Improvement of outpatient network on HIV/AIDS prevention, diagnosis and care in São Paulo: applicability of monitoring methods for a regional network of health care services

• Grant number: 12/51223-7
• Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
• Start date: July 01, 2013
• End date: January 31, 2016
• Field of knowledge: Health Sciences - Collective Health
• Agreement: CNPq - PPSUS
• Principal Investigator: Maria Ines Battistella Nemes
• Grantee: Maria Ines Battistella Nemes
• Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil

Abstract

Timely diagnosis and adequate treatment of HIV/AIDS extend the prognosis of people living with HIV and reduce the transmission of community HIV. This impact depends on the quality and networking of specialized and primary health care services. São Paulo public health care system (SUS-SP) has a very extensive set of primary and specialized services which are heterogeneous in quality and insufficiently articulated. This project aims to validate methods to assist the various management levels of SUS-SP on the improvement of regional health networks in the fields of HIV/AIDS prevention, diagnosis and care. We will test the applicability of pre-validated methods to monitor: I) the organization, structures and process of delivery care of specialized services (Qualiaids): II) patients’ adherence to antiretroviral therapy (WebAd-Q); and III) implementation of practices on STD/AIDS in primary care services (QualiAB). The resulting indicators will be aggregated into Geographic Information Systems composing a spatial analysis of SUS-SP outpatient network of HIV/AIDS prevention, diagnosis and care in the territory of RRAS 9. The restricted territorial area of RRAS 9 facilitates data collection control and the demographic and institutional characteristics of RRAS 9 resemble those of other regions in the countryside of Sao Paulo, allowing the replication of the proposed methods. The research team brings together professors and researchers from USP and UNESP with experience in research projects developed in partnership with SUS. The project is supported by the coordination of DST/Aids State Program, by the coordinator of Primary Health Articulation Program of Health State Department and by the coordination of Regional Health Department of Bauru. (AU)