Learning Objective #1: present the markers of vulnerability of HIV/AIDS | |||
Learning Objective #2: discuss different countries realities |
In
the 90's, in spite of the technological advances in the diagnosis and
therapeutics of aids, the spread of aids among populations subject of major
social exclusion showed the limits of these forms of interpreting the
health-illness process. In opposition to the “risk model”, the concept of
vulnerability was proposed to ensure a broader understanding of the aids
phenomena, also expanding the strategies of intervention in the health-illness
processes of the social groups affected by the disease. The object of this
study is the concept of vulnerability, in its three dimensions: individual,
social and programatic. Its main objetive was to develop markers of
vulnerability from conditions and characteristics associated to vulnerability.
The method was the dialetical hermeneutics e the data sources were the thesis
and dissertations produced or conducted by the author from 1987 to 2004 with
specific populations. The results showed that the majority of the studies
focused on the individual vunerability, followed by those that focused on the
programatic dimension and, finally, on
the social vulnerability. The analisis of these studys enable the
identification of specific markers for each dimension of vulnerability. In the
individual dimension, these markers of vulnerability are: knowlege and meanings
associated to aids, personal and relational characteristics, diagnosis impact,
resources available e ways of coping with the disease. In the programatic dimension, the markers are
the structure and the dynamics of service organization and the functioning of
health actions. In the social dimension, the markers identified are:life
conditions, juridic and political aparathus, ideology and culture. The
investigation reassured the multiple determinations of the vulnerability that Express
themselves in health production process, social representations concernig aids
e related themes and subjective perceptions of the infected
person.