ASSISTÊNCIA DE ENFERMAGEM ÀS MULHERES EM IDADE REPRODUTIVA VIVENDO COM HIV NO CENÁRIO BRASILEIRO, UMA REVISÃO INTEGRATIVA.

Abstract

Introduction: The epidemiological scenario of Human Immunodeficiency Virus (HIV) infection in Brazil has undergone profound transformations since the 1980s. Historically, public health policies directed at women living with HIV have focused mostly on preventing vertical transmission, which has created a gap in care and left the female population outside the pregnancy-puerperal cycle invisible. Objective: To summarize the scientific evidence on nursing care provided to non-pregnant women of reproductive age living with HIV in the Brazilian context. Methodology: This is an integrative literature review based on the PVO acronym. The search was conducted in April 2026 across the MEDLINE, EMBASE, SCOPUS, CINAHL, and BVS databases, with no time or language restrictions. Rayyan QCRI software was used for screening, Google Sheets® spreadsheets for data extraction, and thematic categorization for analysis. Results: Five articles were included for analysis, revealing three core thematic axes: (1) Stigma, Isolation, and Welcoming, addressing the psychological and social impact of prejudice and the importance of adherence groups to restore women's dignity; (2) The Transition from Fragmented Care to the Promotion of Self-Care, which criticizes the traditional biomedical model focused solely on medical prescriptions and proposes the application of nursing theories to foster women's empowerment and autonomy; and (3) Sexual and Reproductive Health and the Challenges of the Puerperium, highlighting the nurse's role in screening for gynecological cancers and in the ethical and compassionate management of the inability to breastfeed. Conclusion: The findings of this integrative review demonstrate that although nursing support for the female population of reproductive age has achieved notable advances over the last decades, a considerable gap remains in studies dedicated to care beyond the gestational cycle.