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Indigenous populations: cultural diversity and STD/HIV/AIDS control actions in Brazil
V. Lopes, I. Brito
Issues: Various factors influence the vulnerabilities to STD/HIV/AIDS of the indigenous populations living in Brazil, among which we highlight pauperization, increasing migration to towns and cities, agrarian conflicts, cultural differences in exercising sexuality and the adoption of preventive practices. The network comprised of 34 Special Indigenous Health Districts – SIHD, which is part of the National Health System – NHS, was created in 1999, with the aim of offering qualified healthcare, focussing on health promotion.
Description: The DST/AIDS control actions implanted in this network have been carried out in accordance with each SIHD’s local capacity to respond, and it can be seen that access to HIV and syphilis diagnosis, prevention actions, epidemiological surveillance, as well as articulation with the HIV/AIDS and other STD service referral network have been scaled up. The District Plans drawn up by the SIHD’s social control forums have incorporated for the period 2008 to 2011 STD and AIDS actions which also include the participation of Indigenous Community Health Workers – ICHW.
Lessons learned: It can be seen that the process of the management of indigenous health issues is still not shared efficiently with other areas of the NHS, namely state and municipal government services. Health services can be seen to have difficulties in dealing with intercultural matters, since there is high health professional rotation in indigenous areas and few indigenous people working as health professionals in positions other than ICHW.
Next steps: The epidemiological profile of this population in terms of HIV/AIDS is being researched, since there is a trend towards AIDS case stabilization with effect from 2000. Intensifying prevention actions with indigenous populations resident in urban areas. Evaluation of the implementation of control actions in all SIHD approved in January 2008 by the Ministry of Health.
AIDS 2008 – XVII International AIDS Conference
Abstract no. MOPE1078
“V.Lopes, et al. Indigenous populations: cultural diversity and STD/HIV/AIDS control actions in Brazil. : AIDS 2008 – XVII International AIDS Conference: Abstract no. MOPE1078”