Action Research on STI/HIV/AIDS in Primary Health Care

Authors

  • Lucia Yasuko Izumi Nichiata Dep. Enf. em Saúde Coletiva, Escola de Enfermagem da Universidade de São Paulo (EEUSP)
  • Luciane Ferreira Val Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), Dep. de Enf. em Saúde Coletiva da EEUSP
  • Fernanda Tavares de Mello Abdalla Irmandade da Santa Casa de Misericórdia; Dep. de Enf. em Saúde Coletiva da EEUSP

DOI:

https://doi.org/10.21664/2238-8869.2014v3i3.p179-196

Abstract

Qualitative studies, such as action research, may contribute to promote greater participation of the social agents involved in the resolution of problems, in the improvement of the practices used, and in offering subsides for Primary Health Care (PHC) to fight ITS/HIV/AIDS. This review of the literature aims at identifying the themes found in PHC action research, the theoretical/conceptual bases that support these action research studies, to identify studies on ITS/HIV/AIDS, and to analyze how researches and subjects collaborated with each other in the search for solutions. The search was carried out in the Virtual Health Library in January, 2014. A total of 30 articles were identified, and among them, five dealt with HIV/AIDS/sex education. Nineteen articles referred to their conceptual and theoretical bases, with Paulo Freire’s critical pedagogy as the most common one.

Keywords: Nursin;. Action Research; Primary Healthcare; AIDS.

References

André AM, Ciampone MHT. Competencies to manage basic healthcare units: manager's perception”. Rev. esc. enferm. USP [serial on the Internet]. 2007 Dec [cited 2014 Jan 30];41(n.spe):[about 5 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext& pid=S0080-62342007000500017
Ayres JRCM 1996. Educação preventiva e vulnerabilidade às DST/AIDS e abuso de drogas entre escolares: como avaliar a intervenção? In Tozzi D, Santos NL, Amaro CM, Almeida E, Silva EJ, Pereira ML, organizadores. Papel da educação na ação preventiva ao abuso de drogas e às DST/AIDS, Fundação para o Desenvolvimento da Educação, São Paulo, p. 25-41.
Ayres JRCM, Calazans GJ, Saletti Filho HC, França-Júnior I 2006. Risco, vulnerabilidade e práticas de prevenção e promoção da saúde. In: Campos GWS, Minayo MCS, Akerman M, Drumond Júnior M, Carvalho YM, organizadores. Tratado de Saúde Coletiva, Hucitec/Fiocruz, São Paulo/Rio de Janeiro, p.375-418.
Ayres JRCM, Paiva V, França Jr I 2011. From natural history of disease to vulnerability: changing concepts and practices in contemporary public health. In: Parker P, Sommer M, organizadores. Routledge handbook in global public health, Abingon, Oxon, p.98-107.
Bachetti LS. Mental health and primary health care: creation of a matrix support network. UNOPAR Cient Ciênc Biol Saúde [serial on the Internet]. 2013 [cited 2014 Jan 30];15(1):[about 7 p.]. Available from: https://www.google.com.br/webhp?tab=ww&ei=RtQuVKz2JsrygwTpg4L4BA&ved=0CAcQ1S4#q=Bachetti+LS.+Mental+Health+and+Primary+Health+Care%3A+Creation+of+a+Matrix+Support+Network.+UNOPAR+Cient.+Ci%C3%AAnc+Biol+Sa%C3%BAde+2013+
Baldissera VDA, Bueno SMV. The representation of sexuality by the elderly women and education for health. Rev Eletr Enf [serial on the Internet]. 2010 Out/Dez [cited 2014 Jan 30];12(4):[about 8 p.]. Available from: http://www.fen.ufg.br/fen_revista/v12/n4/v12n4a05.htm
Barbosa AAA, Brito EWG, Costa ICC. Oral health care in the family health program, from its implementation to today’s moment: perceptions of dentists and assistants in municipality context. Cienc Odontol Bras [serial on the Internet]. 2007 Jul/Set [cited 2014 Jan 30];10(3):[about 8 p.]. Available from: ojs.fosjc.unesp.br/index.php/cob/article/download/286/223
Baumfeld TS, Sá RB, Santos DFA, Monteiro OM, Ferreira MB, Silva EMV, Raymundo MA, Queiroz AM, Bonolo PF. Self-reliant care: dialogue on emotions and sexuality with adolescents through the educational program for Health Work. Rev. bras. educ. med. [serial on the Internet]. 2012 Jan/Mar [cited 2014 Jan 30];36(1):[about 9 p.]. Available from: http://www.scielo.br/scielo.php?pid=S0100-55022012000200010&script=sci_arttext
Boletim Epidemiológico AIDST 2011. Centro de Referência e Treinamento DST/AIDS, Centro de Vigilância Epidemiológica, Programa Estadual de DST/Aids, Secretaria de Estado da Saúde, São Paulo, 28(1), 116 pp.
Boletim Epidemiológico Aids e DST 2013. Brasil, Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de DST, Aids e Hepatites Virais, 2(1): 68 pp.
Borges MTTB, Barbosa RHS. Converging gender and popular education through action research to address female smoking within contexts of social vulnerability. Interface (Botucatu) [serial on the Internet]. 2013 Jul/Set [cited 2014 Jan 30];17(46):[about 14 p.]. Available from: http://www.scielosp.org/scielo.php?pid=S1414-32832013000300009&script=sci_arttext
Brasil sdd. Ministério da Saúde. Política do Programa Nacional de DST/Aids. Missão do Programa Nacional. [Internet]. Brasília, sdd [cited 2014 Out 01]. Available from: http://www.aids.gov.br/data/ Pages/LUMISB9C1F777PTBRIE.htm
Brasil 2005. Ministério da Saúde. Secretaria de Vigilância em Saúde. Programa Nacional de DST e AIDS. Plano Estratégico Programa Nacional de DST e Aids, Brasília, 121 pp.
Brasil 2006. Ministério da Saúde, Manual de Controle das Doenças Sexualmente Transmissíveis DST, Coordenação Nacional de DST/Aids, Brasília, 142 pp.
Brasil 2012. Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Política Nacional de Atenção Básica, Brasília.
Brito JSS, Albuquerque PC, Silva EH. Popular health education with the Xukuru do Ororubá indigenous people. Interface [serial on the Internet]. 2013 Jan/mar [cited 2014 Jan 30];17(4):[about 9 p.]. Available from: http://www.scielo.br/pdf/icse/2013nahead/aop0113.pdf
Dias AA, Moura ERF, Nogueira PSF, Coutinho JFV, Oriá MOB. Educational strategy addressed to nurses in primary care for infertility: an intervention study. Rev Gaucha Enferm [serial on the Internet]. 2012 Jun [cited 2014 Jan 30];33(2):[about 8 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472012000200011
Dias FLA, Silva KL, Vieira NFC, Pinheiro PNC, Maia CC. Risks and vulnerabilities related to sexuality in adolescence. Rev. enferm. UERJ [serial on the Internet]. 2010 Jul/Set [cited 2014 Jan 30];18(3):[about 6 p.]. Available from: http://www.facenf.uerj.br/v18n3/v18n3a21.pdf
Diuana V, Lhuillier D, Sanchez AR, Amado G, Araujo L, Duarte AM, Garcia M, Milanez E, Poubel L, Romano E, Larouzé B. Health in the prison system: representations and practices by prison guards in Rio de Janeiro, Brazil. Cad. Saúde Pública [serial on the Internet]. 2008 Ago [cited 2014 Jan 30];24(8):[about 10 p.]. Available from: http://www.scielo.br/pdf/csp/v24n8/17.pdf
Esteves APVS, Silva LR, Silva MDB. Social support network for pregnant women: nursing care factory based on a perspective cutural. Rev. enferm. UFPE [serial on the Internet]. 2010 Jan/Mar [cited 2014 Jan 30];4(1):[about 10 p.]. Available from: http://www.google.com.br/url?sa=t&rct=j& q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=0CCAQFjAA&url=http%3A%2F%2Fwww.revista.ufpe.br%2Frevistaenfermagem%2Findex.php%2Frevista%2Farticle%2Fdownload%2F522%2F1172&ei=PKYtVOnuBc6eggT57oKwCA&usg=AFQjCNHECnhBKugbOI_nvxBNBMCdn474VQ&sig2=iC9VokilntdZ2Kx9rkdrJQ&bvm=bv.76477589,d.eXY
FAPESP, Fundação de Amparo à Pesquisa de São Paulo [homepage on the Internet]. São Paulo: Agência FAPESP; 2012 [citado 2014 Out 01]. Pesquisa aponta mudança no perfil da aids em São Paulo. Disponível em: http://agencia.fapesp.br/15161
Ferraz DAS, Nemes MIB. Avaliação da implantação de atividades de prevenção das DST/aids na atenção básica: um estudo de caso na Região Metropolitana de São Paulo, Brasil. Cad. Saúde Pública [serial on the Internet]. 2009 [cited 2014 Out 02];supl 25:[about 10 p.]. Available from: http://www.scielo.br/scielo.php?pid=S0102-311X2009001400006&script=sci_arttext
Koerich MS, Baggio MA, Backes MTS, Backes DS, Carvalho JN, Meirelles BHS Erdmann AL. Sexuality, sexually transmitted diseases, and contraception: nursing care with at-risk youth. Rev. enferm. UERJ [serial on the Internet]. 2010 Abr/Jun [cited 2014 Jan 30];18(2):[about 7 p.]. Available from: http://www.facenf.uerj.br/v18n2/v18n2a17.pdf
Laperrière H. The case of an emerging evaluative community: peer multipliers' reappropriation of the assessment of their own preventive and social actions against STD/HIV/Aids, Amazonas, Brazil. Interface (Botucatu) [serial on the Internet]. 2008 Jul/Set [cited 2014 Jan 30];12(826):[about 14 p.]. Available from: http://www.scielo.br/scielo.php?pid=S1414-32832008000300006&script=sci_arttext
Lavras C. Atenção primária à saúde e a organização de redes regionais de atenção à saúde no Brasil. Saude e soc [serial on the Internet]. 2011 Out./Dez. [cited 2014 Out 02];20(4):[about 7 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-12902011000400005&lng=en&tlng=pt. 10.1590/S0104-12902011000400005
Linhares FMP, Pontes CM, Osório MM. Breastfeeding promotion and support strategies based on Paulo Freire's epistemological categories. Rev. Nutr [serial on the Internet]. 2013 Mar/Apr [cited 2014 Jan 30];26(2):[about 11 p.]. Available from: http://www.scielo.br/scielo.php?pid=S1415-52732013000200001&script=sci_arttext
Luppi CG, Andrade MC, Simões O, Pinho VP 2011. Atenção Primária à Saúde/Atenção Básica. In Ibañez N, Elias PEM, Seixas PHD, Política e Gestão Pública em Saúde, Hucitec/CEALAG, São Paulo.
Mann J, Tarantola DJM, Netter T 1993. Como avaliar a vulnerabilidade à infecção pelo HIV e aids. In Mann J, Tarantola DJM, Netter T, A Aids no mundo, Relume-Dumará, Rio de Janeiro, p. 275-300.
Melo MRC, Dantas VLA. Culture circles and promotion of health in Family Health Strategy. Rev. Bras. Promoç Saúde [serial on the Internet]. 2012 Jul/Set [cited 2014 Jan 30];25(3):[about 8 p.]. Available from: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src= google&base=LILACS&lang=p&nextAction=lnk&exprSearch=657348&indexSearch=ID
Mendes EV 2012. O cuidado das condições crônicas na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Organização Pan-Americana da Saúde, Brasília, 512 p.
Minozzo F, Costa II. Matrix support in mental health between Psychosocial Attention Center (CAPS) and Family Health Teams: analyzing possible paths. Psico-USF [serial on the Internet]. 2013 [cited 2014 Jan 30];18(1):[about 9 p.]. Available from: http://www.scielo.br/scielo.php? script=sci_arttext&pid=S1413-82712013000100016
Monteiro AI, Santos ADB, Macedo IP, Gurgel PKF, Cavalcante JMP. Nurse’s autonomy monitoring child growth and development. Rev. enferm. UERJ [serial on the Internet]. 2011 Jul/Set [cited 2014 Jan 30];19(3):[about 6 p.]. Available from: http://www.facenf.uerj.br/ v19n3/v19n3a15.pdf
Monteiro CFS, Moreira MRC, Oliveira EAR, Moura MES, Costa JV 2010. Action research: contribution to investigative practices nurses. Rev Gaucha Enferm, 31(1):167-74.
Monteiro EMLM, Vieira NFC. Health education based on culture circles. Rev. bras. enferm. [serial on the Internet]. 2010 Mai/Jun [cited 2014 Jan 30];63(3):[about 7 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672010000300008
Monteiro MCS, Oliveira MPR 2007. Desconstruindo a verticalização – DST/aids e rede básica: uma integração possível. In: Paula IA, Guibu IA. DST/aids e rede básica: uma integração necessária, Secretária de Estado da Saúde, São Paulo, p 9-22.
Nichiata LYI 2010. Vulnerability warning them HIV/AIDS in the Family Health Strategy: case study no hum São Paulo – Brazil, Tese Livre-docência, School of Nursing, University of São Paulo.
Nichiata LYI, Bertolozzi MR, Takahashi RF, Fracolli LA 2008. The use of the “vulnerability” concept in the nursing area, Rev. latinoam. enferm., 2008:16(5):129-35.
Paula IA, Guibu IA, Bersusa AAS, Kalchkmann AS 2007. Construção de um modelo descentralizado das ações de prevenção e assistência às DST/aids no Estado de São Paulo. In: Paula IA, Guibu IA. DST/aids e rede básica: uma integração necessária, Secretária de Estado da Saúde, São Paulo, p.23-33.
Pessoa VM, Rigotto RM, Arruda CAM, Machado MFAS, Machado MMT, Bezerra MGVB. Action research: methodological proposal for action planning in primary care services in the context of environmental health and occupational health. Interface (Botucatu) [serial on the Internet]. 2013 Abr/jun [cited 2014 Jan 30];17(45):[about 14 p.]. Available from: http://www.scielo.br/scielo.php? pid=S1414-32832013000200005&script=sci_arttext
Pezzato LM, L'Abbate S. A intervention-research-action in collective oral health: contributing to new analyses' production. Saude soc. [serial on the Internet]. 2012 Abr/Jun [cited 2014 Jan 30];21(2):[about 13 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid= S0104-12902012000200012
Pontes AGV, Gadelha D, Freitas BMC, Rigotto RM, Ferreira MJM. Irrigated perimeters as a geopolitical strategy for the development of the semi-arid region and its implications for health, labor and the environment. Ciênc. saúde coletiva [serial on the Internet]. 2013 Nov [cited 2014 Jan 30];18(11):[about 9 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid= S1413-81232013001100012
Ribeiro KSQS. Enlarging health care access through an appreciation of social networks in Popular Education for Health. Rev. APS [serial on the Internet]. 2008 Jul/Set [cited 2014 Jan 30];11(3):[about 14 p.]. Available from: aps.ufjf.emnuvens.com.br/aps/article/download/338/116
Ribeiro KSQS. The Importance of Social Support Networks to Rehabilitation Process. R bras ci Saúde [serial on the Internet]. 2009 Mar/Ago [cited 2014 Jan 30];13(2):[about 9 p.]. Available from: https://www.mysciencework.com/publication/read/5123396/the-importance-of-social-support-networks-to-reabilitation-process
Rocha DC, Figueiredo FFN, Fernandes Neto AA, Queiroz RR, Trapé AA. Integrality in health care: analysis of a public emergency service in the city of campinas, state of São Paulo, Brazil. Rev ciênc méd [serial on the Internet]. 2006 Mai/Jun [cited 2014 Jan 30];15(3):[about 9 p.]. Available from: http://periodicos.puc-campinas.edu.br/seer/index.php/cienciasmedicas/article/view/1114
Sá EMO, Melo MB, Cavalcanti CAT, Oliveira LA, Pereira NNR, Marques ORA, Santos RM, Gonçalves DHA. The attributions of the oral health technician: practice systematization. Trab. educ. saúde [serial on the Internet]. 2010 Nov [cited 2014 Jan 30];8(3):[about 17 p.]. Available from: http://www.scielo.br/scielo.php?pid=S1981-77462010000300008&script=sci_arttext
Santos MC, Rossoni E. Networks in the construction of urban ecological practices in the territory of a basic health unit. Bol. Saúde [serial on the Internet]. 2008 Jan/Jun [cited 2014 Jan 30];22(1):[about 10 p.]. Available from: http://www.researchgate.net/publication/237667219_ TECENDO_REDES_NA_CONSTRUO_DE_PRTICAS_ECOLGICAS_URBANAS_NO_TERRITRIO_DE_UMA_UNIDADE_BSICA_DE_SADE_NETWORKS_IN_THE_CONSTRUCTION_OF_URBAN_ECOLOGICAL_PRACTICES_IN_THE_TERRITORY_OF_A_BASIC_HEALTH_UNIT
São Paulo 2003. Secretaria de Estado da Saúde de São Paulo, Ações de Prevenção às DST/Aids na rede de atenção básica à saúde do Estado de São Paulo, São Paulo.
Silva LMS, Guimarães TA, Pereira MLD, Miranda KCL, Oliveira EM 2005. Integralidade em saúde: avaliando a articulação e a co-responsabilidade entre o Programa Saúde da Família e um serviço de referência em HIV/aids. Epidemiol. e Serv. Saúde, 14(2):97-104.
Smeke ELM, Oliveira NLS. Participant evaluation of educational practices in health services Cad. CEDES [serial on the Internet]. 2009 Set/Dec [cited 2014 Jan 30];29(79):[about 14 p.]. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-32622009000300005
Soratto J, Witt RR, Faria EM. Citizen participation and social control in health: challenges of the family health team. Physis [serial on the Internet]. 2010 Dec [cited 2014 Jan 30];20(4):[about 16 p.]. Available from: http://www.scielo.br/scielo.php?pid=S0103-73312010000400009&script= sci_arttext
Starfield B 2002. Atenção primária: equilíbrio entre necessidades de saúde, serviços e tecnologia. Trad. Fidelity Translations, Unesco, Ministério da Saúde, Brasília, 726 pp.
Takahashi RF 2006. Marcadores de Vulnerabilidade à infecção, adoecimento e morte por HIV e aids, Tese Livre-docência, Escola de Enfermagem, Universidade de São Paulo, São Paulo.
Thiollent 2014. Metodologia de pesquisa participativa/pesquisa-ação em áreas da saúde. In I Seminário Internacional sobre Pesquisa Participativa em Saúde, V Encontro de Trabalho Anual do Internacional Collaboration on Participatory Health Research, Universidade Federal Fluminense, Niterói, Rio de Janeiro.
Tripp D 2005. Action research: a methodological introduction. Education and Research, São Paulo, Educação e Pesquisa, 31(3):443-466.
UNAIDS. Joint United Nations Programme on HIV/AIDS. Global Statistics. Fact Sheet [serial on the Internet]. 2013 [cited 2014 Out 01]. [about 6 p.].Available from: http://www.unaids.org/en/ media/unaids/contentassets/documents/factsheet/2014/20140716_FactSheet_en.pdf
Val LF, Nichiata LYI 2014. A integralidade na atenção às DST/HIV/AIDS: a vulnerabilidade programática em unidades de saúde, Nova Edições Acadêmicas, Saarbrücken, Alemanha, 252 pp.
Val LF, Nichiata LYI, Takahashi RF. Comprehensiveness and program vulnerability of STD/HIV/AIDS in Primary Health Care. Rev esc enferm USP [serial on the Internet]. 2014 [cited 2014 Out 01];48(esp):[about 15 p.]. DOI 10.1590/S0080-623420140000500021 "in press".
Vasconcelos VM, Frota MA, Martins MC, Machado MMT. Child care in nursing and health education: mother's perception in family health strategy. Esc. Anna Nery [serial on the Internet]. 2012 Abr/Jun [cited 2014 Jan 30];16(2):[about 5 p.]. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452012000200017&script=sci_arttext
Vargas AMD, Ferreira EF, Mattos FF, Vasconcelos M, Drumond MM, Lucas SD. Access to public health services in a borderline area between two cities. Saude soc [serial on the Internet]. 2011 Jul/Set [cited 2014 Jan 30];20(3):[about 8 p.]. Available from: http://www.scielo.br/scielo.php? script=sci_arttext&pid=S0104-12902011000300024

Published

2014-11-27

How to Cite

NICHIATA, Lucia Yasuko Izumi; VAL, Luciane Ferreira; ABDALLA, Fernanda Tavares de Mello. Action Research on STI/HIV/AIDS in Primary Health Care. Fronteiras - Journal of Social, Technological and Environmental Science, [S. l.], v. 3, n. 3, p. 179–196, 2014. DOI: 10.21664/2238-8869.2014v3i3.p179-196. Disponível em: https://revistas.unievangelica.edu.br/index.php/fronteiras/article/view/913. Acesso em: 16 may. 2024.