O desempenho da pol??tica de HIV/AIDS e o avan??o da epidemia no estado do Rio Grande do Sul

Este estudo apresenta a an??lise do desempenho da pol??tica de Doen??as Sexualmente Transmiss??veis e sua rela????o com o avan??o da epidemia da AIDS no Rio Grande do Sul (RS) no per??odo de 2002 a 2010. A pesquisa justifica-se pelo fato de que o RS vem dominando o ranking de incid??ncias de AIDS no pa??s desde o ano de 2004. O estudo baseou-se inicialmente na sistematiza????o da literatura cient??fica da ??rea. A coleta de dados foi realizada atrav??s de pesquisa em fontes secund??rias do Departamento de Inform??tica do Sistema ??nico de Sa??de (SUS), Fundo Nacional de Sa??de (FNS), Secretaria Estadual de Sa??de do Rio Grande do Sul (SES-RS), Instituto Brasileiro de Geografia e Estat??stica (IBGE), Boletins Epidemiol??gicos e Sistemas de Incentivos de Receitas Globais do Minist??rio da Sa??de (SIRG-MS) para o conhecimento dos seguintes aspectos: evolu????o epidemiol??gica da doen??a, altera????o da densidade demogr??fica e aplica????o dos recursos financeiros no Programa da DST/AIDS. As an??lises realizadas nos indicadores sociais pesquisados demonstraram que houve redu????o dos investimentos em preven????o e tratamento e prioriza????o na aplica????o dos recursos na gest??o em 2006, per??odo em que evolu??ram os ??ndices da incid??ncia de casos de AIDS em 9,6%. J?? nos anos de 2009 e 2010 houve aumento dos investimentos e prioriza????o de sua aplica????o no tratamento, promo????o e nas organiza????es da sociedade civil atuantes no setor a AIDS, o que coincidiu com a redu????o da evolu????o da epidemia. A pesquisa identificou a exist??ncia de uma rela????o direta entre a ??rea de aplica????o dos recursos e a evolu????o epidemiol??gica da AIDS no RS, o que pode subsidiar o gestor p??blico para elabora????o de planejamentos or??ament??rios que contribuam de forma mais efetiva para o alcance das metas previstas de redu????o da epidemia no Estado.This study presents a performance analysis of the politics of Sexually Transmitted Diseases and its relationship to the advancement of the AIDS epidemic in Rio Grande do Sul (RS) in the period from 2002 to 2010. The research is justified by the fact that the RS has dominated the ranking of incidences of AIDS in the country since the year 2004. The study was initially based on the systematization of scientific literature in the area. Data collection was conducted through secondary sources of research in Department of the Unified Health System (SUS), National Health Fund (NSF), the State Health Secretariat of Rio Grande do Sul (RS-SES), Brazilian Institute Geography and Statistics (IBGE), epidemiological Bulletins and Incentive Systems Global Revenue of the Ministry of Health (SIRG-MS) to the knowledge of the following aspects: epidemiological evolution of the disease, changes in population density and use of financial resources in the program STD / AIDS. The analyzes in social indicators surveyed showed that there was a reduction of investments in prevention and treatment in the application and prioritization of resources in management in 2006, during which evolved incidence rates of AIDS cases by 9.6%. Already in the years 2009 and 2010 there was an increase in investment and prioritization of its application in the treatment, and the promotion of civil society organizations working in the AIDS sector, which coincided with a reduction in the epidemic's evolution. The research identified the existence of a direct relationship between the application range of resources and changes in the epidemiology of AIDS RS, which can subsidize public manager for preparation of budget planning to contribute more effectively to achieve the goals envisaged reduction the epidemic in the state