Implementation and Qualification of Best Practices in HIV/Aids: Pathways to Eliminating Aids as a Public Health Issue in São Paulo State

Abstract

Introduction: The HIV/AIDS Best Practices Program, implemented in São Paulo State, aims to eliminate AIDS as a public health issue by 2030. Given disparities in service access and local challenges, the program seeks to enhance management and care practices across 169 municipalities with Specialized Care Services (SAE), promoting greater equity and efficiency in HIV/AIDS care. Objective: The main objective is to strengthen management and improve prevention, diagnosis, treatment, and care adherence practices in HIV/AIDS, ensuring alignment with UNAIDS global targets and the Sustainable Development Goals. Methods: The program was developed in two phases: administrative and operational. In the administrative phase, a structured questionnaire was applied, and training sessions were held, with the REDCap platform supporting real-time monitoring. In the operational phase, each municipality received an initial diagnosis, followed by customized improvement plans and continuous support, along with a quality certification system (Gold, Silver, and Bronze seals). Results: The program reached 94.6% of municipalities with SAE, generating substantial improvements. There was an increase in the number of municipalities certified with the Gold seal and a reduction in those classified as "in need of improvement." Significant enhancements were seen in management, epidemiological surveillance, prevention, diagnosis, and treatment adherence, showing a positive impact on reducing structural barriers and strengthening the care network. Conclusion: The HIV/AIDS Best Practices Program has proven to be an effective and replicable model capable of guiding public health policies in contexts with similar challenges. The results indicate that this approach contributes to more efficient management and sustainable public health practices, promoting more equitable and collaborative care.