History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection

Authors

  • Alberto Novaes Ramos Júnior Department of Community Health, Faculty of Medicine, Federal University of Ceará, Ceará, Brazil
  • Dalmo Correia Department of Internal Medicine, Faculty of Medicine, Federal University of the Triângulo Mineiro, Minas Gerais, Brazil
  • Eros Antônio Almeida Department of Internal Medicine, Faculty of Medical Science, University of Campinas, São Paulo, Brazil
  • Maria Aparecida Shikanai-Yasuda Department of Infectious and Parasitic Diseases, Faculty of Medicine, University of São Paulo, São Paulo, Brazil

DOI:

https://doi.org/10.3855/jidc.1176

Keywords:

Chagas Disease, Immunosuppression, Acquired Immunodeficiency Syndrome, Human Immunodeficiency Virus, Trypanosoma cruzi, Brazil

Abstract

Introduction: In countries with endemic Chagas disease, coinfection involving Trypanosoma cruzi and HIV is expected to become more frequent. There is a clear need to structure a comprehensive care network aimed at dealing with this situation, with mobilization going from primary care to care at the highest level of technological complexity. The objective of this study was to describe the Brazilian response to the challenges of Chagas disease: the history, current issues, and future of the Brazilian Network for attending and studying T. cruzi/HIV coinfection.

Methodology: This descriptive study reviewed technical documents relating to the basis and structuring process of the Brazilian network for attending and studying T. cruzi/HIV coinfection.

Results: The process of setting up the network was marked by technical and political debates in technical-scientific meetings going back to the 1990s. This process made it possible to expand and focus on different aspects of comprehensive care for Chagas disease in Brazil, regardless of the associated immunosuppressive conditions. These meetings produced a structure of national technical guidelines and standards, health care and research protocols and research priorities, along with mobilization and awareness-raising among HIV/AIDS reference centers regarding occurrences of coinfection.

Conclusions: The creation of the Brazilian network was a milestone for the country in terms of integration of control programs, with the reference point of quality of care and comprehensiveness. The possibility of extending this network to form a Latin American network is seen as a strategy for dealing more effectively with this condition.

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Published

2010-08-17

How to Cite

1.
Ramos Júnior AN, Correia D, Almeida EA, Shikanai-Yasuda MA (2010) History, Current Issues and Future of the Brazilian Network for Attending and Studying Trypanosoma cruzi/HIV Coinfection. J Infect Dev Ctries 4:682–688. doi: 10.3855/jidc.1176

Issue

Vol. 4 No. 11: November 2010

Section

Regional Reviews

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