O trabalho do assistente social com pessoas vivendo com HIV/AIDS em serviços de assistência especializada em HIV/AIDS: desafios e possibilidades

Abstract

The present study is a Course Conclusion Paper whose central theme is the challenges and possibilities of social workers' work with people living with HIV/AIDS in Specialized HIV/AIDS Assistance Services (SAE). The problem proposed in this work refers to what challenges and intervention possibilities are present in the work of social workers with people living with HIV/AIDS in SAEs in Brazil. The prevailing objective is to understand and reflect on the challenges and possibilities of social workers' work with people living with HIV/AIDS, specifically in the SAE, with a view to contributing to professionals who work or will work in services designed to care for people living with HIV and, consequently, with this segment of the population. To understand the object of study in question, the Historical-Dialetic Materialist Method was used, with emphasis on the categories historicity, totality, contradiction, mediation and work, which were used to rescue historical aspects of health policy and the implementation of the Policy National HIV/AIDS, as well as the insertion of social workers in the health area and in the SAE. This is an exploratory study with a mixed or quantitative-qualitative approach to the parameters of research in the social field. Documentary and bibliographical research was used to collect and analyze data, and during the research it was noticed that there was a scarcity of productions on the subject, totaling 19 productions in a universe of approximately 411 publications. In percentage terms, it appears, therefore, that only around 4.62% of the publications found in the research are related to the theme proposed in this study. A survey was also carried out in the National Registry of Health Establishments (CNES) of DATASUS in relation to SAEs throughout Brazil, with a view to verifying the insertion of social workers in these spaces, and there are currently 528 SAEs in the country. and within these spaces around 1,290 social workers work. It is concluded that the HIV/AIDS epidemic involves aspects that go beyond the clinical picture of the disease, encompassing physical, emotional, economic, political and social conditions. Such conditions manifest themselves in demands for social workers who work at the SAE in caring for people living with HIV/AIDS, making it necessary for the professional to identify the expressions of the social issue present there. In view of this, challenges to the work of social workers in the SAE are identified, among which stand out the contradictions between health care models, interdisciplinary and intersectoral work, the defense of the principles of the SUS and those specific to the profession of Social Work, the dismantling of public policies and the loss of the population's rights with worsening social inequalities, as well as relative professional autonomy. To face these challenges, intervention possibilities are highlighted that focus on building collective approaches and encouraging popular participation. To this end, social legislation is an essential element in the work of social workers, since through the use of this legal apparatus, the professional intervenes in response to the needs of users. [resumo fornecido pelo autor]