Atenção básica de saúde e a assistência em Hanseníase em serviços de saúde de um município do Estado de São Paulo

Abstract

RESUMO RESUMO RESUMO RESUMO RESUMO Este é um estudo descritivo desenvolvido em um município do Estado de São Paulo. Objetivo: identificar e caracterizar as ações do Programa de Controle da Hanseníase nos serviços de saúde municipais. Metodologia: entrevistas gravadas com gestor municipal de saúde e profissionais da assistência à hanseníase. Resultados: a política pública municipal em saúde prioriza o desenvolvimento da atenção básica com ênfase na saúde pública. As ações são realizadas por profissionais capacitados e experientes em hanseníase. Verificou-se a não realização da busca ativa dos casos, necessária para o real conhecimento da situação epidemiológica, e das ações de educação em saúde, importante para a redução do estigma e aproximação do sujeito à nova situação de vida e enfrentamento de limitações. Descritores: Descritores: Descritores: Descritores: Descritores: Hanseníase; Serviços de saúde; Atenção básica à saúde ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACT This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. Methodology: the interviews were conducted with professionals responsable for care in Hansen's Disease and with manager of public health policies. Results: the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations. Descriptors: Descriptors: Descriptors: Descriptors: Descriptors: Leprosy; Health services; Primary health care. Resumen Resumen Resumen Resumen ResumenEste estudio descriptivo es una investigación que analizó la situación de la atención de la Lepra en un municipio del Estado de Sao Paulo. Objetivo: identificar y caracterizar las acciones del Programa de Control de Lepra de los servicios de salud de ese municipio. Metodología: se entrevistaron a los profesionales encargados de la atención de lepra y al director municipal de políticas de salud. Resultados: las políticas públicas municipales de salud priorizaron el desarrollo de la atención básica, con énfasis en la salud pública tradicional. Las acciones de control de lepra son realizadas por trabajadores capacitados y con significativa experiencia profesional. Se resalta la ausencia de busca activa de los casos, necesaria para un conocimiento real de la situación epidemiológica y la importancia de educación en salud, para reducir el estigma y aproximar el sujeto a las adaptaciones necesarias en la nueva situación de vida para afrontar las limitaciones. Descriptores: Descriptores: Descriptores: Descriptores: Descriptores: Lepra; Servicios de salud; Atención primária de salud. (2) . Além da cura bacteriológica dos casos diagn...

Epidemiological, clinical, and operational aspects of leprosy patients assisted at a referral service in the state of Maranhão, Brazil

“…The high prevalence associated with its disabling potential poses a major public health problem 2 . In Brazil, despite the reduction of prevalence observed from 190 to 45.2 patients/100,000 inhabitants from 1985 to 2003, it still requires a resolute surveillance 3 .…”

“…The national leprosy elimination program has the aim of eliminating the disease by 2010 through actions such as reducing the prevalence to less than 1 case/10,000 people, monitoring records of new cases, strengthening epidemiological surveillance, training of health professionals for the disease detection, improvement of cases reporting, and accessibility to specialized services to avoid disability and guarantee rehabilitation 3,6 .…”

Falhas operacionais no controle da hanseníase em redes de convívio domiciliar com sobreposição de casos em áreas endêmicas no Brasil*

“…As a consequence, decentralization is still insufficient, and care is concentrated in specialized services in medium and large-size municipalities. 3,19,20 A study conducted in the municipality of São José do Rio Preto, SP, with the aim of assessing health services as to early detection of leprosy, revealed that people with the disease traveled 9.2km on average between their homes and the places where they got treatment, confirming the importance of decentralization for improving access, early diagnosis and treatment follow-up. 20,21 A study conducted with the aim of characterizing the flow of people with leprosy from their municipality of resident to the municipality where they got treatment, in the states of Maranhão, Pará, Tocantins and Piauí, identified gaps in this process of decentralization.…”

Helping a Man with Leprosy: A Case Study

“…Currently, Brazil has the second largest number of people with leprosy in the world, after India (Pereira, Helene, Pedrazini, Martins, & Vieira, 2008). About 94% of the reported cases in the United States and 94% of the new cases have been reported by Brazilians.…”