From policy to practice of sexual post-exposure prophylaxis to HIV in the Brazilian Public Health System (SUS): about risk, behaviors and vulnerabilities

Authors

Keywords:

HIV, sexuality, risk, Sexual Post-Exposure Prophylaxis, integrality in health

Abstract

The effects of the antiretroviral therapy on the HIV transmissibility intensified the diffusion of new biomedical technologies in the virus prevention. This article discusses risk perceptions and health practices, in narratives of both professionals and patients, about the Sexual Post-Exposure Prophylaxis (“sexual PEP”). The data are the result of a case study carried out in a public health service. Analysis was based on risks and vulnerability studies. The results showed that the epidemiological criteria are not sufficient to respond the prophylaxis indication, that the intersubjectivity spaces circumscribed by the sexual PEP are crossed by distinct logics of risk and by discriminatory moral standards. The concretization of health practices oriented by the perspective of sexuality exercise as an affirmation of a right keeps being a challenge.

Author Biographies

Sandra Lúcia Filgueiras, Secretaria Estadual de Saúde do Rio de Janeiro

Possui graduação em Psicologia pela Universidade Estadual de Londrina (1982), pós-graduação em Metodologia de Pesquisa em Saúde Mental (1986), Saúde Pública (1988) pela ENSP/FIOCRUZ e mestrado em Saúde Coletiva pela Universidade Federal Fluminense (2015). Servidora pública concursada da Secretaria de Estado de Saúde / RJ (1990). Trabalhou na área de pesquisa do Instituto Nacional de Infectologia Evandro Chagas / Fiocruz (2006/13) e na Universidade Federal Fluminense, como professora substituta no Instituto de Saúde Coletiva (2016/17). Atualmente trabalha na Gerência de DST/AIDS e Hepatites Virais (SES/RJ) e na Estratégia de Saúde da Família, em equipe de Consultório na Rua (SMSDC). Tem experiência profissional nas áreas de saúde coletiva, saúde mental, atenção básica e HIV/Aids, com atuação em campos da gestão, assistência, pesquisa, educação permanente e docência.

Ivia Maksud, Instituto Fernandes Figueira / Fiocruz

Cientista Social, doutora em Saúde coletiva, pesquisadora em saúde Pública do Instituto fernandes Figueira / Fundação Oswaldo Cruz

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Published

2018-12-30

Issue

No. 30 (2018)

Section

Dossier

License

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