Abstract
to analyze the health professionals' perception about counseling in a Centro de Testagem e Aconselhamento em Infecções Sexualmente Transmissíveis (Center for Testing and Counseling in Sexually Transmitted Infections (STIs) and AIDS) in Maceió, Alagoas. it is a qualitative research, with theoretical framework of the Discursive Practices and Production of Senses in the daily life carried out with the participation of 6 counselors. For research material production, the 'Conversation Round' technique and the semi-structured script were used. For material treatment the Discourse Analysis method was used, resulting in the production of analysis categories and Dialogic Maps. in the current policies and actions of STI/AIDS, there is centralization in the procedures of anti-HIV testing and displacement of the professional counselor, undoing the testing and counseling. the study indicates the need to overcome the instrumental and prescriptive models of counseling to produce a dialogical process of care and co-responsibility.
Highlights
In 1998, the Ministry of Health (MoH), in partnership with states and municipalities, created the services called Serological Orientation and Support Centers (COAS - Centros de Orientação e Aconselhamento Sorológico), which should promote serological testing for HIV and syphilis free of charge, confidential and anonymous, counseling to individuals at risk - tests for hepatitis were performed[1,2]
STI/AIDS counseling is defined as a process in which the professional should establish a space for expressing the demands of the user, creating a sense of trust and facilitating the rescue of his internal resources so that the subject recognizes himself as the protagonist of his story
This work is structured in three main components: emotional support, facilitating the user’s expression of their feelings, in order to encourage their self-esteem and self-confidence; educational support, understanding the exchange of information on STD/HIV, forms of transmission, prevention, treatment and clarification of doubts; and risk assessment, where the counselor assists the user in identifying potential barriers that are hindering a change in their risk exposure behavior so that a potential risk and harm reduction plan can be developed in partnership[2,6]
Summary
In 1998, the Ministry of Health (MoH), in partnership with states and municipalities, created the services called Serological Orientation and Support Centers (COAS - Centros de Orientação e Aconselhamento Sorológico), which should promote serological testing for HIV and syphilis free of charge, confidential and anonymous, counseling to individuals at risk - tests for hepatitis were performed[1,2]. These services are called Centro de Testagem e Aconselhamento em Infecções Sexualmente Transmissíveis (freely translated as Center for Testing and Counseling in Sexually Transmitted Infections (STIs) and AIDS - CTA). Despite the relevance of this professional in the attention to STI/AIDS, literature reviews on the universe of CTAs pointed out that the analysis of practice in services, by the counselors’view, was little problematized in scientific documents[7]
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