSUS), com gerentes das 442 Unidades Basicas de Saude (UBS) do MSP. Participaram do estudo 74,2% gerentes, dos quais 53,6% eram enfermeiros. Resultados Destaca-se a vulnerabilidade programatica nas UBS com relacao a alguns itens de infraestrutura, acoes de prevencao, de tratamento, no pre-natal e de integracao entre os servicos na atencao as DST/HIV/aids. Conclusao Para a efetivacao da integralidade no enfrentamento do HIV/aids na Atencao Basica e necessario atentar para a vulnerabilidade programatica, alem de mais investimentos e reorganizacao dos servicos, num dialogo com os atores sociais envolvidos (usuarios, equipe multiprofissional, gerentes, gestores, entre outros).

[High school students and their knowledge about HIV/AIDS: what has changed in ten years?].

An exploratory, descriptive, comparative study with a quantitative approach, whose objective was to compare the knowledge of high school students from two public state schools of Peruíbe, SP, Brazil, about Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), in the years 1999 and 2010. In both of these years, the predominant population studied was female students, under 18 years old, unmarried and white. A statistically significant difference was found with respect to knowledge about HIV/AIDS among the groups studied. It was found that even with ten-year interval between the studies, the two groups of students did not consider themselves vulnerable to HIV and presented doubts as to the correct knowledge about the topic, which indicates the need for a continuous approach with young adolescents.

Estudiantes secundarios y conocimiento sobre el VIH/SIDA: ¿qué ha cambiado en diez años?

An exploratory, descriptive, comparative study with a quantitative approach, whose objective was to compare the knowledge of high school students from two public state schools of Peruíbe, SP, Brazil, about Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), in the years 1999 and 2010. In both of these years, the predominant population studied was female students, under 18 years old, unmarried and white. A statistically significant difference was found with respect to knowledge about HIV/AIDS among the groups studied. It was found that even with ten-year interval between the studies, the two groups of students did not consider themselves vulnerable to HIV and presented doubts as to the correct knowledge about the topic, which indicates the need for a continuous approach with young adolescents.

Los conceptos de vulnerabilidad y de aderencia en la Salud Colectiva

Los conceptos de Vulnerabilidad y Adhesion han sido foco de debate en la Salud Colectiva. El desafio puesto por este campo, de propiciar tecnologias, dispositivos e instrumentos que apoyen la construccion de practicas calificadas, para atender a las necesidades de los grupos sociales, ha constituido el terreno donde se elabora el conocimiento, buscando la innovacion en el desarrollo de instrumentos que apoyen la captacion de la realidad, apoyen la lectura de las necesidades y en el desencadenamiento y sustentacion de proyectos de intervencion que produzcan el impacto deseado: atender los grupos sociales que mas carecen de apoyo para conquistar autonomia para vivir la vida con calidad y la consecucion del auto-cuidado, en el escenario de la equidad y de la justicia social. El articulo presenta aspectos de las categorias analiticas Adhesion y Vulnerabilidad, en cuanto a la proposicion de indicadores para su monitoreo, lo que puede contribuir para el desarrollo del concepto y para las practicas en el proceso de produccion a la salud.The Vulnerability and the Compliance are concepts that have being focus of debate in the Collective Health field. The challenge of the Collective Health is to promote tech- nologies, and tools to support qualified actions, and to answer to the social groups´ needs, looking for the innovation of the in- struments to apprehend the reality and to develop interventions that could produce impacts: attending these social groups who needs support to conquer autonomy in the self-care. This article presents aspects of the analytic categories Compliance and Vulnerability, proposing indicators for monitoring it, in order to contribute to the development of the concepts as to the health production process.