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The implementation of STD/AIDS prevention services in primary health care is a national recommendation, aligned with principles that organize that level of care in Brazil. However, characteristics of the predominant organization of health work in Brazil associated with low technological defi nition of these actions have limited its effectiveness according to the principles of the vulnerability and human rights framework. Based on the analysis of the return meeting of a study on the implementation of these actions in a Family Health Care Facility, this article examines the potential of co-management spaces 1 Endereco para correspondencia: Fundacao Oswaldo Cruz, Avenida L3 Norte, Campus Universitario Darcy Ribeiro, Gleba A, SC 4, Brasilia, DF, Brasil 70910-900. E-mail: dulceferraz@fi ocruz.br e mibnemes@usp.br Agradecemos a Professora Vera Paiva, por ter nos alertado para a riqueza do material produzido na reuniao de devolutiva, contribuindo grandemente para a idealizacao deste texto; ao XII Programa de Introducao a Metodologia de Pesquisa em Genero, Sexualidade e Saude Reprodutiva, com base no qual o estudo original foi desenvolvido e por meio do qual foi fi nanciado; a Professora Regina Maria Barbosa, pelas contribuicoes a elaboracao e desenho do estudo original; e a Luzia Oliveira e Neide Kurokawa e Silva, pela cuidadosa e enriquecedora revisao do artigo. Agencia de Financiamento: Fundacao Ford. Ferraz, D. A. S., Nemes, M. I. B. 736 for the improvement of this implementation process, as well as the potential of the vulnerability and human rights framework, articulated to the health work theory, to reorient prevention activities. Results show that these spaces, guided by the benchmarks above, leads to the recognition of the work process, the identifi cation of the diffi culties experienced by practitioners in relation to the prevention of STD/ AIDS and contribute to the formulation of solutions based on practical experience. Aiming to advance the implementation of actions, continued co-management actions are suggested as well as the approach with convergent experiments in the Brazilian health system.

Cogestão e prevenção das DST/Aids na atenção primária: contribuições desde o referencial dos direitos humanos e da vulnerabilidade