Todo mundo conhece todo mundo: interioridade e a territorialidade do cuidado em HIV/Aids na atenção básica em Rio Tinto (Paraíba)

Abstract

This article discusses how the lines of HIV/Aids care in Primary Care are carried out (or not), taking into account in the analysis the prerogative of the process of decentralization of HIV/Aids care assumed by the Unified Health System (SUS) . We rely on ethnographic data gathered between the years 2020 and 2022 from multi-sited approach focusing on the experiences of the health-disease-care process in HIV/AIDS in the city of Rio Tinto (Paraíba, Brazil). The anthropological effort included the point of view of municipal managers, professionals, and users of Primary Care health services, recorded and analyzed from semistructured interviews carried out online on a digital videoconferencing platform (during the pandemic period) and in person, in addition of ethnographic observations in two Basic Health Units (UBS) in the city. The analysis also focused on the discourses contained in documents that deal with decentralization in HIV/AIDS, as well as the National Primary Care Policy (PNAB) and manuals, reports and epidemiological bulletins. Despite the hardships that arose as a result of the Covid-19 pandemic, the results found point to a silence around HIV outside large urban centers and to the challenges in implementing and carrying out the management of diagnosis, counseling and monitoring through the Health Strategy. Family Health (ESF), entangled in processes of stigmatization that are part of the relationship between interiority, territoriality, seropositivity and gender relations.