Counselling through the perspective of professionals of primary health care: challenges of decentralization of rapid test for HIV/Aids

This articles aims to investigate and analyze how rapid test and counselling for HIV were developed and assessed in decentralization process to primary care services. It is a qualitative and exploratory study, which was performed in 15 health services of Porto Alegre/Brasil, through semi-structured...

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Furkejuvvon:
Bibliográfalaš dieđut
Váldodahkki: Bones Rocha, Kátia (author)
Eará dahkkit: de Andrade Souza Ew, Raquel (author), Moraes Moro, Larissa (author), Lemos De Pinho Zanardo, Gabriela (author), Pizzinato, Adolfo (author)
Materiálatiipa: article
Giella:espánnjágiella
Almmustuhtton: 2018
Fáttát:
Liŋkkat:https://revistas.ucu.edu.uy/index.php/cienciaspsicologicas/article/view/1597
https://hdl.handle.net/10895/5405
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Govvádus
Čoahkkáigeassu:This articles aims to investigate and analyze how rapid test and counselling for HIV were developed and assessed in decentralization process to primary care services. It is a qualitative and exploratory study, which was performed in 15 health services of Porto Alegre/Brasil, through semi-structured interviews with 22 professionals. Data were conducted to thematic analysis and discussed from theoretical perspective of “living work” in health by Merhy. Results were organized in two thematic axes: (1) Decentralization of testing in Primary Health Care; and (2) Counselling – topics and challenges. Results indicate: the activity is not presented transversally in the team, centralized in the nurses; greater domain in the execution of the test (hard technology) and informative approach (light-hard technology); insecurity regarding risk management and emotional support (light technologies), especially facing the positive diagnosis. One of the main challenges for the effectiveness of counseling is the appropriateness of the approach according to user's necessity.