Proyecto piloto para la construcción de una línea base de personas viviendo con VIH/SIDA y evaluación del sistema de vigilancia de notificación de casos en unidades notificantes seleccionadas de la zona 9 Distrito Metropolitano de Quito.

摘要

The epidemic of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) has become a priority issue for the public health of Ecuador and the world, with multiple impacts at social, political and economic.Although the overall growth of the epidemic has stabilized, the number of new infections remains high. It is estimated that in 2011, there were 2.5 million new infections (UNAIDS, 2012). In Ecuador, the epidemic remains concentrated type due to a higher prevalence of 5% in specific populations and a prevalence of less than 1% in the general population (National Strategy for Prevention and Control of HIV / AIDS and STIs, 2007).This case study is an exploratory research that describes the current characteristics of the people living with HIV/AIDS, based on population served by two care units Ecuador: Eugenio Espejo Hospital and Isidro Ayora Hospital (selected at the convenience of the researcher), located in the Zone 9 of the Metropolitan District of Quito. In turn, the research identifies the scope and limitations of the surveillance system of the National HIV/AIDS and STIs in Ecuador.The results show that the monitoring system based on case reporting serious difficulties that currently do not allow a description of the situation and the clinical and epidemiological characteristics of people living with HIV/AIDS, so it cannot be established a baseline to guide responses for appropriate decision-making in the comprehensive care of the disease and public policies to support them.