1906/2012 - DISCURSOS SOBRE SEXUALIDADE EM UM CENTRO DE TESTAGEM E ACONSELHAMENTO (CTA): DIÁLOGOS POSSÍVEIS ENTRE PROFISSIONAIS E USUÁRIOS DISCOURSES ON SEXUALITY AT A COUNSELING AND TESTING SERVICE: A POSSIBLE DIALOGUE AMONG HEALTH PROFESSIONALS AND CLIENTS
Frente à centralidade da via sexual na transmissão do HIV, o trabalho analisa os discursos sobre sexualidade entre profissionais de saúde e usuários em um Centro de Testagem e Aconselhamento (CTA), do Estado do Rio de Janeiro. A metodologia envolveu observação direta do aconselhamento individual pré-teste e a realização de 384 questionários e 14 entrevistas com usuários. Segundo os achados, o aconselhamento é caracterizado pelo preenchimento do formulário de vigilância epidemiológica, havendo imprecisões na coleta e registro das práticas sexuais dos usuários, decorrentes da falta de estrutura do serviço. Durante o aconselhamento, as orientações ao usuário sobre DST/Aids foram centradas no tipo/número de parceiros sexuais, nos riscos ao HIV e no uso do preservativo. Tal abordagem não favorece o diálogo sobre a trajetória sexual do usuário, suas dúvidas e demandas relativas à sexualidade e a Aids. Os dados dos questionários e entrevistas revelaram a pouca familiaridade dos usuários em relação às categorias homo, hetero e bissexual. Para efetivar o aconselhamento como um espaço de interação e diálogo, recomenda-se: desvincula-lo do preenchimento do formulário SI-CTA; incorporar na formação dos aconselhadores os significados e diversidade das experiências sexuais dos sujeitos; investir na estrutura organizacional do serviço.
Palavras-chave:
Aconselhamento
Aids
Sexualidade
Testagem
Serviço saude
Abstract:
Due to the centrality of sexual route in HIV transmission, this paper analyses the discourses on sexuality among health professionals and clients from a Counseling and Testing Service (VCT) in the State of Rio de Janeiro. The methodology included direct observation of individual pre-test counseling and the use of 384 questionnaires and 14 interviews with clients. According to the findings counseling is characterized by filling out the epidemiological surveillance form; due to the lack of health service structure, there are inaccuracies in the process of gathering and recording the clients’ sexual practices. During counseling, DST/Aids prevention discourse is focused on the type and the number of sexual partners, on HIV risk and on condom use. This approach does not favor the dialogue about the sexual trajectory of the client and his/her doubts and demands related to sexuality and Aids. The questionnaire and interviews indicated that homo, hetero e bisexual categories were not familiar to the clients. To carry out counseling as a space for dialogue and interaction, it is recommended that: counseling should be dissociated from filling out the surveillance form; the meaning of sexual experiences of individuals throughout life should be incorporated in counseling training; the structure of the health service has to be reinforced.
DISCOURSES ON SEXUALITY AT A COUNSELING AND TESTING SERVICE: A POSSIBLE DIALOGUE AMONG HEALTH PROFESSIONALS AND CLIENTS
Resumo (abstract):
Due to the centrality of sexual route in HIV transmission, this paper analyses the discourses on sexuality among health professionals and clients from a Counseling and Testing Service (VCT) in the State of Rio de Janeiro. The methodology included direct observation of individual pre-test counseling and the use of 384 questionnaires and 14 interviews with clients. According to the findings counseling is characterized by filling out the epidemiological surveillance form; due to the lack of health service structure, there are inaccuracies in the process of gathering and recording the clients’ sexual practices. During counseling, DST/Aids prevention discourse is focused on the type and the number of sexual partners, on HIV risk and on condom use. This approach does not favor the dialogue about the sexual trajectory of the client and his/her doubts and demands related to sexuality and Aids. The questionnaire and interviews indicated that homo, hetero e bisexual categories were not familiar to the clients. To carry out counseling as a space for dialogue and interaction, it is recommended that: counseling should be dissociated from filling out the surveillance form; the meaning of sexual experiences of individuals throughout life should be incorporated in counseling training; the structure of the health service has to be reinforced.
Monteiro, S., Brandão, E., Vargas, E., Mora, C., Soares, p., Daltro, E.. DISCURSOS SOBRE SEXUALIDADE EM UM CENTRO DE TESTAGEM E ACONSELHAMENTO (CTA): DIÁLOGOS POSSÍVEIS ENTRE PROFISSIONAIS E USUÁRIOS. Cien Saude Colet [periódico na internet] (2012/Out). [Citado em 18/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/discursos-sobre-sexualidade-em-um-centro-de-testagem-e-aconselhamento-cta-dialogos-possiveis-entre-profissionais-e-usuarios/11534?id=11534
