History, current issues and future of the brazilian network for attending and studying Trypanosoma cruzi/HIV coinfection.
BACKGROUND
In countries with endemic Chagas disease, coinfection involving Trypanosoma cruzi and HIV is expected to become more frequent. There is a clear need to structure a comprehensive care network aimed at dealing with this situation, with mobilization going from primary care to care at the highest level of technological complexity. The objective of this study was to describe the Brazilian response to the challenges of Chagas disease: the history, current issues, and future of the Brazilian Network for attending and studying T. cruzi/HIV coinfection.


METHODS
This descriptive study reviewed technical documents relating to the basis and structuring process of the Brazilian network for attending and studying T. cruzi/HIV coinfection.


RESULTS
The process of setting up the network was marked by technical and political debates in technical-scientific meetings going back to the 1990s. This process made it possible to expand and focus on different aspects of comprehensive care for Chagas disease in Brazil, regardless of the associated immunosuppressive conditions. These meetings produced a structure of national technical guidelines and standards, health care and research protocols and research priorities, along with mobilization and awareness-raising among HIV/AIDS reference centers regarding occurrences of coinfection.


CONCLUSIONS
The creation of the Brazilian network was a milestone for the country in terms of integration of control programs, with the reference point of quality of care and comprehensiveness. The possibility of extending this network to form a Latin American network is seen as a strategy for dealing more effectively with this condition.
Department of Community Health, Faculty of Medicine, Federal University of Ceará, Ceará, Brazil. novaes@ufc.br
Alberto Novaes
AN
Ramos Júnior
Dalmo
D
Correia
Eros Antônio
EA
Almeida
Maria Aparecida
MA
Shikanai-Yasuda
D000818:Animals; D001938:Brazil / Q000453:epidemiology; D014355:Chagas Disease / Q000150:complications* / Q000453:epidemiology / Q000469:parasitology / Q000517:prevention & control; D003695:Delivery of Health Care / Q000458:organization & administration*; D015658:HIV Infections / Q000150:complications* / Q000453:epidemiology / Q000517:prevention & control / Q000821:virology; D015497:HIV-1; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D012106:Research / Q000458:organization & administration*; D014349:Trypanosoma cruzi