Abstract
To analyze the perception of nurses on the decentralization of care to people living with HIV. Exploratory, descriptive, qualitative study conducted with primary health care nurses based on Imogene King's Open Systems Theory (personal, interpersonal, and social). The data were obtained through interviews; a sociodemographic/professional questionnaire and a semi-structured script were employed, processed by the IRAMUTEQ software and analyzed through Descending Hierarchical Classification. Study participants amounted to 32 nurses. Five classes emerged from the analysis: "diagnostic revelation process"; "professional training"; "preventive measures"; "barriers and potentials in the process of decentralization"; and "stigma and prejudice". In the process of reorganization of the healthcare model for people living with HIV in primary health care, an important contribution by nurses in strengthening the local healthcare decentralization was identified.
Highlights
Brazil has been advancing in healthcare provided to People Living with Human Immunodeficiency Virus (HIV) (PLHIV)
The new directives enable b roadening the detection of the Human Immunodeficiency Virus (HIV) infection through Rapid Test (RT) and make the Primary Health Care (PHC) a protagonist in the SDT and AIDS Policy
The following were employed: a questionnaire with the variables age, sex, years of education, years working in PHC, other employment bonds and complementary education; and interviews directed by guiding questions related to care to people living with HIV/AIDS, which dealt with access, diagnosis, structure, trainings, prevention activities, and health education
Summary
Changes in the health care system proposed by the Ministry of Health in 2014 established shared care with the Specialized Care Service (Serviço de Assistência Especializada – SAE) through decentralization of care to Primary Health Care (PHC)(1). In this perspective, the new directives enable b roadening the detection of the Human Immunodeficiency Virus (HIV) infection through Rapid Test (RT) and make the PHC a protagonist in the SDT and AIDS Policy. Studies carried out in Malawi and a district of Uganda have shown, among advancements in PHC follow-up, increased testing, treatment coverage, reduction of distances from the health services and reduction of expenses with transportation and food[5,7]
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