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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Coordination of care for people living with HIV in the prison system

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Author(s):
Aline Cristina Gonçalves Andrade Cadamuro [1] ; Rubia Laine de Paula Andrade [2] ; Livia Maria Lopes [3] ; Lis Aparecida de Souza Neves [4] ; Erika Aparecida Catoia [5] ; Aline Aparecida Monroe [6]
Total Authors: 6
Affiliation:
[1] Prefeitura Municipal de Ribeirão Preto - Brasil
[2] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto - Brasil
[3] Centro Universitário de Franca Uni-FACEF - Brasil
[4] Prefeitura Municipal de Ribeirão Preto - Brasil
[5] Secretária de Administração Penitenciária - Brasil
[6] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto - Brasil
Total Affiliations: 6
Document type: Journal article
Source: Acta Paulista de Enfermagem; v. 33, 2020-10-23.
Abstract

Abstract Objective: To analyze the care coordination for people living with HIV according to the prison unit. Methods: Cross-sectional study conducted in six prison units in the state of São Paulo. Eighty-five inmates living with HIV and six technical directors were interviewed. Coordination indicators were created from questions with a 1-5 scale and classified as satisfactory (>3.5 to 5.0), regular (>2.5 to 3.5) and unsatisfactory (1.0 to 2.5). ANOVA and Kruskal Wallis were used. Results: The coordination was classified as unsatisfactory (mean 2.49). Unsatisfactory indicators: “Questioning side effects of antiretroviral therapy (ART)”; “Questioning the difficulties in ART intake”; “Observing ART intake”; “Requesting ART bottles/packages to monitor medication intake”; “Asking for explanations regarding the use of ART”; “Questioning the storage conditions of ART in the prison cell”; “Informing and discussing T-CD4 + and viral loading results”; “Informing the scheduling of consultation at the HIV reference service” and “Take to care for other medical specialties”. The following obtained regular classification: “Take to emergency medical care when needed” and “Not missing an appointment at the HIV reference service”. “Questioning the regularity of the use of ART” was the single worst indicator evaluated in the comparison between the prison units studied (p<0.05). Conclusion: The performance of prison units does not differ in relation to most coordination indicators studied, which shows the need for improving the performance with regard to the development of actions to monitor the use of ART, inform and discuss test results with inmates and take them to care outside the prison unit. (AU)

FAPESP's process: 15/22312-0 - Offering and integration of actions and health services provided to people living with HIV/AIDS in situation of liberty deprivation
Grantee:Aline Aparecida Monroe
Support Opportunities: Regular Research Grants