ABSTRACT

This study aimed to map and examine the best HIV management practices available in scientific publications in the health field. A systematic literature review was carried out through scoping review, on the basis of PubMed, Scopus, Web of Science, CINAHL, LILACS, and CAPES Thesis and Dissertations Catalog, from 2009 to July 2020. From the 427 identified studies, 19 were included, and although it does not explain a concept of best practice, they present HIV management practices expressed as a best practice through the evaluation of strategies, tools, health services, health programs, interventions, and actions that contributed to an improvement of a given health condition in HIV prevention and care. The practices identified in the studies with a ‘best practice’ are justified by the analysis of the evaluation aspects, which expressed positive changes, contributing to improvements in HIV management practices. It is believed that these findings can support the construction of public policies in different scenarios and the establishment of health practices that seek to improve the quality of actions aimed at managing HIV.

KEYWORDS
HIV; Quality management; Health management; Practice guideline; Health programs and plans

Introduction

The HIV infection presents a status of chronic disease and such condition requires permanent care expressed by what is known as the ‘Cascade of continuous HIV care’, a concept globally used in the context of management of such health condition. Such process requires establishing goals and adopting strategies encompassing practices related to health promotion, prevention, treatment, shared management of care provided to People Living with HIV (PLHIV) by specialized and Primary Healthcare (PHC) services, matrix support, network care, besides the need to adopt practices considering the singularity and integrality aspects of such population¹1 Brasil. Ministério da Saúde. Protocolo clínico e diretrizes terapêuticas para manejo da infecção pelo HIV em adultos. 2018. [acesso em 2021 jan 7]. Disponível em: http://www.aids.gov.br/system/tdf/pub/2016/64484/pcdt_adulto_12_2018_web.pdf?file=1&type=node&id=64484&force=1.
http://www.aids.gov.br/system/tdf/pub/20... ,²2 Costa VT, Meirelles BH. Adesão ao tratamento dos adultos jovens vivendo com HIV/aids sob a ótica do pensamento complexo. Texto & Cont-Enfer. 2019 [acesso em 2021 jan 7]; 28. Disponível em: https://www.scielo.br/scielo.php?pid=S0104-07072019000100387&script=sci_arttext&tlng=pt.
https://www.scielo.br/scielo.php?pid=S01... ,³3 Seidl EM, Remor E. Adesão ao Tratamento, Resiliência e Percepção de Doença em Pessoas com HIV. Psic. Teoria Pesq. 2020 [acesso em 2021 jan 7]; 36(esp). Disponível em: https://www.scielo.br/scielo.php?pid=S0102-37722020000300205&script=sci_arttext.
https://www.scielo.br/scielo.php?pid=S01... .

The establishment of aspects for evaluating PLHIV is fundamental to differentiate a ‘best practice’ from other practices in health as in the case of confirming effectiveness by making use of indicators, health information, analysis of a potentital innovator, of a possibility of replication in other scenarios and of the commitment to the wellbeing and quality of life of the community⁴4 Organização Mundial da Saúde. Guia para a Documentação e Partilha das “Melhores Práticas” em Programas de Saúde. Brasília, DF: OMS; 2008.,⁵5 United Nations Programme on HIV/AIDS. Seizing the moment: Tackling entrenched inequalities to end epidemics. 2020. 384 p. [acesso em 2021 jan 6]. Disponível em: https://aids2020.unaids.org/report/.
https://aids2020.unaids.org/report/... . In that sense, the knowledge involving practices contributing to reaching best results concerning chronic diseases such as HIV infection can favor morbidity and mortality reduction and improve the quality of life of PLHIV, which is yet a major challenge to health systems in general.

Sharing of best practices in HIV management allows care providers, policy and decision makers, as well as researchers, to learn from each other and share experiences, success stories and lessons learnt when treating HIV patients. Best practices are, therefore, useful tools for communicating innovations from professionals and researchers working in the area of HIV treatment and care⁶6 Maina G, Mill J, Chaw-Kant J, et al. A systematic review of best practices in HIV care. Journal of HIV/AIDS & social services. 2016 jan 2 [acesso em 2020 dez 19]; 15(1):114-26. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/15381501.2015.1116037.
https://www.tandfonline.com/doi/abs/10.1... .

The best practices in HIV management relate to results from interventions based on evidence confirming their efficacy⁷7 Higa DH, Crepaz N, Mullins MM. Identifying best practices for increasing linkage to, retention, and re-engagement in HIV medical care: findings from a systematic review, 1996–2014. AIDS and Behavior. 2016 [acesso em 2020 nov 19]; 20(5):951-66. Disponível em: https://link.springer.com/article/10.1007/s10461-015-1204-x.
https://link.springer.com/article/10.100... , and to clinical guidelines aiming at guiding and standardizing PLHIV⁸8 Feyissa GT, Lockwood C, Woldie M, et al. Reducing HIV-related stigma and discrimination in healthcare settings: a systematic review of guidelines, tools, standards of practice, best practices, consensus statements and systematic reviews. J. multid. Health care. 2018 [acesso em 2020 nov 18]; (11):405. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6118284/.
https://www.ncbi.nlm.nih.gov/pmc/article... care. Furthermore, the best practices actively evaluate the results from succesful works, and have a significant effect that can be replicated in several contexts⁹9 Deboviel J. Best Practices for Screening and Early Treatment for HIV in the Hispanic Community. Minneapolis: Walden University; 2020..

A systematic review study highlights that the information on best practices in HIV management is diverse; however, there is scarce literature on the scientific rigor or on the standards to be followed before a practice or program can be declared a ‘best practice’. The arbitrary use of the term ‘best practice’ is made in the literature, where authors not always reveal their intention to communicate a new practice or a desirable model, and emphasize the need for a scientifically solid tool to evaluate best practices⁶6 Maina G, Mill J, Chaw-Kant J, et al. A systematic review of best practices in HIV care. Journal of HIV/AIDS & social services. 2016 jan 2 [acesso em 2020 dez 19]; 15(1):114-26. Disponível em: https://www.tandfonline.com/doi/abs/10.1080/15381501.2015.1116037.
https://www.tandfonline.com/doi/abs/10.1... . This way, given the several challenges related to the understanding and development of best practices in HIV management, what stands out is the need to explore such gaps and make evident what the international literature has been highliting on that theme.

In face of that, the objective of this study is to map and examine the best practices in HIV management already available in scientific publications in the area of health.

Material and methods

It concerns a systematic review of the literature, known as scoping review, aiming at identifying and summarizing scientific evidence on matters yet emerging and not yet saturated in the literature¹⁰10 Joanna Briggs Institute. The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI Scoping Reviews. Adelaide: JBI; 2015. [acesso em 2020 jul 9]. Disponível em: https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/Scoping-.pdf.
https://nursing.lsuhsc.edu/JBI/docs/Revi... .

Initially, a search was performed in the databases of the JBI Clinical Online Network of Evidence for Care and Therapeutics (COnNECT+) and of the International Prospective Register of Ongoing Systematic Reviews (Prospero) in the month of July 2020. It did not identify revisions of protocols similar to the ones proposed by this study, either previous or in progress¹⁰10 Joanna Briggs Institute. The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI Scoping Reviews. Adelaide: JBI; 2015. [acesso em 2020 jul 9]. Disponível em: https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/Scoping-.pdf.
https://nursing.lsuhsc.edu/JBI/docs/Revi... . Then a protocol made of five steps was ellaborated, along with the registration of the current revision at the Open Science Framework under number DOI 10.17605/OSF.IO/X758N.

In step 1, ‘Identifying the Research Question’, acronym PCC¹⁰10 Joanna Briggs Institute. The Joanna Briggs Institute Reviewers’ Manual 2015: Methodology for JBI Scoping Reviews. Adelaide: JBI; 2015. [acesso em 2020 jul 9]. Disponível em: https://nursing.lsuhsc.edu/JBI/docs/ReviewersManuals/Scoping-.pdf.
https://nursing.lsuhsc.edu/JBI/docs/Revi... is used. In it, P stands for Population (as in PLHIV), C for Concept (as in best management practices) and the second C stands for Context (as in the particular area in healthcare being studied). Such delimitation served as a bases for defining the general question aimed at orienting the study: what are the best practices in HIV management available in the scientific publications in the area of Health? Once the general question was defined, subquestions were elaborated so as to widen the mapping work.

In step 2, ‘Identifying Relevant Studies’, there was a search for studies in the following databases: PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS) and Theses and Dissertations Catalog of CAPES. The key words and word combinations – in English, Spanish and Portuguese – used to build the search key were: ((Health Services Administration) OR (Health Management) OR (Quality Management) OR (Cost-Benefit Analysis) OR (Program Evaluation) OR (Management Capacity) OR (Organizational Capacity) OR (Cost Effectiveness) OR (Cost-Benefit Data) OR (Economic Evaluation) OR (Best Practices)) AND ((HIV) OR (AIDS)).

The search for studies was carried out considering the period ranging from 2009 to July 2020. This timeframe was chosen in order to encompass the publications and guidelines resulting from the launch of the World Health Organization (WHO) best practices guide⁴4 Organização Mundial da Saúde. Guia para a Documentação e Partilha das “Melhores Práticas” em Programas de Saúde. Brasília, DF: OMS; 2008.. This way, the search added up to a total of 427 publications, including 230 articles and 197 theses and dissertations. The review procedures were performed by four researchers.

Step 3, ‘Study Selection’, was developed in July 2020 and included primary studies with their full context available, besides theses and dissertations. The exclusion criteria for the studies encompassed publications that did not present an abstract or that would rather fit in one of the following modalities: opinion, editorial, review, reports, field note or tutorial, letters, comments, abstracts of proceedings, clinical studies, epidemiological studies, experience reports and course conclusion work.

The guidelines from the Prisma Extension for Scoping Reviews (Prisma-ScR): Checklist and Explanation were followed to systematize the process of selection and inclusion of studies¹¹11 Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of inter. med. 2018 [acesso em 20 jun 12]; 169(7):467-73. Disponível em: https://www.acpjournals.org/doi/full/10.7326/M18-0850.
https://www.acpjournals.org/doi/full/10.... as shown in figure 1.

In Step 4, ‘Tracing the Data’, researchers made use of an Excel® sheet for inputing and organizing the information taken from the included studies and variables used were as follows: database, year of publication, title, authors, country where study was performed, objective of research, methodology, participants, institutions involved, best practice target population, best practice concept, criteria defining best practices, main results, overcoming of problem situation, study contribution.

In Step 5, which consisted of ‘gathering, summarizing and reporting results’, studies were fully analysed and, in the attempt to answer the research subquestions, researchers made use of the Mendeley® bibliographical manager. The systematized information resulting from this was then shared among researchers via Google® sheets.

Results

In this search for publications in the databases that were listed for this study, PubMed stood out with 127 articles found, along with Scopus with 53. The search in the CAPES Theses and Dissertations Catalogue led to 197 publications. In total, 19 publications were included in the study, this including 16 articles and 13 theses/dissertations. Among the analysed articles, the year that stood out was 2017 with its six publications. Among the publications, ‘Tropical Medicine and International Health’ contributed with three articles.

Other information was also considered during the current revision. It was observed that, regarding the list of authors, two co-authors were found in two of the studies¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... ; something that does not happen with other authors, each one of them appearing in only one study. In relation to countries were studies were performed, six studies were performed in the United States of America (USA)¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... ,¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... ,¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... ,¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... ,¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... , followed by three that were preformed in Brazil²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... ,²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... ,²²22 Luna IZ. Vídeo educativo com enfoque na prevenção de DST/AIDS para adolescentes em situação de rua. [tese]. Ceará: Universidade Federal do Ceará; 2014. 197 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1920614.
https://sucupira.capes.gov.br/sucupira/p... , three that were performed in South Africa²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... ,²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... ,²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... , two that were performed in Índia¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... . Ruanda²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... , Kenya²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... , Mozambique²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... , Mexico²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... and United Kingdom had each of them one study performed³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... .

The most used research method/nature was the qualitative one with 14 studies¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... ,¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... ,¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... ,²²22 Luna IZ. Vídeo educativo com enfoque na prevenção de DST/AIDS para adolescentes em situação de rua. [tese]. Ceará: Universidade Federal do Ceará; 2014. 197 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1920614.
https://sucupira.capes.gov.br/sucupira/p... ,²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... ,²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... ,²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... ,²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... ,²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... ,³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... , followed by three mixed method studies¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... ,¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... ,¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... , one qualitative method study²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... and one methodological study²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... .

It was ascertained that five studies presented adults as participants in the research¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... ,¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... ,¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... ,²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... . The second group that most stood out was that of women, being present in four studies, two of them presenting a focus in the puerperal period¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... ,²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... , one in the gestational period²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... , and another on focusing on sex worker women¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... ,²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... . Two studies had health workers as participants, two focused on health services providing PLHIV care²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... ,³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... , and the remainder studies counted on the participation of elderly people²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... , nursing students¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... , children²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... and breastfeeding women²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... .

The profile of the organizations ahead of the best practices varied between the studies; however, health services and programs were highlighted in seven manuscripts of the organizations executing the best practices, amongst which the Avahan-India AIDS initiative was mentioned in two articles¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... , followed by the Mountain West AIDS Education and Training Center¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... , the Ubuntu Clinic²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... , the Howard Brown Health Center¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... , the Make A Difference about Art Program²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... and the district Hospitals²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... . Furthermore, seven institutions belonged to the government sphere, with PHC services being mentioned in two articles²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... ,²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... , followed by the mentioning of the Public Health Department¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... , the Federal Institutions offering care to Fonsida Program patients²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... , the Iowa City Veterans Affairs¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... health system, the Substance Abuse Prevention Center, the Woman’s Health Office, the HIV/AIDS and Infectious Disease Office Policy Office and the Administration of Substance Abuse and Mental Health Services¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... .

Three education institutions were ascertained as promoters of best practices, being them the Washington University Center for Research on AIDS²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... , the Federal University of Ceará22 and the State University of Ceará20. Finally, there was the acknowledgment of the work of two institutions, the British HIV Association³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... and the South African Medical Research Council in colaboration with Saving Newborn Lives²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... .

Studies presented two different populations to which the best practices were destinated. Regarding PLHIV, studies that stand out are on maternal-infant health addressing pregnant and puerperal HIV¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... positive women, newborn babies from HIV positive women¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... ,²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... , pregnant women followed up into the puerperal period and their newborn babies²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... , and newborn babies having initiated the Antiretroviral Therapy (ART)26. Other studies focused on children²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... , PLHIV in general¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... ,¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... , people not covered by health insurance²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... , adult people making use of ART²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... , people not receiving ART treatment²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... , and women in child labor and newborn babies without documented HIV status¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... .

In relation to populations without HIV positive diagnosis, and considering health prevention and promotion, best practices were destinated to long distance truck drivers¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... , female sex workers¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... , transexual young women¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... , nursing undergraduate students¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... , adolescents in in street situation²²22 Luna IZ. Vídeo educativo com enfoque na prevenção de DST/AIDS para adolescentes em situação de rua. [tese]. Ceará: Universidade Federal do Ceará; 2014. 197 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1920614.
https://sucupira.capes.gov.br/sucupira/p... and elderly people²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... . Another study involved health services specialized in HIV³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... .

Table 1 presents information related with the best practices in the HIV management which were the focus of the studies included in the revision scope. Studies were organized according to proximity of themes.

Discussion

Article A1²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... analyses the impacts of a health strategy: a technology (TRACnet) that had a positive repercussion in the HIV test result delivery timeframe and in the subsequent ART initiation among HIV infected babies in Rwanda. Such technology consists of the implementation of the sending of SMS-e messages, a technology system based on the internet, to supply the Polimerase Chain Reaction (PCR) test results applied to HIV directly to the health units. This study showed significant reduction in the time for response/sending of PCR testing results and in the total time for starting ART in HIV infected babies after implementing the intervention.

Article A2³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... presented the development of a tool to supply feedback data to clinics specalized in PLHIV care in the United Kingdom, proving to be an important care support action. This study was based on the audit carried out by the British HIV Association evaluating compliance witht guidelines for investigating and monitoring the routine of HIV infected adults. Graphs were proposed to compare one service to another, providing input for the improvement of PLHIV care quality.

Article A3¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... identified diferences in the clinical results among PLHIV who received care in facilities funded by a medical care management program in comparison with those being given care in non funded facilities. The study pointed out that PLHIV receiving care in facilities funded by the program were significantly more prone to be remain under care and reached wider viral suppresion than people being given care in non-funded institutions.

Article A4¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... relates to the program destinated to health professionals. The study described an experience of training by making use of telementoring aimed at physicians from the Community for management of perinatal HIV. This telementoring made use of reading and case study strategies poiting out positive points prevening vertical transmissiion of HIV, accessing clinical follow-up and, especially, reducing the need for referring patients to specialized care.

Article A5¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... displayed a program meant to support PLHIV care, being the use of digital technologies what stands out in this study describing the experience in colaborative telehealth as an approach to supply accessible and encompassing care to PLHIV in a rural setting. It shows how matrix support was provided to specialized and generalist professionals of APS services, facilitating the access to clinical follow-up of PLHIV living in venues of difficult access.

Article A6¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... highlighted the evaluation of performing the rapid test in women with undocumented HIV status as a means to prevent vertical HIV transmission in Illinois/USA. The study evaluated the continuity of rapid tests among women in child labor until the ending of the funding program and its replacement by a public-private partnership. This study evidenced that, in spite of changes in the public health infrastructure, the proportion of women with undocumented HIV status that took the rapid test themselves or along with their newborn bary remained high. Such discoveries highlight the relevance of public and private funding for important public health actions so as to allow positive impacts on the actions to idenfify maternal HIV infection and reduction in the number of newborn babies being discharged with unknown serological status.

Article A7²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... evaluates a free Antiretroviral (ARV) drug distribution program at the primary healthcare programs in Mexico City. This study shows how the benefits from this management practice widened the coverage of such drugs, improved treatment efficacy and increased the survival of PLHIV.

Article A8²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... adresses an ART distribution program, evaluating its cost-efficacy and concuding that it improved the access to ART. This study demonstrates an important public health study as it presents a program with potential to expand the capacity of the health system, while facilitating the permanence in an efficacious long term treatment.

Article A9²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... evaluated an early pediatric diagnosis during care provided to HIV infected mothers that gave birth in two hospitals where care was based on a protocol, proving the benefits of care maintnenace. Study results demonstrate that quality management is a tool for improving the work processes and the relation between health services.

Article A10²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... portrays a program consisting of prenatal and postnatal home visits carried out by Community Health Agents (CHA). When evaluating the effects of such visits on the survival rate of those without HIV infection and on the exclusive and appropriate nutrition of infants at 12 weeks, the study identified that the intervention almost doubled the Exclusive Maternal Breastfeeding (MBF) practice in 12 weeks and presented a 6% relative increase in EMB at each additional visit of the CHA. An evaluation of the costs of this intervention was also performed, proving it to be efficacious and of low cost.

The purpose of Article A11²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... was to evalute the community art program aiming at reducing psychosocial problems among children affected by HIV in South Africa. The study revealed an improvement in their self-esteem, their self-efficacy (abilities of their own regarding dealing with various situations), besides raised awareness on living with HIV and improvement of part of the impact related to children having to deal with the death of their parents.

Article A12¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... addressed a program designed and developed by university nursing students presenting evidence suggesting that the peer education practice was effective in teaching essential information about HIV. A peer-to-peer model like the one used in the study, with nursing students, can be easily implemented on university campuses in order to reduce risk behaviors and encourage the prevention of HIV infection.

Article A13¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... evaluated a prevention program linked to female sex workers based on educational activities, condom promotion and distribution, and establishment of program-linked clinics to manage Sexually Transmitted Infections (STIs) in Tamil Nadu, India. The program had a positive impact, resulting in better use of condoms during sexual intercourse, a decrease in the occurrence of syphilis cases and a stabilization in the prevalence of HIV infection among this population.

Article A14¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... examined the extent and trend of risky sexual behavior, STI/HIV prevalence, and the link between exposure to HIV prevention programs and safe sexual behavior. Data collected in 2007 and 2010 were compared. The prevention programs considered in the study were those classified as more intensive: contacts by educators, distribution of condoms by educators, visits to Khushi clinics, HIV counseling services, participation in any community meeting or event.

The results presented in Article A14¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... showed that consistent condom use in sexual relations with non-regular partners increased over time. The share of people testing HIV positive dropped from 3.2% to 2.5%, and the proportion of people testing positive for syphilis also declined from 3.2% to 1.7%. Truck drivers having sex with paid partners were significantly more likely to seek an intensive prevention program compared to those who did not have sex with paid partners. Truck drivers who had sex with paid partners and were exposed to prevention programs were more likely to consistently use condoms during sex.

Article A15¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... evaluated a small-group-based intervention with young transgender women and examined their involvement in HIV-related risk behaviors before the intervention and three months after it took place. This consisted of six group sessions and at least one individual session in which a personalized plan for reducing HIV-related risk behaviors was offered. The meetings addressed the following topics: sexual health, safe sex, healthy communication, partner negotiation and how to identify and access community services. The results showed that participation in the intervention can reduce HIV-related risk behaviors.

Thesis A16²²22 Luna IZ. Vídeo educativo com enfoque na prevenção de DST/AIDS para adolescentes em situação de rua. [tese]. Ceará: Universidade Federal do Ceará; 2014. 197 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1920614.
https://sucupira.capes.gov.br/sucupira/p... brought information regarding the production of an educational video for adolescents emphasizing the importance of adopting healthy behaviors in relation to HIV prevention. The action presents the street environment with real experiences that contribute to adolescents learning, reflecting, having criticality and developing autonomy on the subject. The video encouragingly helps adolescents to develop the necessary skills and abilities for them to effectively improve their sexual practices, reducing their risk of having a STI/HIV infection.

Dissertation A17²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... portrayed an intervention based on an educational technology. The study involved two groups: comparison group and intervention group. The intervention took place by means of an educational booklet entitled ‘Taking care of yourself means loving yourself: a dialogue on HIV/AIDS among the elderly’ shared with the intervention group. The control group received guidance in the form of health education. The intervention proved to be effective by improving the knowledge, attitude and practice of the elderly regarding HIV prevention, leading to the recognition of the effectiveness of using educational material to improve knowledge and adopt positive measures in relation to attitudes towards HIV prevention.

Article A18²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... estimated the effectiveness, costs, and cost-effectiveness of providing long-lasting insecticide-treated moskito nets and water filters to HIV-infected adults not receiving ARV treatment and their families in comparison with HIV-infected adults not receiving the moskito nets and water filters. Results demonstrated that the distribution of moskito nets and water filters to PLHIV delayed the progression of HIV disease, pre-mortality and respiratory morbidity resulting from diarrheal diseases and malaria among these individuals and their families. The measures also resulted in substantial savings to the healthcare system.

Dissertation A19²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... described the work of PHC professionals with regard to actions to promote, prevent and treat PLHIV. According to this study, actions in that sense include reception, monitoring, guidance, multidisciplinary work and prevention, a work done with other segments in the territory and encompassing health promotion as a whole, emphasizing that the care provided to PLHIV predominantly comes in the form of assistance.

The analysed studies show that there is no explicit best practice concept in the publications; however, HIV management practices were expressed as a best practice based on the results achieved through the evaluation of strategies, tools, health services, health programs, interventions and actions aiming at improving a given health condition, especially in HIV prevention and care.

Furthermore, the studies portrayed the use of assessment aspects identified in the adoption of best HIV management practices, which were classified in the present review as: Clinical Aspects¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... ,¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... ,²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... ,²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... ,²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... ,³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... ; Sociodemographic Aspects¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... ,²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... ; Behavioral Aspects¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... ,¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... ,¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... ,²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... ,²²22 Luna IZ. Vídeo educativo com enfoque na prevenção de DST/AIDS para adolescentes em situação de rua. [tese]. Ceará: Universidade Federal do Ceará; 2014. 197 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1920614.
https://sucupira.capes.gov.br/sucupira/p... ,²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... and Aspects Related to Halth Practices¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... ,²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... .

Among the Clinical Aspects used to evaluate best practices, the care provided by the services to PLHIV, such as carrying out the viral load test, adherence to the use of registered drugs and to health exams offered³⁰30 Michael S, Gompels M, Sabin C, et al. Benchmarked performance charts using principal components analysis to improve the effectiveness of feedback for audit data in HIV care. BMC health serv. research. 2017 [acesso em 2020 jun 15]; 17(1):1-0. Disponível em: https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2426-6.
https://bmchealthservres.biomedcentral.c... , retention in care²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... ,²⁸28 Ciampa PJ, Tique J, Jumá N, et al. Addressing poor retention of infants exposed to HIV: a quality improvement study in rural Mozambique. J. acquired imm def. synd. (1999). 2012 [acesso em 2020 jun 15]; 60(2):e46. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587032.
https://www.ncbi.nlm.nih.gov/pmc/article... as well as the involvement of the person in the care offered¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... and the following up of patients’ evolution by performing CD4 and viral load tests¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... ,¹⁸18 Willis S, Castel AD, Ahmed T, et al. Linkage, engagement, and viral suppression rates among HIV-infected persons receiving care at medical case management programs in Washington, DC. Journal of acquired immune deficiency syndromes (1999). 2013 [acesso em 2020 jun 15]; 64(1). Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844615/.
https://www.ncbi.nlm.nih.gov/pmc/article... ,²³23 Bango F, Ashmore J, Wilkinson L, et al. Adherence clubs for long term provision of antiretroviral therapy: cost effectiveness and access analysis from Khayelitsha, South Africa. Trop. Med. Inter. Health. 2016 [acesso em 2020 jun 15]; 21(9):1115-23. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12736.
https://onlinelibrary.wiley.com/doi/full... ,²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... ,²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... . Besides, the performance of rapid testing among women in child labor with unknown HIV infection status¹⁴14 Ness TE, Annese MF, Martinez-Paz N, et al. Using an innovative telehealth model to support community providers who deliver perinatal HIV care. AIDS Education and Prevention. 2017 [acesso em 2020 jun 15]; 29(6):516-26. Disponível em: https://guilfordjournals.com/doi/abs/10.1521/aeap.2017.29.6.516.
https://guilfordjournals.com/doi/abs/10.... ,¹⁹19 Yee LM, Miller ES, Statton A, et al. Sustainability of statewide rapid HIV testing in labor and delivery. AIDS and Behavior. 2018 [acesso em 2020 jun 15]; 22(2):538-44. Disponível em: https://link.springer.com/article/10.1007/s10461-017-1920-5.
https://link.springer.com/article/10.100... and the time of initiation of ART in HIV-infected babies²⁶26 Kayumba K, Nsanzimana S, Binagwaho A, et al. TRACnet Internet and SMS Technology Improves Time to Antiretroviral Therapy Initiation among HIV-Infected Infants in Rwanda. The Ped. Infect. disease J. 2016 [acesso em 2020 jun 15]; 35(7):767. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925214/.
https://www.ncbi.nlm.nih.gov/pmc/article... are both highlighted.

Sociodemographic aspects mentioned were: the rate of population assisted by the program and the mortality rate after joining the program²⁹29 Claudín CS. Acceso universal al Programa de VIH/SIDA de la Ciudad de México: resultados a seis años. Salud pública de méxico. 2009 [acesso em 2020 jun 15]; 51(1):26-33. Disponível em: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25725.
https://www.medigraphic.com/cgi-bin/new/... ; the relationship between population coverage¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... , costs and time used by professionals²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... ; the reduction in the number cases and stabilization of HIV prevalence¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ; and the costs associated to opportunistic diseases²⁷27 Kern E, Verguet S, Yuhas K, et al. Provision of bednets and water filters to delay HIV 1 progression: cost effectiveness analysis of a K enyan multisite study. Trop. Med. Inter. Health. 2013 [acesso em 2020 jun 15]; 18(8):916-24. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/tmi.12127.
https://onlinelibrary.wiley.com/doi/full... .

Behavioral aspects are related to: change in the knowledge, behavior and/or perception of HIV prevention¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... ; in the knowledge about HIV and practices related to its prevention¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... ,¹⁵15 Jones SG, Chadwell K, Olafson E, et al. Effectiveness of nursing student-led HIV prevention education for minority college students: The SALSA project. J. health care for the poor and underserved. 2017 [acesso em 2020 jun 15]; 28(2):33-47. Disponível em: https://muse.jhu.edu/article/656961/summary?casa_token=YZE7EuzSVRUAAAAA:aZ-T8bSVu7QGttyiBY-9YYS8VnMpCkoa_3Q67L6axilCJCWPtXgkxBV8Z3aCiCcT8_HV3bwdAYc.
https://muse.jhu.edu/article/656961/summ... ,¹⁷17 Garofalo R, Johnson AK, Kuhns LM, et al. Life skills: evaluation of a theory-driven behavioral HIV prevention intervention for young transgender women. J. Urban Health. 2012 [acesso em 2020 jun 15]; 89(3):419-31. Disponível em: https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s11524-011-9638-6.pdf&casa_token=8YWivxz91oMAAAAA:q76xu31GlaOsNOWz9RmrcFOAzcxLEX7Hh20bdZpu0ZLMkuJ7gvZZJgLaAA5hhrp0Gt_orEEchtTEdwSrgw.
https://idp.springer.com/authorize/casa?... ,²⁰20 Cordeiro LI. Eficácia de uma tecnologia educativa no conhecimento, atitude e prática de pessoas com 50 anos e mais para prevenção do HIV. [dissertação]. Ceará: Universidade Estadual do Ceará; 2017. 82 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5303772.
https://sucupira.capes.gov.br/sucupira/p... ,²²22 Luna IZ. Vídeo educativo com enfoque na prevenção de DST/AIDS para adolescentes em situação de rua. [tese]. Ceará: Universidade Federal do Ceará; 2014. 197 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1920614.
https://sucupira.capes.gov.br/sucupira/p... ; in the perception of self-esteem, self-efficacy and depression in children living with HIV²⁵25 Mueller J, Alie C, Jonas B, et al. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop. Med Inter. Health. 2011 [acesso em 2020 jun 15]; 16(1):57-66. Disponível em: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2010.02682.x.
https://onlinelibrary.wiley.com/doi/full... ; in greater use of condoms¹²12 Thilakavathi S, Boopathi K, Kumar CG, et al. Assessment of the scale, coverage and outcomes of the Avahan HIV prevention program for female sex workers in Tamil Nadu, India: is there evidence of an effect?. BMC public health. 2011 [acesso em 2020 jun 15]; (6):1-4. Disponível em: https://link.springer.com/article/10.1186/1471-2458-11-S6-S3.
https://link.springer.com/article/10.118... ,¹³13 Pandey A, Mishra RM, Sahu D, et al. Heading towards the Safer Highways: an assessment of the Avahan prevention programme among long distance truck drivers in India. BMC Public Health. 2011 [acesso em 2020 jun 15]; 11(6):1-2. Disponível em: https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-S6-S15.
https://bmcpublichealth.biomedcentral.co... ; and changes in behavior regarding exclusive breastfeeding²⁴24 Daviaud E, Nkonki L, Ijumba P, et al. South-Africa (Goodstart III) trial: community-based maternal and newborn care economic analysis. Health policy and planning. 2017 [acesso em 2020 jun 15]; 32(supl):i53-63. Disponível em: https://academic.oup.com/heapol/article/32/suppl_1/i53/4283076?login=true.
https://academic.oup.com/heapol/article/... . Finally, we demonstrate to the PLHIV the aspects related to health practices that were considered in the assessment of the decentralization of care provided to PLHIV, previously related to the specialist and now having the PHC as a basis for organizing care actions for PLHIV, this being useful even as a way to respond to other demands linked to the care provided to these people which go beyond the disease itself²¹21 Nickel L. O cuidado às pessoas que (con)vivem com HIV/Aids na atenção básica à saúde: história oral dos profissionais de saúde, Florianópolis (2005-2014). [tese]. Florianópolis: Universidade Federal de Santa Catarina; 2016. 132 p. [acesso em 2020 ago 15]. Disponível em: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=3736604.
https://sucupira.capes.gov.br/sucupira/p... and related to the expansion of access to care and its improvement¹⁶16 Ohl M, Dillon D, Moeckli J, et al. Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting. Journal of general internal medicine. 2013 [acesso em 2020 jun 15]; 28(9):1165-73. Disponível em: https://link.springer.com/content/pdf/10.1007/s11606-013-2385-5.pdf&casa_token=p5c8lbKU_jYAAAAA:enD9PxF0M77rRPOIaVaaAa9NMT9U_W3okfPv3vQSdOGao8lVyVN0dQ__4SZr4ZZgNnxCmP2qil3M12rSVw.
https://link.springer.com/content/pdf/10... .

In the study, the indication of practices as ‘best practices’ is justified by analysing the evaluation aspects listed, which related to positive changes/improvements in the management of HIV. Such aspects demonstrate the eligibility of conditions for defining practices linked to specific situations and contexts in order to achieve the desired results and therefore develop and implement strategies and actions of excellence in the management of HIV health practices.

Conclusions

The best practices in HIV management identified in the studies are related to the establishment of management and care technologies, telehealth services, implementation of quick testing, education, ARV distribution, early pediatric diagnosis, prenatal and postnatal home visiting, HIV infection prevention, minimization of risk behavior, reduction of HIV related grievances, community initiatives as in adherence to treatment groups, artistic activities for children living with HIV, and care practices developed by health professionals.

It was made clear that there is not an explicit best practice concept found in the publications, neither terms of measurable criteria to classify the practices in health as being the best. In spite of that, when admitting WHO’s concept of best practices, considering actions in specific contexts, results achieved and aspects involved in each practice, along with their potential of being replicated in different scenarios, it was possible to select studies presenting best practices in HIV management.

As limitations, one can consider that only three languages were used for searching these studies and that the key words used might have influenced in the findings of the current scope revision.

The suggestion made is in the sense of developing new studies on best practices in HIV management with the objective of establishing parameters to define such practices in order to consider them best. Furthermore, it is understood that such findings may serve as an input for the construction of health practices aiming at improving the quality of actions directed to HIV management.

References

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History