Tuberculosis Control Actions: Analysis Based on the Access and Primary Health Care Quality Improvement Program

Abstract

The study's aim was to analyze primary health care delivered to people with tuberculosis on a national level, based on the information collected by an external assessment implemented by the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. This cross-sectional study with a quantitative approach used data from the 2 nd cycle external assessment of the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica conducted in 2014. The Statistical Package for Social Sciences was used to establish frequencies and check for associations using the Chi-square test. The percentage of Family Health Strategy units recording the annual number of confirmed tuberculosis cases and respiratory symptoms was high for the entire country (81.1%). In contrast, the recording of follow-up of tuberculosis cases was performed by only 48.3% of the facilities, while only 48% of the health basic unites units implemented directly observed treatment. The findings reveal barriers in the structure of health basic unites units regarding the operationalization and sustainability of care provided to individuals with tuberculosis, including directly observed treatment. Directamente Observado en el 48% de las unidades básicas de salud. Los datos indicaron la presencia de barreras en la estructuración de las unidades básicas de salud cuanto a la operacionalización y sustentabilidad de la asistencia al portador de tuberculosis, incluyendo la estrategia Tratamiento Directamente Observado. DESCRIPTORS: DESCRIPTORES:Tuberculosis. Evaluación en salud. Atención primaria a la salud.

Therapeutic itinerary of people with tuberculosis in face with their health needs

“…15 Although, in the analysis of the program to improve access and quality of basic care, the number of confirmed cases of TB and symptomatic respiratory diseases, reached 81.1% in the FHS throughout Brazil. 16 In theory, they all serve as a gateway to both the diagnosis of the disease and to alleviate more serious symptoms, as well as direct access to medical consultation and/or other services. 17 However, it is necessary to improve primary health care, as organizer of care and guarantee of access to avoid the delay of diagnosis and treatment that have repercussions in the control of the disease.…”

Effectiveness and trend forecasting of tuberculosis diagnosis after the introduction of rapid molecular testing in a city in south-eastern Brazil

“…Considered a priority by the Brazilian government since 2003, TB has been the subject of several national agreements and has been made a priority of the National Tuberculosis Control Program (NTCP). There has been an increase in the detection of cases through the strengthening of the primary health care services system [28].…”

Qualidade da Atenção Primária à Saúde no Brasil: avanços, desafios e perspectivas

“…Clementino et al 67 , when analyzing the health actions directed at people with tuberculosis in PC based on data from the second cycle of the PMAQ, found that 81.1% of the FHS teams in Brazil had an annual estimate of the number of confirmed cases of tuberculosis and respiratory symptoms. In contrast, only 48% of the teams had records of case follow-up and directly observed treatment.…”