Abstract
Introduction: Primary Health Care (PHC) is an essential model in the health system, focusing on health promotion and disease prevention, including combating Sexually Transmitted Diseases (STDs). In the context of sexual and reproductive health, PHC is a crucial strategy to improve access and awareness of the population about STD prevention, promoting safe sexual behaviors and early detection of infections, such as HIV. Therefore, this study aims to explore how Primary Health Care can transform sexual and reproductive health, reducing the incidence of STDs and promoting health equity. Methodology: This study used a methodology of bibliographic research and analysis of epidemiological data. Scientific articles published in the last ten years in databases such as PubMed and Google Scholar were selected, focusing on the relationship between primary care and STD prevention. Additionally, data were collected through DATASUS. Results: The data collected reveal that, although HIV notifications in Brazil remain significant, there has been a decrease in infection rates in recent years, possibly due to prevention and awareness-raising actions by PHC, such as the provision of rapid testing and the distribution of condoms. Final Considerations: Primary Health Care has proven to be a pillar in the promotion of sexual and reproductive health and in the prevention of STDs, especially in vulnerable populations. In order to effectively address the problem, it is essential to expand educational programs, strengthen the training of health professionals and ensure that public policies support a robust and accessible care structure.
References
BRASIL. Ministério da Saúde. Diretrizes para a prevenção das doenças sexualmente transmissíveis. Brasília: Ministério da Saúde, 2020.
CHESSON, H.W.; et al. The economic burden of sexually transmitted infections in the United States. Sexually Transmitted Diseases, v. 44, n. 3, p. 135-140, 2017.
DYER, C.; et al. Addressing stigma in sexual health: A systematic review of interventions. Sexually Transmitted Infections, v. 94, n. 3, p. 171-177, 2018.
FAUSTO, Márcia Cristina Rodrigues et al. Atenção Primária à Saúde: histórico e perspectivas.
FENTON, K.A.; et al. The importance of continuity of care in the management of sexually transmitted infections. Sexually Transmitted Infections, v. 94, n. 3, p. 165-170, 2018.
FREITAS, M. I.; OLIVEIRA, R. S.; PEREIRA, L. F. A relação entre profissionais de saúde e pacientes na Atenção Básica: desafios e perspectivas. Revista Brasileira de Medicina de Família e Comunidade, v. 13, n. 39, p. 1-10, 2018.
GLICK, S.N.; et al. The role of primary care in the prevention and management of sexually transmitted infections. American Journal of Public Health, v. 109, n. 10, p. 1340-1346, 2019.
GONÇALVES, J. R.; SOUZA, D. L.; ALMEIDA, C. M. A importância da educação em saúde na prevenção de DSTs. Saúde em Debate, v. 45, n. 1, p. 123-134, 2021.
HOOTS, B.E.; et al. The impact of access to sexual health services on STI rates among adolescents. Journal of Adolescent Health, v. 62, n. 3, p. 345-351, 2018.
KAHN, J.A.; et al. Long-term consequences of untreated STIs: Implications for public health policy. Sexually Transmitted Diseases, v. 44, n. 5, p. 287-293, 2017.
LENTZ, C.; et al. Barriers to accessing sexual health services: A qualitative study of young people’s experiences. BMC Public Health, v. 20, n. 1, p. 123, 2020.
MARTINS, L. C.; SILVA, M. A.; PEREIRA, R. S. Educação sexual e prevenção de DSTs: uma revisão sistemática. Revista Brasileira de Epidemiologia, v. 22, n. 1, p. 1-12, 2019.
MCNAIR, R.; et al. Integrating sexual health services into primary care: A systematic review. BMC Health Services Research, v. 20, n. 1, p. 123, 2020.
MINISTÉRIO DA SAÚDE. Boletim Epidemiológico HIV/AIDS 2022. Disponível em: <https://www.gov.br/saude>.
MINISTÉRIO DA SAÚDE. Diretrizes para organização dos serviços de testagem de HIV e outras ISTs na atenção básica. Ministério da Saúde, 2020.
PALTIEL, A.D.; ZHENG, A.; WALENSKY, R.P. Assessment of the cost-effectiveness of expanding access to sexual health services in primary care settings. JAMA Internal Medicine, v. 179, n. 12, p. 1685-1692, 2019.
SMITH, D.K.; et al. Continuity of care and sexually transmitted infection outcomes: A systematic review. Sexually Transmitted Infections, v. 95, n. 5, p. 367-373, 2019.
UNAIDS Brasil. Dados sobre HIV no Brasil. Disponível em: <https://unaids.org.br>.
WHO. Global health sector strategy on sexually transmitted infections 2016-2021. Geneva: World Health Organization, 2021.
WORLD HEALTH ORGANIZATION. Sexual health. Geneva: WHO, 2021.
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Copyright (c) 2025 Brennda Eduarda Costa Freitas, Mariana Gomes da Silva, Bárbara ellen costa freitas, Anne Caroline Almeida Moura, Anne Carolina Lima dos Santos, Vitória Lima da Silva Souza, Carine marcele vital de frança, Monica Matias Pereira Alves, Jessica Maria Barros da Silva Soares Pinheiro, Ana Carolina Cansanção Melro, Caroline de Albuquerque Alencar, Ana Carolina Rios Silva, Matheus Eduardo Siqueira da Silva de Araújo, Giselle Fernanda Tenorio Medeiros Oliveira, Laura Patriota Palhares, Izadora Magalhães Vasconcellos, Tailyne de lima lins, Samara Silva Noronha Cavalcante, Eunice Samara Cavalcante de Barros, Lorena Guedes Santos de França, Gabriel Nunes Macedo, Maria Renata Gerbase Vidal