Resumen
Brazil has a public health system with universal access, free of charge, which articulates the federal, state and municipal levels of health, with a guarantee of comprehensiveness – both primary care actions and high complexity – the Unified Health System (SUS). People with HIV and AIDS have access to testing, follow-up, antiretrovirals through the public network. The HIV epidemic is currently growing among black people (60.9%), young gay men and transgender people (45.9% increase in cases in the 15-19 age group) and those with less schooling (up to 9 years). People with HIV and AIDS suffer discrimination, have difficulties accessing formal jobs, in a country of great inequalities – the 11th most unequal in the world. In the last six years, under right-wing governments, neoliberal austerity measures have led to large cuts in health system resources, impacting existing services. In addition, neoconservative positions hampered the development of preventive actions that discuss issues of sexuality, considered exclusively within the family scope, with setbacks in sexual and reproductive rights. A new government began in 2023, in a center-left coalition that needs to face the setbacks related to neoconservatism and, mainly, guarantee funding for the SUS, developing prevention and monitoring actions for people infected with HIV, in order to reach the goal of the Joint United Nations Program on HIV/AIDS (UNAIDS) to end AIDS by 2030 - ensure 95% of people living with HIV know their HIV status; 95% of people who know their HIV status are receiving antiretroviral therapy; and 95% of people on treatment have a suppressed viral load. Among the first measures taken by the new government are the recreation of the Department of HIV/AIDS in the Ministry of Health, the repeal of conservative measures that made it difficult to discuss sexual rights, the guarantee of resources for health, pointing to better possibilities.
Palabras Clave (separar con comas)
HIV/AIDS, health policy, neoliberal and neoconservative government.\