Abstract
To analyze the characteristics and trends of HIV/AIDS epidemic in Uruguaiana, Rio Grande do Sul, between 2005 and 2015 through indicators related to infection and the cascade of care of people living with HIV/AIDS (PLWHA). Descriptive study performed with data from the Health Information Systems of the Ministry of Health. Historical sets of indicators related to detection of HIV/AIDS cases and deaths were developed, comparing with national and state data from 2005 to 2015. Also, the cascades of care for PLWHA were elaborated for the municipality between 2013 and 2015. AIDS detection rates of Uruguaiana were higher in comparison to the country and state, the same happened with the mortality and lethality indicators, which varied between 35.1 and 17.7 deaths/100,000 inhabitants and 6.5 and 2.7 deaths/100 inhabitants, respectively. The cascades of care for PLWHA showed an increase in individuals diagnosed with HIV in the period (from 1,125 to 1,527). The main gap occurred between the "diagnosed" and "connected" categories, expanding over time (78, 48 and 43.4%, respectively). There was a low proportion of individuals in the "undetectable viral load" category in the three years, ranging from 32 to 22.9%. Indicators of detection, mortality, and lethality due to HIV/AIDS are high in Uruguaiana, with an increase in the number of people diagnosed with HIV and decrease in their link with health services, suggesting the need for advances in strategies to attract and link PLWHA to the health care network.
Highlights
Official data from the Brazilian Ministry of Health (MH) show that AIDS detection rates dropped from 21.4/100,000, in 2012, to 17.8/100,000 inhabitants, in 2018, showing a decrease of 16.8% in the period[1]
Objective: To analyze the characteristics and trends of HIV/AIDS epidemic in Uruguaiana, Rio Grande do Sul, between 2005 and 2015 through indicators related to infection and the cascade of care of people living with HIV/AIDS (PLWHA)
In all analyses involving health indicators, a comparison was made between Uruguaiana, Rio Grande do Sul and Brazil, considering Porto Alegre in specific analyses
Summary
Official data from the Brazilian Ministry of Health (MH) show that AIDS detection rates dropped from 21.4/100,000, in 2012, to 17.8/100,000 inhabitants, in 2018, showing a decrease of 16.8% in the period[1]. This decline has been attributed, in large part, to the coping strategies adopted since the end of 2013 by the MH, which expanded the use of antiretrovirals, as well as implemented the “test and treat” strategy[2,3,4]. Rio Grande do Sul (RS) was the state with the greatest decrease in the AIDS detection rate between 2008 and 2018 (39.3%), decreasing from 44.8 to 27.2 cases per 100,000 inhabitants[1], it has been comprised for over a decade among the units of the federation with the highest incidence of AIDS. The results of the index are presented in descending order, with the first placed having the highest rates, corresponding to the worst results
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