REAGINDO AO HIV: O ATENDIMENTO DE EMERGÊNCIA PÓS-EXPOSIÇÃO SEXUAL NOS SERVIÇOS DE SAÚDE DE UM MUNICÍPIO NA REGIÃO CENTRAL DO PARANÁ

Abstract

Given the changes in HIV prevention technologies, considering the advent of combined prevention and thinking about the production of health care, this research aims to problematize public policies for emergency care in cases of HIV exposure in a municipality in the central region of Paraná, specifically aiming to understand the operation and care of Post Exposure Prophylaxis – PEP Sexual, which can be used when a person has had consented sexual exposure to HIV. To this end, we conducted a study with a qualitative approach, inspired by Michael Foucault’s genealogical perspective, using semi-structured interviews with managers and other health workers in health services that can be sought by users who have had such exposure to HIV. We used Foucault's Discourse Analysis to analyze the speeches obtained in the interviews. Based on the systematization of the results, we organized the discussion in 3 lines of analysis: 1) HIV policy and other STIs in the municipality: flows, organization and management; 2) Post-Exposure Prophylaxis indialogue with Care Production Technologies and Implication Analysis; and 3) Discursive production on AIDS, sexuality, the device of sexuality as a device for the management of bodies. It is important to indicate the existence of a tension between different logics, pervaded at times by discourses with a psychosocial character, at other times by prescriptive discourses, the latter being conformative of a sexual dietetics that impregnates the work of health workers and results in the hierarchy of bodies. We conclude that there is an imminent need to interrogate practices and offer ongoing training; we understand SAE / COAS as a protagonist place on HIV-related policies, there being dilogue difficulties between management and health workers when it comes to HIV policies; we also highlight the implementation of this policy based on training logistics and the supply of materials, with the psychosocial aspect being put to the background.