Abstract

LOPERA-MEDINA, Mónica María  and  BETANCUR-MONTOYA, Tatiana. Characteristics of the Primary Prevention Programs to Control HIV in the South-Western Antioquia Province, 2014. Rev. Gerenc. Polit. Salud [online]. 2018, vol.17, n.35, pp.142-157. ISSN 1657-7027.  https://doi.org/10.11144/javeriana.rgps17-35.cppp.

Introduction: Primary prevention (PP) of HIV/AIDS is a state obligation in the control of the epidemy and to comply with the public health objectives, though there is scarce evidence on how it operates. Objective: To identify some characteristics of the context, structure, process and results of the HIV/AIDS primary prevention programs in the south-western Antioquia Province. Methods: It was a cross-sectional study with descriptive statistical analysis making use of the official sociodemographic and epidemiologic sources as well as surveys to 21/23 program coordinators. Results: the incidence, prevalence and mortality of the HIV/AIDS 10 cases per 100,000, 73 cases per 100,000 and 22 per 100,000 inhabitants. the health services were limited, the density of health professionals was 3 doctors/nurses/10,000 inhabitants and the PP coverage was <25%, focused in informative activities targeting primarily the general population, indigenous populations and mothers. the program coordinators perceived non-quantified achievements related to a decrease in the mother-to-child transmission, a greater use of condoms but also financial restrictions concerning intersectoriality and stigma. Conclusion: Despite the epidemiologic impact and contextualized risk factors, the structure, processes and results of the Prevention Programs require upgrading.

Keywords : program evaluation and health projects; HIV infection; Acquired Immune Deficiency Syndrome; primary prevention; public policy.

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