Neide Emy Kurokawa e Silva

Between flows and therapeutic projects: revisiting the notions of lines of care in health and therapeutic itineraries

This essay discusses the possibilities of conceptual and practical connections between the ideas of line of care and therapeutic itineraries, beginning with the theoretical contributions that lay the foundations for the Line of Integrated Healthcare and the hermeneutic approaches to Care. The implementation of lines of care tuned to individual and collective health needs can be glimpsed in the construction of therapeutic projects, inasmuch as they privilege the particularities of each situation in the agreement of flows of appointments, exams, and other procedures. The therapeutic project - taken as an arrangement, strategy, device, or basic dimension of Care in the work process in health - can be seen as an image that lays out a possibility of the future, which in turn is a projection conditioned by past experiences of health, illness, and life. From the criticism of explanatory models, preponderant in the studies of therapeutic itineraries, we defend the investment in approaches that privilege interpretation and understanding, capable of recuperating, contextualizing, and reconstructing trajectories, beginning with the subjects involved in the care process.

Testagem anti-HIV: indagações sobre a expansão da oferta sob a perspectiva do acesso e da construção da demanda

Reconhecendo a relevância do incremento na oferta de testagem anti-HIV, problematiza-se a concepcao de oferta a luz dos conceitos de acesso e demanda. O mero foco na oferta da testagem mostra-se insuficiente frente a complexidade e dinamicidade do processo, desde a identificacao da sua necessidade ate a realizacao do teste e seus possiveis desdobramentos, incluindo o tratamento. Ademais, o modelo de campanha para incentivo a testagem nao se coaduna com proposicoes que valorizem o protagonismo social dos cidadaos nem atendam as especificidades da disseminacao da epidemia de AIDS. Postula-se a importância de desenvolver estudos que focalizem mais detidamente a demanda por testagem anti-HIV.

O acesso de homens a diagnóstico e tratamento de doenças sexualmente transmissíveis na perspectiva multidimensional e relacional da vulnerabilidade

Discute-se a nocao de acesso de homens a atencao a saude, especificamente para diagnostico e tratamento de doencas sexualmente transmissiveis - DST. Considerando que o acesso a saude esta imbricado em uma rede de interacoes e contextos sociais que ultrapassa o binomio demanda-oferta, postula-se a pertinencia de desenvolver o tema sob o conceito multidimensional e dinâmico de vulnerabilidade.

STD/AIDS Prevention and communication processes: a case study in the context of vulnerability

Introduction. The vulnerability in STD/AIDS has proposed not only a new way of dealing with this situation, but also of thinking about sexually transmitted diseases and AIDS prevention strategies. Objective. Since the perception of this vulnerability represents a challenge for prevention practices, strongly based on a verticalization strategy, this paper discusses the experience of a participatory peer education as an STD/AIDS prevention strategy, highlighting the potentialities, possibilities and challenges of dealing with the complexity and dynamism of this reference. Methodology. The experience was taken as a case study and the material produced based on reports received hermeneutic treatment. Results. Tensions were identifi ed in the coordination of the strategy by the governmental institution, as well as 1 Endereço para correspondência: Rua Professor Nehemias Gueiros, 243, apto. 201, Recreio dos Bandeirantes, Rio de Janeiro, RJ, Brasil 22790-030. E-mail: neks@uol.com.br e luzia.ao@uol.com.br Agradecemos o Núcleo de Estudos e Prevenção em Aids (NEPAIDS), por instigar e apoiar refl exões que valorizam a dupla mão entre experiências práticas e produção de conhecimento. Também ressaltamos a cuidadosa e preciosa revisão do texto realizada pelas companheiras Dulce Ferraz e Maria Ines Battistella Nemes. As autoras trabalharam juntas em todas as etapas de elaboração do manuscrito. Silva, N. E. K., Oliveira, L. A. 752 the very idea of “peer” and its identity relations. The dilemmas represented by the wide range of propositions regarding vulnerability were also highlighted. Conclusion. In conclusion, we stress that investment in the communication dimensions of peer prevention, through the enrichment of argumentative repertoires, was fruitful.Introduction. The vulnerability in STD/AIDS has proposed not only a new way of dealing with this situation, but also of thinking about sexually transmitted diseases and AIDS prevention strategies. Objective. Since the perception of this vulnerability represents a challenge for prevention practices, strongly based on a verticalization strategy, this paper discusses the experience of a participatory peer education as an STD/AIDS prevention strategy, highlighting the potentialities, possibilities and challenges of dealing with the complexity and dynamism of this reference. Methodology. The experience was taken as a case study and the material produced based on reports received hermeneutic treatment. Results. Tensions were identifi ed in the coordination of the strategy by the governmental institution, as well as 1 Endereco para correspondencia: Rua Professor Nehemias Gueiros, 243, apto. 201, Recreio dos Bandeirantes, Rio de Janeiro, RJ, Brasil 22790-030. E-mail: neks@uol.com.br e luzia.ao@uol.com.br Agradecemos o Nucleo de Estudos e Prevencao em Aids (NEPAIDS), por instigar e apoiar refl exoes que valorizam a dupla mao entre experiencias praticas e producao de conhecimento. Tambem ressaltamos a cuidadosa e preciosa revisao do texto realizada pelas companheiras Dulce Ferraz e Maria Ines Battistella Nemes. As autoras trabalharam juntas em todas as etapas de elaboracao do manuscrito. Silva, N. E. K., Oliveira, L. A. 752 the very idea of “peer” and its identity relations. The dilemmas represented by the wide range of propositions regarding vulnerability were also highlighted. Conclusion. In conclusion, we stress that investment in the communication dimensions of peer prevention, through the enrichment of argumentative repertoires, was fruitful.

Prevenção às DST/AIDS e processos comunicativos: estudo de caso, a partir do quadro da vulnerabilidade

Introduction. The vulnerability in STD/AIDS has proposed not only a new way of dealing with this situation, but also of thinking about sexually transmitted diseases and AIDS prevention strategies. Objective. Since the perception of this vulnerability represents a challenge for prevention practices, strongly based on a verticalization strategy, this paper discusses the experience of a participatory peer education as an STD/AIDS prevention strategy, highlighting the potentialities, possibilities and challenges of dealing with the complexity and dynamism of this reference. Methodology. The experience was taken as a case study and the material produced based on reports received hermeneutic treatment. Results. Tensions were identifi ed in the coordination of the strategy by the governmental institution, as well as 1 Endereço para correspondência: Rua Professor Nehemias Gueiros, 243, apto. 201, Recreio dos Bandeirantes, Rio de Janeiro, RJ, Brasil 22790-030. E-mail: neks@uol.com.br e luzia.ao@uol.com.br Agradecemos o Núcleo de Estudos e Prevenção em Aids (NEPAIDS), por instigar e apoiar refl exões que valorizam a dupla mão entre experiências práticas e produção de conhecimento. Também ressaltamos a cuidadosa e preciosa revisão do texto realizada pelas companheiras Dulce Ferraz e Maria Ines Battistella Nemes. As autoras trabalharam juntas em todas as etapas de elaboração do manuscrito. Silva, N. E. K., Oliveira, L. A. 752 the very idea of “peer” and its identity relations. The dilemmas represented by the wide range of propositions regarding vulnerability were also highlighted. Conclusion. In conclusion, we stress that investment in the communication dimensions of peer prevention, through the enrichment of argumentative repertoires, was fruitful.Introduction. The vulnerability in STD/AIDS has proposed not only a new way of dealing with this situation, but also of thinking about sexually transmitted diseases and AIDS prevention strategies. Objective. Since the perception of this vulnerability represents a challenge for prevention practices, strongly based on a verticalization strategy, this paper discusses the experience of a participatory peer education as an STD/AIDS prevention strategy, highlighting the potentialities, possibilities and challenges of dealing with the complexity and dynamism of this reference. Methodology. The experience was taken as a case study and the material produced based on reports received hermeneutic treatment. Results. Tensions were identifi ed in the coordination of the strategy by the governmental institution, as well as 1 Endereco para correspondencia: Rua Professor Nehemias Gueiros, 243, apto. 201, Recreio dos Bandeirantes, Rio de Janeiro, RJ, Brasil 22790-030. E-mail: neks@uol.com.br e luzia.ao@uol.com.br Agradecemos o Nucleo de Estudos e Prevencao em Aids (NEPAIDS), por instigar e apoiar refl exoes que valorizam a dupla mao entre experiencias praticas e producao de conhecimento. Tambem ressaltamos a cuidadosa e preciosa revisao do texto realizada pelas companheiras Dulce Ferraz e Maria Ines Battistella Nemes. As autoras trabalharam juntas em todas as etapas de elaboracao do manuscrito. Silva, N. E. K., Oliveira, L. A. 752 the very idea of “peer” and its identity relations. The dilemmas represented by the wide range of propositions regarding vulnerability were also highlighted. Conclusion. In conclusion, we stress that investment in the communication dimensions of peer prevention, through the enrichment of argumentative repertoires, was fruitful.

Prevención a las DST/Sida y procesos comunicativos: estudio de caso, a partir del cuadro de la vulnerabilidad

Introduction. The vulnerability in STD/AIDS has proposed not only a new way of dealing with this situation, but also of thinking about sexually transmitted diseases and AIDS prevention strategies. Objective. Since the perception of this vulnerability represents a challenge for prevention practices, strongly based on a verticalization strategy, this paper discusses the experience of a participatory peer education as an STD/AIDS prevention strategy, highlighting the potentialities, possibilities and challenges of dealing with the complexity and dynamism of this reference. Methodology. The experience was taken as a case study and the material produced based on reports received hermeneutic treatment. Results. Tensions were identifi ed in the coordination of the strategy by the governmental institution, as well as 1 Endereço para correspondência: Rua Professor Nehemias Gueiros, 243, apto. 201, Recreio dos Bandeirantes, Rio de Janeiro, RJ, Brasil 22790-030. E-mail: neks@uol.com.br e luzia.ao@uol.com.br Agradecemos o Núcleo de Estudos e Prevenção em Aids (NEPAIDS), por instigar e apoiar refl exões que valorizam a dupla mão entre experiências práticas e produção de conhecimento. Também ressaltamos a cuidadosa e preciosa revisão do texto realizada pelas companheiras Dulce Ferraz e Maria Ines Battistella Nemes. As autoras trabalharam juntas em todas as etapas de elaboração do manuscrito. Silva, N. E. K., Oliveira, L. A. 752 the very idea of “peer” and its identity relations. The dilemmas represented by the wide range of propositions regarding vulnerability were also highlighted. Conclusion. In conclusion, we stress that investment in the communication dimensions of peer prevention, through the enrichment of argumentative repertoires, was fruitful.Introduction. The vulnerability in STD/AIDS has proposed not only a new way of dealing with this situation, but also of thinking about sexually transmitted diseases and AIDS prevention strategies. Objective. Since the perception of this vulnerability represents a challenge for prevention practices, strongly based on a verticalization strategy, this paper discusses the experience of a participatory peer education as an STD/AIDS prevention strategy, highlighting the potentialities, possibilities and challenges of dealing with the complexity and dynamism of this reference. Methodology. The experience was taken as a case study and the material produced based on reports received hermeneutic treatment. Results. Tensions were identifi ed in the coordination of the strategy by the governmental institution, as well as 1 Endereco para correspondencia: Rua Professor Nehemias Gueiros, 243, apto. 201, Recreio dos Bandeirantes, Rio de Janeiro, RJ, Brasil 22790-030. E-mail: neks@uol.com.br e luzia.ao@uol.com.br Agradecemos o Nucleo de Estudos e Prevencao em Aids (NEPAIDS), por instigar e apoiar refl exoes que valorizam a dupla mao entre experiencias praticas e producao de conhecimento. Tambem ressaltamos a cuidadosa e preciosa revisao do texto realizada pelas companheiras Dulce Ferraz e Maria Ines Battistella Nemes. As autoras trabalharam juntas em todas as etapas de elaboracao do manuscrito. Silva, N. E. K., Oliveira, L. A. 752 the very idea of “peer” and its identity relations. The dilemmas represented by the wide range of propositions regarding vulnerability were also highlighted. Conclusion. In conclusion, we stress that investment in the communication dimensions of peer prevention, through the enrichment of argumentative repertoires, was fruitful.

Men's health care access to diagnosis and treatment of sexually transmitted diseases in a multidimensional and relational concept of vulnerability

Discute-se a nocao de acesso de homens a atencao a saude, especificamente para diagnostico e tratamento de doencas sexualmente transmissiveis - DST. Considerando que o acesso a saude esta imbricado em uma rede de interacoes e contextos sociais que ultrapassa o binomio demanda-oferta, postula-se a pertinencia de desenvolver o tema sob o conceito multidimensional e dinâmico de vulnerabilidade.

El acceso de los hombres para el diagnóstico y tratamiento de enfermedades de transmisión sexual en la perspectiva multidimensional y relacional de la vulnerabilidad

Discute-se a nocao de acesso de homens a atencao a saude, especificamente para diagnostico e tratamento de doencas sexualmente transmissiveis - DST. Considerando que o acesso a saude esta imbricado em uma rede de interacoes e contextos sociais que ultrapassa o binomio demanda-oferta, postula-se a pertinencia de desenvolver o tema sob o conceito multidimensional e dinâmico de vulnerabilidade.