CHAVEIRO, Antonio Carlos Rodrigues; LIMA, Diogo Gabriel Araújo; MOURA, Aldenira Matias de
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.
