Estratégias de controle da tuberculose no Brasil: articulação e participação da sociedade civil

Filho, Ezio Távora dos Santos; Gomes, Zaïra Machado dos Santos

doi:10.1590/s0034-89102007000800015

Cited by 17 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(10) The incidence of AIDS increased in the mid 1990s, with a peak of 19/100,000 population in 1998. By December of 2007, 506,499 cases of AIDS had been reported in Brazil.…”

Section: Introductionmentioning

confidence: 99%

“…Co-infected patients are often not identified until their death, highlighting a failure of the health system to detect, diagnose, and treat these related diseases. (10) The objective of this study was to compile the data from existing TB and AIDS surveillance databases in order to evaluate rates and profiles of adult patients with TB/AIDS, by gender, age, immune status, and mortality.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perfil epidemiológico de pacientes adultos com tuberculose e AIDS no estado do Espírito Santo, Brasil: relacionamento dos bancos de dados de tuberculose e AIDS

et al. 2011

View full text Add to dashboard Cite

Objective To evaluate the epidemiological profile of patients with tuberculosis (TB) only and that of patients with TB/AIDS in the state of Espírito Santo, Brazil, between 2000 and 2006. Methods For the patients of interest, we collected demographic and clinical data from the Epidemiological Surveillance Center (TB database), Brazilian Case Registry Database, and Brazilian National Mortality Database, as well as the Brazilian National CD4+/CD8+ T Lymphocyte Count and Viral Load Network Laboratory Test Control System and the Logistic Medication Monitoring System (HIV/AIDS databases). All of the compiled data were cross-referenced. Results During the study period, we identified 9,543 TB patients > 15 years of age, 437 of whom (4.6%) had AIDS. The median age did not differ between TB/AIDS and TB-only patients (35 years vs. 38 years). Of the 437 TB/AIDS patients, 298 (68.2%) were male, and 156 (35.8%) were in the 30–39 age bracket. In terms of TB treatment outcome, 79.0% were cured, 9.7% were referred to other facilities, 6.0% died, 5.2% abandoned treatment, and 0.2% developed multidrug-resistant TB. Death was 4.75 times more common in patients with TB/AIDS than in those with TB only. Pulmonary TB accounted for 82.4% of the cases. The combination of pulmonary and extrapulmonary TB was 8.2 times more common in the TB/AIDS patients than in the TB-only patients (95% CI: 6.2–10.8). Conclusions Our results emphasize the significance of AIDS among TB patients in Brazil, as well as the importance of evaluating secondary data in order to improve their quality and develop public health interventions.

show abstract

“…(10) The incidence of AIDS increased in the mid 1990s, with a peak of 19/100,000 population in 1998. By December of 2007, 506,499 cases of AIDS had been reported in Brazil.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perfil epidemiológico de pacientes adultos com tuberculose e AIDS no estado do Espírito Santo, Brasil: relacionamento dos bancos de dados de tuberculose e AIDS

et al. 2011

View full text Add to dashboard Cite

show abstract

“…This conflict was sparked by the fact that the NTP had enjoyed strong financial support and visibility in the preceding decades [48]; M. Dalcolmo, personal communication, October 20, 2006; [49]. However, because part of the Global Fund’s grant money was to be used for addressing the rising TB-HIV/AIDS co-infection problem, TB and HIV/AIDS officials were motivated to strengthen their work together [Global Fund official, personal communication, October 1 and 29, 2009; D. Barreira, personal communication, October 20, 2009; Brazilian NTP official, personal communication, November 5, 2009; F. Moherdaui, personal communication, June 16, 2006; E. Santos-Filho, personal communication, May 23, 2012; R. Burgos Filho, personal communication, May 23, 2012].…”

Section: Brazilmentioning

confidence: 99%

The effects of Global Fund financing on health governance in Brazil

Gómez¹,

Atun

2012

Global Health

View full text Add to dashboard Cite

ObjectivesThe impact of donors, such as national government (bi-lateral), private sector, and individual financial (philanthropic) contributions, on domestic health policies of developing nations has been the subject of scholarly discourse. Little is known, however, about the impact of global financial initiatives, such as the Global Fund to Fight AIDS, Tuberculosis, and Malaria, on policies and health governance of countries receiving funding from such initiatives.MethodsThis study employs a qualitative methodological design based on a single case study: Brazil. Analysis at national, inter-governmental and community levels is based on in-depth interviews with the Global Fund and the Brazilian Ministry of Health and civil societal activists. Primary research is complemented with information from printed media, reports, journal articles, and books, which were used to deepen our analysis while providing supporting evidence.ResultsOur analysis suggests that in Brazil, Global Fund financing has helped to positively transform health governance at three tiers of analysis: the national-level, inter-governmental-level, and community-level. At the national-level, Global Fund financing has helped to increased political attention and commitment to relatively neglected diseases, such as tuberculosis, while harmonizing intra-bureaucratic relationships; at the inter-governmental-level, Global Fund financing has motivated the National Tuberculosis Programme to strengthen its ties with state and municipal health departments, and non-governmental organisations (NGOs); while at the community-level, the Global Fund’s financing of civil societal institutions has encouraged the emergence of new civic movements, participation, and the creation of new municipal participatory institutions designed to monitor the disbursement of funds for Global Fund grants.ConclusionsGlobal Fund financing can help deepen health governance at multiple levels. Future work will need to explore how the financing of civil society by the Global Fund and other donors influence policy agenda-setting and institutional innovations for increased civic participation in health governance and accountability to citizens.

show abstract

“…Furthermore, every second a new infection by the tuberculosis bacteria takes place in the world and one third of the population is infected, with an increased risk of illness in individuals with compromised immune systems (1) . In Brazil, there is a clear shift in the political scenario of confronting this disease, in which the participation of civil society stands out (2) .…”

Section: Introductionmentioning

confidence: 99%

“…The participation of those who work directly with and/ or represent the populations affected by the problem cannot be dismissed (2) .…”

Section: Introductionmentioning

confidence: 99%

Tuberculosis Control: patient Perception Regarding Orientation for the Community and Community Participation

Curto¹,

Scatena

Andrade

et al. 2010

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

To evaluate, from the patient's perspective, actions of orientation for the community and community participation carried out in tuberculosis control in health services in Ribeirão Preto -SP. This was an evaluative quantitative exploratory study which used part of the Primary Care Assessment Tool, adapted and validated for tuberculosis care, applied through interview, with 100 patients. Indicators of the instrument and analysis of variance were used. The realization of social partnerships for delivery of the sputum pot together with the community, the delivery of the sputum pot to the community by professionals, and the participation of the community to discuss the problem of tuberculosis were identified, 5%, 6% and 5%, respectively. The health services with fewer patients in treatment showed the best indicators. The actions of social partnerships, searching for respiratory symptomatics in the community and community participation in tuberculosis control are poorly incorporated by health services. Descriptors Control de la tuberculosis: percepción de los enfermos sobre orientación a la comunidad y participación comunitariaEl objetivo de este estudio fue evaluar, bajo la perspectiva de los enfermos, las acciones de orientación para la comunidad y la participación comunitaria, realizadas en el control de la tuberculosis en servicios de salud de Ribeirao Preto, Sao Paulo. Se trata de una investigación de evaluación cuantitativa exploratoria que utilizó parte del Primary Care Assessment Tool, adaptado y validado para la atención a la tuberculosis, aplicado por medio de entrevista a 100 enfermos. Fueron utilizados indicadores del instrumento y el análisis de la variancia. Fueron identificadas: la realización de alianzas sociales para obtener el pote para recolección de esputo junto a la comunidad (5%); la entrega del pote para recolección de esputo en la comunidad por los profesionales (6%); y, la participación de la comunidad en la discusión del problema de la tuberculosis (5%).Los servicios de salud con menor número de enfermos en tratamiento presentaron los mejores indicadores. Se concluye que las alianzas sociales, la búsqueda de sintomáticos respiratorios en la comunidad y, la participación de la comunidad en el control de la tuberculosis son poco incorporadas por los servicios de salud.

show abstract

Estratégias de controle da tuberculose no Brasil: articulação e participação da sociedade civil

Cited by 17 publications

References 0 publications

Perfil epidemiológico de pacientes adultos com tuberculose e AIDS no estado do Espírito Santo, Brasil: relacionamento dos bancos de dados de tuberculose e AIDS

Perfil epidemiológico de pacientes adultos com tuberculose e AIDS no estado do Espírito Santo, Brasil: relacionamento dos bancos de dados de tuberculose e AIDS

The effects of Global Fund financing on health governance in Brazil

Tuberculosis Control: patient Perception Regarding Orientation for the Community and Community Participation

Contact Info

Product

Resources

About