ANÁLISE DOS IMPACTOS DA DESCENTRALIZAÇÃO DO DIAGNÓSTICO/TRATAMENTO DO HIV EM MUNICÌPIOS DE PEQUENO PORTE

Abstract

This study examines the impacts of decentralizing the diagnosis and treatment of the human immunodeficiency virus (HIV) in small municipalities, using the municipality ofItaberaí-GO as a reference. The main objective is to assess whether the decentralization policy has been effective in expanding access to health services and improving local epidemiological indicators. To this end, the study seeks to identify the main structural, operational, and professional weaknesses that influence the effectiveness of this strategy, as well as to map potential regional disparities resulting from the implementation of the decentralized model. The research adopts a quantitative approach and employs bibliographic review and analysis of epidemiological data obtained from public databases, including DATASUS, SINAN, and government open data platforms. The results demonstrate that, although decentralization aims to expand access to early diagnosis and treatment, its effectiveness is compromised in municipalities with limited infrastructure, lack of professional training, challenges in local management, and weaknesses in epidemiological surveillance. The analyzed graphs reveal regional disparities, fluctuations in the number of diagnoses, and variations in the progression of cases over time. It is concluded that decentralization, without adequate technical, structural, and intergovernmental support, tends to produce insufficient outcomes in small municipalities. Strengthening Primary Health Care, ensuring continuous investment in infrastructure and professional training, and enhancing integration among government entities are recommended to ensure greater effectiveness in addressing HIV.