[Evaluation of counseling activities: analysis of a person-centered prevention perspective].
This paper evaluates STD/HIV/AIDS counseling activities provided by the Brazilian National Health Care System (SUS). The following institutional health services were assessed: four anonymous testing and counseling centers, one clinic specializing in treatment for people with HIV, and five STD clinics. All the above are recognized as training centers by the Brazilian Ministry of Health (National STD/AIDS Control Program). The data were collected from March to September 1997. The counseling activities from these health services was compared with guidelines developed by the National STD/AIDS Control Program using a qualitative evaluation methodology. The main categories analyzed were: a) approaching the patient; b) active listening; c) effective communication; d) risk assessment and discussion of alternatives for risk reduction; and e) orientation concerning clinical aspects and treatment (treatment compliance and improved quality of life). The paper concludes by suggesting changes to improve counseling.
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Coordenação Nacional DST/Aids, Secretaria de Políticas de Saúde, Ministério da Saúde, Esplanada dos Ministérios, Ministério da Saúde, bloco G, sobreloja, Brasília DF 70058-900, Brasil. filgueiras@aids.gov.br
Deslandes
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D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control / Q000635:transmission; D001938:Brazil; D003376:Counseling; D005069:Evaluation Studies as Topic; D005260:Female; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission; D006266:Health Education; D006801:Humans; D008297:Male; D012307:Risk Factors; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control* / Q000635:transmission
Avaliação das ações de aconselhamento. Análise de uma perspectiva de prevenção centrada na pessoa.