2011
DOI: 10.1590/s1413-81232011001000028
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Abstract: Implantação da estratégia DOTS no controle da Tuberculose na Paraíba: entre o compromisso político e o envolvimento das equipes do programa saúde da família (1999)(2000)(2001)(2002)(2003)(2004) Implementation of the DOTS strategy in the control of TB in Paraiba: between the political commitment and the involvement of the teams of the family health program (1999)(2000)(2001)(2002)(2003)(2004) Resumo Foi analisada a implantação da estraté-gia Tratamento Diretamente Observado de Curta Duração (DOTS) no controle d… Show more

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Cited by 19 publications
(23 citation statements)
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“…Regarding the organizational context (partially implemented), we observed the prioritizing programmatic actions to the detriment of technical, political and financial autonomy, participation in the control of complementary incentives of DOTS, with transportation assistance and/or food aid. However, not enough enforcement actions alone (10) , the involvement of health workers in the service organization is necessary (14) . In inter-programmatic actions there is deficit of PTC integration with other areas, especially social services, with a percentage of consultations less than 50% of expected, reflecting the lack of interdisciplinary, which has recognized value in TB control (15) .…”
Section: Discussionmentioning
confidence: 99%
“…Regarding the organizational context (partially implemented), we observed the prioritizing programmatic actions to the detriment of technical, political and financial autonomy, participation in the control of complementary incentives of DOTS, with transportation assistance and/or food aid. However, not enough enforcement actions alone (10) , the involvement of health workers in the service organization is necessary (14) . In inter-programmatic actions there is deficit of PTC integration with other areas, especially social services, with a percentage of consultations less than 50% of expected, reflecting the lack of interdisciplinary, which has recognized value in TB control (15) .…”
Section: Discussionmentioning
confidence: 99%
“…Availability with regard to convenient hours of opera on, that is, the days or mes when the health service is open for care delivery, may represent a nega ve and limi ng aspect of the diagnosis. In that sense, it is noteworthy that the teams' work mes and the health units' func oning hours are not always able to respond to the popula on's needs (10) . Chart 1 -Codes and discursive fragments of statements from the elderly patients regarding health service-related barriers affected access to a confi rmed diagnosis of TB -João Pessoa, 2011 The limited hours of opera on of the FHU were also iden fi ed as a bo leneck for eff ec ve access to primary health care (PHC) services in a study undertaken in São Paulo (11) .…”
Section: Discussionmentioning
confidence: 99%
“…The municipalities, which have assumed the management of public health policies since 1993, start to manage and operate the actions of TB control, including the DOT, in coordination with the preferred gateway to SUS that is the Family Health Strategy (FHS). The perceived obstacles in the decentralization process refer mainly to the maintenance of financial and material resources to sustain the strategy, in addition to technical qualification requirements for health workers, aiming at developing these actions at the local level (7,10) . In this sense, this study aimed to analyze the policy transfer of DOT for TB control in the FHS from the perspective of nurses.…”
Section: Introductionmentioning
confidence: 99%