Critical points for the control of Tuberculosis on Primary Health Care

Abstract

Objective: To analyze the discourses of professionals that work on the reference service about the critical points that affects the essential attributes of the Primary Health Care (PHC) related to the control of tuberculosis in the city of João Pessoa. Method: The empirical material collected from August to October in 2014, through the interview technique was analyzed through the methodologicaltheoretical framework of French Discourse Analysis. Results: The discourses demonstrated the critical points on the control of the disease on PHC as being the lack of bond and welcoming from the professionals in relation to patients with tuberculosis. It was realized that the professionals have prejudice about the disease, that they have difficulties on the access to conducting exams, appointments and treatments, as well as there are fails on the reference and counter-referencing system. Final Considerations: Managers should be aware about the results that were found, so that facing actions can be planned and executed in order to minimize the existent of critical points.

Delay of diagnosis of tuberculosis in elderly: address of the managing subjects

“…This finding shows that the performance of this service as a gateway is flawed. 15 Therefore, the result of this study points as a barrier to access to the diagnosis and start of treatment of the disease the place of residence of the elderly, which contrasts with the results of other studies with the same theme, which show organizational and operational problems of TB control.…”

Tuberculosis: health care and surveillance in prisons

“…Social factors as unhealthy living conditions, malnutrition, and low income lead to greater vulnerability to the disease (2) . Lack of bonds and support, prejudice on the part of professionals, and difficult access to examinations, consultations and treatments are bottlenecks on the control of TB in primary health care (3) .…”

Spatial analysis of cases of Tuberculosis with Mental Disorders in São Paulo

“…Experiences evidenced in the literature, demonstrate successful actions of PC in prevention in relation to illicit drug use, especially in school environments (41) . Thus, PC and its professionals play an important role in the reduction of TB/MD cases, mainly through the implementation of strategies to improve access and diagnosis of these patients through active search (42) and coping with bottlenecks affect the follow-up actions of the cases, such as the absence of a link between professionals and patients and the difficulty of receiving this population in the health units (43) .…”