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The study has as objective to research the establishment of a public policy of confronting the HIV/AIDS in the city of Marília. For that, it describes the political and institutional guidelines of the Program of STD/AIDS in this city, according to its managers in the period 1998 to 2008. This was a qualitative research that had as subject, Coordinators of STD/AIDS who worked in the Municipal Health Secretariat of Marília, totaling three people. We performed an individual interview with open questions, recorded and transcribed. The results were described by the categories of analysis: "expression and transformation of commitment into action by public authorities" and "sustainability of the proposal”, based on the vulnerability concept. It was possible to identify the factors that influenced the formulation and implementation of public policy in the identification of sub-categories related to the "expression and transformation of commitment": "social actors", "qualification" and "implementation of the policy." Related to "sustainability of the proposal" is as subcategories: "financing" and "challenges to sustainability." The study, by describing the trajectory of the program, identifies commitment and action of political society in combating the epidemic. In over 25 years of epidemic, both at the national, state and municipal levels, the Program of STD/AIDS have shown effective implementation of the Unified Health Care System (SUS), facing challenges on various fronts in the search for security of its principles. Thus, the challenges of vulnerability, in the STD/AIDS context, are connected to the very challenges placed before the Unified Health Care System (SUS) which deals with its sustainability, universal access, the strengthening of municipal management, the integrality of the system, equity and improvement of social control.

Diretrizes político-institucionais do Programa de Doenças Sexualmente Transmissíveis e AIDS do município de Marília sob a perspectiva do conceito de vulnerabilidade