{"title":"\"I'm happy and terrified by the effective services of SUS\": beginning of PrEP.","authors":"Deise Taurino Ramos, Daila Alena Raencl da Silva, Gisele Cristina Tertuliano, Cristianne Maria Famer Rocha, Denise Taurino Ramos, Deise Lisboa Riquinho","doi":"10.1590/1983-1447.2026.20250139.en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To understand the experiences related to the initiation and maintenance, during the first three months, of HIV pre-exposure prophylaxis (PrEP) at a Testing and Counseling Center in a capital city in southern Brazil.</p><p><strong>Method: </strong>Qualitative research, grounded in the interpretivist perspective. The setting was a Testing and Counseling Center. Twenty-eight individuals who initiated prophylaxis participated in the study. Data were generated between 2023 and 2024 using different techniques: semi-structured interviews, participant observation, and medical record review. Thematic content analysis was adopted.</p><p><strong>Results: </strong>Prophylaxis was considered a strategy that enabled the individual management of HIV-related vulnerabilities. However, its effectiveness depends on the organization of healthcare service work processes and on the preparedness of health professionals to qualify access, strengthen therapeutic bonding, and ensure longitudinal care, in order to address multifactorial barriers that affect adherence.</p><p><strong>Conclusion: </strong>Discontinuation was not configured as a homogeneous phenomenon and may be linked to organizational barriers, individual decisions, reconfigurations of the vulnerability context, or temporary clinical indications.</p>","PeriodicalId":35609,"journal":{"name":"Revista gaucha de enfermagem / EENFUFRGS","volume":"47 ","pages":"e20250139"},"PeriodicalIF":0.0000,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista gaucha de enfermagem / EENFUFRGS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1983-1447.2026.20250139.en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To understand the experiences related to the initiation and maintenance, during the first three months, of HIV pre-exposure prophylaxis (PrEP) at a Testing and Counseling Center in a capital city in southern Brazil.
Method: Qualitative research, grounded in the interpretivist perspective. The setting was a Testing and Counseling Center. Twenty-eight individuals who initiated prophylaxis participated in the study. Data were generated between 2023 and 2024 using different techniques: semi-structured interviews, participant observation, and medical record review. Thematic content analysis was adopted.
Results: Prophylaxis was considered a strategy that enabled the individual management of HIV-related vulnerabilities. However, its effectiveness depends on the organization of healthcare service work processes and on the preparedness of health professionals to qualify access, strengthen therapeutic bonding, and ensure longitudinal care, in order to address multifactorial barriers that affect adherence.
Conclusion: Discontinuation was not configured as a homogeneous phenomenon and may be linked to organizational barriers, individual decisions, reconfigurations of the vulnerability context, or temporary clinical indications.
期刊介绍：
A Escola de Enfermagem da Universidade Federal do Rio Grande do Sul edita e publica a Revista Gaúcha de Enfermagem para divulgar a produção científica da Enfermagem e áreas afins. Foi criada em 1976 e atualmente tem periodicidade trimestral.
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