Análise do processo de planejamento da reestruturação de um centro de referência especializado em HIV e outras IST.

Abstract

Since the advent of the HIV/AIDS epidemic in the 1980s, Brazil has consolidated one of the most robust institutional responses in Latin America, based on the creation of public policies, specialized services and technological innovations aimed at prevention, diagnosis and treatment of infection. In this case, the objective of this study is to discover and analyze the planning process of the restructuring and requalification of the Centro Estadual Especializado em Diagnostico, Assistência e Pesquisa (CEDAP) in the period from April to December 2023. Considering that the Testing and Counseling Centers (CTA) and the Specialized Care Services (SAE) play a fundamental role in expanding testing, not advising and not accompaniment to People Living with HIV/Aids (PVHA), especially in contexts of greater social vulnerability, this research is characterized as a case study, intended as an object or process of planning the restructuring of the CEDAP. Data production was carried out through documentary analysis, including institutional reports, meeting minutes, regulations and technical documents that guide the reorganization process. To analyze this experience, the study contributes to the understanding of the institutional dynamics that support the Brazilian response to HIV/Aids and evidence of the relevance of continuous, participatory planning processes aligned with current technologies to qualify our specialized services. The results can subsidize other reference centers, CTA and SAE in the review of their practices, not strengthening their resolution capacity and in expanding the implementation of combined prevention technologies and strategies in the SUS field.