ABSTRACT
Objective
Analyze health managers discourse related to the organization of the rapid anti-HIV test provision, from the perspective of the integrality attribute.
Method
Exploratory research of qualitative nature, undertaken in a health district of the municipality of João Pessoa, Paraíba. Data collection was carried out in September 2017, using a semi-structured interview script for a semi-structured interview, which was applied to thirteen health care service managers from Primary Health Care services. The empirical material was analyzed in the light of the theoretical-methodological Discourse Analysis device, identifying the discursive block: Organization of services for conducting the rapid anti-HIV test.
Results
The speeches point out to the ideological affiliation that comprises the fragmentation of the assistance, standardization of the demand with focus on schedules, stigmatization and unaccountability of the care, making it difficult to achieve comprehensiveness in the perspective of the decentralization of the offer of rapid anti-HIV test.
Conclusion and implications for practice
The discourse of health managers points out weaknesses in the quality of service and organization of the rapid anti- HIV test provision. Implementing policies to reverse the current situation and continuing education for professionals can enhance the integrality of the service.
Keywords:
Primary Health Care; HIV; Early Diagnosis; HIV Infections; Integrality in Health