Social organization and control of tuberculosis: the experience of a Brazilian town

Abstract

Objective: this study was aimed at analyzing the participation of a committee formed by representatives of the community in tuberculosis control based on a participatory management model. Method: this is a Case Study involving a tuberculosis committee with data collected through semi-structured interviews conducted with nine individuals. The data, organized through the Association of Ideas Map technique, were analyzed based on the Social Constructionism perspective. Results: the participation of the Tuberculosis Committee studied was shown to be effective and associated with aspects articulated according to the measures taken by the social parties involved in the committee, culminating with assistances inserted into certain parts of the town's co-management. Conclusion: it was concluded that the reality of this case study shows that relationships among civil society can guide the management model in the search for effective processes of tuberculosis control.

Avaliação do tratamento diretamente observado da tuberculose segundo dimensões da transferência de políticas

“…One study presented a similar result, pointing out that one of the challenges for the control of TB is the community's lack of interest in participating in health education activities regarding TB (15) , diverging from scientific evidence that indicates that the performance of the community improves the results in the control of the disease. This was observed in a study that aimed to analyze the participation of a committee formed by representatives of the community in the control of TB, which showed the potential of this participatory management model in the control of the disease (16) . Social participation in the fight against a disease like TB is not only a possibility of exercising citizenship, it also enables the creation of spaces that defend the health of the population according to their needs (16) .…”

“…This was observed in a study that aimed to analyze the participation of a committee formed by representatives of the community in the control of TB, which showed the potential of this participatory management model in the control of the disease (16) . Social participation in the fight against a disease like TB is not only a possibility of exercising citizenship, it also enables the creation of spaces that defend the health of the population according to their needs (16) . Another experience observed in Peru discusses the potential of social participation and mobilization on the fulfillment of health rights, considering the community involvement in issues related to cancer, human immunodeficiency virus and TB as a key element for the improvement of people's health conditions, for the decision-making processes and for the implementation of health programs (17) .…”

Capacidade Gerencial Da Atenção Primária À Saúde Para O Controle Da Tuberculose Em Diferentes Regiões Do Brasil

“…25 The evaluation of the professionals was critical with regard to the creation of partnerships with community organizations, which has been verified in other studies. [26][27][28] Although the participation of the CHW in the activities related to TB treatment was considered reasonable in this study, this professional do not interact with the PHCS team and does not articulate with the community resources. 10 In some cities, the health professionals do not receive expert support and training for TB treatment is deficient.…”

Coordination of health care with the community in the clinical management of tuberculosis

“…These councils, though absent in the context in which this research was conducted, constitute important strategies in the control of TB by enabling users of health services to require initiatives oriented to the needs of the community. An example of this was seen in study that examined the participation of a committee of representatives of society, which resulted in a coordinated action in the defense of collective interests, in the mobilization and in the exercise of citizenship for control of TB (14) .…”