Objective: To analyze the care provided to tuberculosis cases in primary health care services according to the elements of the Chronic Care Model. Method: Cross-sectional study conducted in a capital city of the northeastern region of Brazil involving 83 Family Health Strategy professionals. A structured tool adapted to tuberculosis-related care in Brazil was applied. Analysis was based on the development of indicators with capacity to produce care varying between limited and optimum. Results: The organization of care for tuberculosis and supported self-care presented reasonable capacity. In the coordination with the community, the presence of the community agent presented optimum capacity. Partnership with organizations of the community and involvement of experts presented limited capacity. The qualification of professionals, the system for scheduling and monitoring tuberculosis in the community, and the clinical information system presented basic capacity. Conclusion: The capacity of the primary health care services to produce tuberculosis-related care according to the elements of the Chronic Care Model is still limited. Overcoming the fragmentation of care and prioritizing a systemic operation between actions and services of the health care network remains as a major challenge.

Objective Evaluating the performance of primary care services for the treatment of tuberculosis according to the assessment referential of health services (structure/process) in Cabedelo, a port city in the state of Paraíba. Method An evaluation quantitative, cross-sectional study, in which were carried out 117 interviews with health professionals using a structured instrument. The analysis was based on the construction of indicators using a standardized value for the reduced variable (z=1). Results The structural indicators showed regular performance for the following variables: professional training, access to record instruments and coordination with other services. The process indicators related to external actions and information about the disease had unsatisfactory performance. The directly observed treatment and the flows of reference/counter-reference had regular performance. Conclusion The focused professional qualification, the fragmentation of practices and the unsystematic home care constitute obstacles for carrying out actions aimed at providing expanded, continuous and resolute care.

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Analyzes the influence of individual determinants on the service usage pattern to define the time it takes for tuberculosis patients to seek care in order to discover their diagnosis. Cross-sectional research undertaken in a Northeastern capital of Brazil, involving 101 patients. The variables were submitted to statistical treatment through median and Mann-Whitney and Kruskal-Wallis non-parametric tests. A median 20 days was estimated for the patients' general delay, showing that single individuals who had less than eight years of study and were unemployed were the ones who delayed most in seeking a health service (30 days). The theoretic model used confirmed the presence of predisposing factors that favor the inequalities in the search for and obtainment of care. The inclusion of the subjective dimension in the guarantee of integral care can contribute to the renewal of practices and reduction of iniquities for individuals affected by tuberculosis.

Este estudo toma como recorte dois componentes da Atenção Primária a Saúde: “acesso” e “vínculo”, com o objetivo de analisar as ações de controle da tuberculose no contexto de Equipes de Saúde da Família. Pesquisa qualitativa, realizada em município da região metropolitana de João Pessoa-PB, Brasil, que envolveu cinco usuários em tratamento de tuberculose. Os depoimentos foram coletados por meio de entrevista semiestruturada e o material empírico obtido foi analisado utilizando a técnica de Análise de Conteúdo. Para obtenção do diagnóstico da tuberculose predominou a busca por serviços especializados. Nas unidades de saúde da família em que o acesso esteve facilitado, favoreceu-se uma postura promotora de vínculo com os usuários de tuberculose e familiares, destacando-se os profissionais enfermeiros e agentes comunitários de saúde. Ressalta-se a necessidade de mudanças no planejamento e/ou orga-nização local que facilitem o acesso e fortaleçam a relação equipe/usuário e deste modo concretize um cuidado integralizado.

Background: Considering the relevance of discussing AIDS in diferents contexts and groups with lower social support, the objetive of this study was, summarize the scientific production developed over the past decade related to HIV/AIDS in the prison context.Method: the sample consisted of 33 scientific articles linked to the portal journals of Capes, using the descriptors "HIV" and "prisoners", collected in March 2013. In the analysis stage of the articles, we used one specific instrument containing data, such as: article title, year of publication, country in which the research was developed and method. the interpretation of results occurred by the similarity of sub-themes, summarized and compared and presented in the form of frame.Results: there was a higher production between 2010 and 2012, predominantly work in English and quantitative approach. there were settled four main themes: prevalence of HIV/AIDS and co-morbidities; vulnerability/risk to HIV/AIDS; interventions against HIV/AIDS; antiretroviral therapy in prisons: encouraging former prisioners. Conclusion:In general, the complex problem of AIDS is still treated under a look turned to understanding risk behaviors and ways of transmission. the focus remains on the subject actor of acts that exposes to risk without, either, unfold to the social, political and economic in which they develop different factors of vulnerability.

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Objetivo: avaliar conhecimentos e práticas dos profissionais de enfermagem na atenção primária.Método: estudo exploratório-descritivo, com abordagem qualitativa, desenvolvido de fevereiro amarço de 2018, com 20 enfermeiros de Unidades de Saúde da Família, da Paraíba, Brasil, por meiode entrevista semiestruturada, submetida à técnica de análise temática.Resultados: verificou-se que os enfermeiros não desenvolvem uma assistência sistematizada, maspontual, com base nos sinais e sintomas do quadro leve, e transferem ao serviço de referência aresponsabilidade pelo atendimento ao caso, por desconhecimento das condutas estabelecidaspara o acidentado. Ademais, 19 enfermeiros não realizam ações educativas para a prevenção dosacidentes e repassam a responsabilidade ao sistema de vigilância em saúde.Conclusão: são necessárias a implementação de programas de treinamentos, a elaboração deProcedimento Operacional Padrão e a realização de educação em saúde para os profissionais, afim de melhorar a assistência às vítimas de picadas escorpiônicas.