EPIDEMIOLOGY OF HIV AND AIDS IN THE STATE OF TOCANTINS: COMPARATIVE ANALYSIS BEFORE, DURING AND AFTER THE COVID-19 PANDEMIC
HIV, Aids, Case-reporting, Epidemiology.
“Introduction: COVID-19 pandemic has had a significant impact on HIV/AIDS prevention, diagnosis and treatment services in Brazil and around the world. In the state of Tocantins, there has been a reduction in essential actions, such as diagnostic testing, timely initiation of antiretroviral therapy, provision of pre-exposure prophylaxis, viral load monitoring and vertical transmission prevention programs, which can have direct implications for the dynamics of the epidemic and the response of the health system. Objective: To analyze the HIV/AIDS epidemiological situation in the state of Tocantins over the last decade, with an emphasis on the periods before, during and after the covid-19 pandemic, assessing the evolution of cases and the health response, characterizing the profile of people diagnosed, and investigating inequalities and inequities in the implementation of public policy, with a view to identifying future potential for controlling the epidemic. Method: a descriptive timeseries epidemiological study, analyzing secondary data from 2018 to 2023 from official Ministry of Health systems. Variables related to epidemiological indicators, HIV detection rates, AIDS incidence, mortality, as well as the sociodemographic, clinical and programmatic response profile will be included. Statistical analysis will involve descriptive statistics, chi-square tests and time series models to identify trends and project future scenarios, with validation through residual analysis (p < 0.05). Expected Results: The study is expected to result in the production of three scientific articles, addressing: (1) the epidemiological evolution of HIV/AIDS and the direct impacts of the pandemic on case records; (2) changes in the sociodemographic and clinical profile of people living with HIV, including comorbidities and stage of infection at diagnosis; and (3) inequalities in the public response to the epidemic, with an emphasis on the effects of the pandemic on historically vulnerable populations, such as LGBTQIA+ people and users of alcohol and other drugs."