EXPLORATORY STUDY ON THE DISTRIBUTION OF MUNICIPAL SPECIALIZED DST/AIDS NETWORK’S USERS ACCORDING TO THE DISTANCE FROM THEIR HOMES TO THE SERVICES. MUNICIPALITY OF SÃO PAULO, 2009

Abstract

Studies on the distance between residence and place of attendance of users of secondary health care services orientate reference policies and against-reference, minimize large displacements and facilitate the expansion of access. In this sense, it was used data from a survey on evaluation of the Nutritional Profile of people living with HIV and Aids (PLWHA), Network Services in Specialized Municipal in DST/aids(RME), in the municipality of São Paulo (MSP) to describe the distribution of PLWHA, users of this network. This population was mapped by the address of residence, as well as the 12 services of RME in DST/aids, where this population is attend. Were built bands of five km in five km around services and calculated the frequency of users residing within each band. It was considered "high concentration" when more than 80 percent of users reside within the range of 10 km.It was possible to know the frequency of users residing outside the municipality (8.9%), which ranged from 2.4 to 26.7 percent per service and to map 95.7 percent of users that reside in the MSP. It was noted that in 10 of 12 services there is high concentration of users residing within a radius of 10 km, which varied from 81.9 to 98.8 percent. This significant concentration of users residing next to services reflects certain administrative rationality, which may contribute to treatment adherence, highlighting those who require greater attention.