Cuidado às pessoas que vivem com HIV em tempos de covid-19: scoping review
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Este estudo teve por objetivo analisar as produções científicas envolvendo as repercussões da pandemia da covid-19 nas ações e nos serviços de saúde ofertados às pessoas vivendo com HIV. Para tanto, foi realizada uma revisão de escopo, de acordo com as recomendações do Joanna Briggs Institute e PRISMA-ScR. A busca ocorreu em março de 2022 em sete bases de dados e na literatura cinzenta, com os descritores: pandemia, COVID-19, SARS-CoV-2, HIV, infecções por HIV, estratégias de saúde e serviços de saúde, combinados aos operadores booleanos “AND” e “OR”. Dois pesquisadores conduziram a pesquisa nas fontes de dados, de maneira independente. Com a busca, foram identificadas 1.032 publicações, das quais 42 foram incluídas. Foram evidenciadas dificuldades no acesso e na vinculação aos serviços de saúde, manifestando-se em redução do horário de atendimento, escassez de materiais e diminuição ou sobrecarga de recursos humanos, o que fragilizou a oferta de ações de monitoramento do tratamento, dispensação de medicamentos e acompanhamento clínico. Por outro lado, foram empregados sistemas digitais de atendimento e seguimento, além do uso de métodos de dispensação de medicamentos para longos períodos, recorrendo-se a locais próximos às pessoas acometidas ou, até mesmo, em suas residências. Em suma, foi possível constatar que, apesar dos efeitos negativos da pandemia nas ações e nos serviços de saúde ameaçarem as conquistas dos últimos 40 anos do enfrentamento da epidemia do HIV, estratégias promissoras para oportunizar a atenção integral, proativa e continuada foram implementadas em tempos de covid-19.
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