This paper evaluates STD/HIV/Aids counseling activities provided by the Brazilian National Health Care System (SUS). The following institutional health services were assessed: four anonymous testing and counseling centers, one clinic specializing in treatment for people with HIV, and five STD clinics. All the above are recognized as training centers by the Brazilian Ministry of Health (National STD/Aids Control Program). The data were collected from March to September 1997. The counseling activities from these health services was compared with guidelines developed by the National STD/Aids Control Program using a qualitative evaluation methodology. The main categories analyzed were: a) approaching the patient; b) active listening; c) effective communication; d) risk assessment and discussion of alternatives for risk reduction; and e) orientation concerning clinical aspects and treatment (treatment compliance and improved quality of life). The paper concludes by suggesting changes to improve counseling.
Health Education; Counseling; Evaluation of Results of Preventive Actions; Sexually Transmitted Diseases; Sex Behavior