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publicado em 09/03/2010 às 16h00:00
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Plan to combat HIV has undergone public consultation to be reused

Department reopened the Comprehensive Plan to Combat the Feminization of AIDS and other STDs

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On Monday, the Department of STD, AIDS and Viral Hepatitis relaunched the Comprehensive Plan to Combat the Feminization of AIDS and other STDs. The launch of the revised draft takes place on International Women's Day and, according to deputy director, Eduardo Barbosa, this was the plan for reuse. In the foreground we have the targets and, indeed, showed some distortions, he says. The first version was published in 2007. In the interview, the manager also commented on the goals were not met.

Check out the interview with Deputy Director of the Department of STD, AIDS and Viral Hepatitis (AA), Eduardo Barbosa

AA - This revision submitted on 8 provides what activists have called, for example, specific budget and specific functions of each department or manager?

EB - The Plan is much more political sense in the establishment of specific guidelines and goals. We believe that insofar as we put a list of necessary actions, we need to put the budget to meet them. So if our partners and ourselves we are committed to certain goals, to make them happen will require that everyone involved put resources.

AA - The Plan of 2007 envisaged a goal of acquiring 10 million female condoms. We had information that the last purchase was four million units. Been any previous acquisition to achieve that number?

EB - Not really. Regarding this goal, we have problems with their acceptability of the female condom. There is also an issue in research to actually know what is the indication, and estimate the need for women. Previous studies have shown that there is acceptance by the woman with the female condom. It may be that it reverses. In the next plan, we must first examine further what is the need and acceptability of women in relation to the female condom to increase purchases. There's no point buying them and they are stocked.

The four million units of the female condom is sufficient for the occasional work in each department of health, with a specific audience of women, whether they are living with HIV, sex workers ... It is a quantity that meets the needs presented by states and municipalities. Not expanded the acquisition of this input precisely because there was no presentation of a greater need so far.

AA - Is there any indication that explains why there is this lack of acceptance by women?

GE - researches have been around 2003, 2004 and 2005, and indicated difficulty in placement. It's not like the male condom that you will put in hours of intercourse. You must have a whole preparation, is not as simple as you get in the act and put the condom. The management of it is different. At the same time, the very question of how it is. Both a model as the other show ring, which is uncomfortable, according to women.

A number of issues were presented and showed that non-acceptance. But it also is not widespread. Given these studies, we contacted the developers of new methods and make proposals to change the format, this way the female condom. There is a concluding question, because for that you need to be made a much bigger study.

In this issue of condoms, anyway, they report that they use, but the male. Today we had an expansion in access to the input of prevention, including young girls at first intercourse. So in all the studies we have made, mainly through the PCAP, it appears. Not on account of not having access to female condoms that they no longer use. The male is a strategy of his own wife to have sexual autonomy

AIDS News Agency (AA) - Why the plan is now being reissued on March 8?

Eduardo Barbosa (EB) - The plan was revised after a first version made in 2007, it has suffered over time a series of discussions, both in the sphere of AIDS but also for other ministerial policies. Today, the plan went through a process of public consultation and agreement with other sectors of government and society to be recycled. It is a more appropriate method and goal for each of the sectors involved.

AA - This would help make the goals more objective and indicate what are the managers who should perform them?

EB - In the foreground we have the targets and, indeed, showed some distortions. This review process also served to readjust and put in place what we have today in the area of ​​policies for women, to combat the epidemic to an effective response to these sectors. The goals must exist and each sector must comply with them.

AA - Mr. He talked about distortions of some goals, could you give an example?

EB - One example is in relation to schools. There is a target for expansion from 17 to 50% of public schools that provide condoms. That was a goal that was unrealistic because at the time of award did not have 17 percent of schools with condom distribution. This was one of the necessary adjustments.

AA - In the foreground is a goal that refers to the reduction of vertical transmission from 4 to 1%, but since we were informed by the Department of AIDS that will be a new study to evaluate these data, the Sentinel Surveillance ...

EB - This study is about to start and it is from these data that we ...

AA - There's still no indication of such data (prevalence of vertical transmission)?

EB - There is no need, because we need a new mother for sentinel establish exactly where we are and want to reach.

AA - The Plan of 2007 speaks to increase from 35% to 70% the proportion of women who reported having been tested for HIV, but this index is still 48%, according to information obtained from the Department. What remains for women to seek more testing?

EB - We have done all the work especially related to prevention of HIV among the pregnant women. During the prenatal period has resulted very well. Today, much of the testing with women quite accurately refers to what happens in health services. What is missing is the same for the whole community: all persons who are exposed and are vulnerable to a health facility seeking to learn their HIV status. Lack motivation these women faced with an epidemic in Brazil presented a high level of new infections and mortality. Women need to be aware and seek information and testing separate from the question of pregnancy.

Furthermore, it is necessary to work with various issues of violence against women, so she can find in a health service where it will be accepted and to know not only the HIV test, but also other issues such as hepatitis.

Currently, we seek to encourage women to seek testing. It is a much more integrated work with women's health.

We will launch an action in the coming days with the Bolsa Familia. We want to provide, within this set of key actions of the Ministry of Social Development, actions for women in the health issue: the provision of condoms, provision of sites for testing and other prevention measures. It is a partnership with other ministries and other sectors to broaden the arrival of women to services.

AA - Another fact is that the rate of 70% of women undergoing gynecological preventive remains stationary, but the goal envisaged increase to 90%. Why does this happen?

EB - This data was collected in PCAP (Survey of Knowledge, Attitudes and Practices of the Brazilian population) from 2004 to 2008 and appears stable. I can not say why it did not expand, we have intensified work in maternity wards so that there is an expansion of supply and exams. But it depends on what each health service is offering this country Specific concerns go beyond the competence of the coordination of STD / AIDS, as also of the Ministry of Health's attention to women depends largely put on the agendas, in various areas of government, at all three levels, so they have an integrated action.

AA - By the same token, some activists heard about the plan reported lack of integration, awareness of managers outside the area of ​​AIDS and specific budget. Do you agree with these criticisms?

EB - Partially. We have in this country and managements managements, commitments and not commitments. Today Brazil is an extremely diverse country. Yes we still have difficulties with the schedule agreed nationally in decision-making of the SUS, together with Harrison Ford and Conasems, so that the decision agreed at the federal level can be achieved in state and municipal spheres. I agree that in public policy there is a need for greater integration and joint work areas. The effort has been the Department accordingly. We have a team just in search of that integration at the federal level, working in state and local counterparts to reverse this situation.

The proposed revision of the Plan and consultation have this goal. It is to fit the realities of each locality and reprice at the same time with partners, whether government or civil society, the goals we want to achieve.


   Palavras-chave:   AIDS    HIV    HIV status    STD    Comprehensive Plan    International Women's Day   
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