Direitos e biopoder na era da prevenção farmacológica ao HIV: A PrEP em João Pessoa e suas implicações ao tecido social

Abstract

In this academic work I proposal to do an analysis about the implications of Pre-exposure prophylaxis of HIV (PrEP) in the social reality, from the process of PrEP implementation in the Unified Health System (SUS) at João Pessoa. In a situation of political and social regression to the field of HIV/AIDS in Brazil and as response to high rates of new HIV infections, above all in some specific groups, in agreement with international control goals for the epidemic, the Health Institutions responsible for HIV/AIDS prevention policies in Brazil are implementing biotechnologies that aims to ensure non-transmissibility of HIV to HIV- people. Among these, the PrEP emerges as an alternative to serodiscordant couples, men who have sex with man (MSM), sex workers and transgender people (perceived by the State as subjects especially vulnerable to infection) who use a drug every day – Truvada. In intention to understand some of the dynamics and implications of the biomedical response to AIDS, this undergraduate thesis includes document analysis, interviews with key-actors in the field of AIDS at Paraiba, and participant observation at the Clementino Fraga Hospital, where PrEP ate being implemented. In field, we perceive that, despite the persistence of mistrust about morality questions and efficacy, PrEP has emerged as a privileged strategy of prevention, based in the guarantee of the nontransmissibility of HIV, considered as an instrument to expand the right to life, as well as representing an expansion of the biopolitics, including HIV- bodies as intervention subjects medic-pharmacological.