Análise do Programa de Controle da Tuberculose em Cáceres, Mato Grosso, antes e depois da implantação do Programa de Saúde da Família

Ignotti, Eliane; Oliveira, Beatriz Fátima Alves de; Hartwig, Shaiana Vilella; Oliveira, Hellen Caroline de; Scatena, João Henrique Gurtler

doi:10.1590/s1806-37132007000300010

Cited by 12 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In comparison with the literature, the rate of noncompliance observed at the CSEM was relatively lower than were those found at other health care clinics in Brazil (9,10) providing supervised treatment.…”

Section: Discussioncontrasting

confidence: 54%

“…There was a predominance of males at the two PCCs (Table 3), a finding that is in agreement with the literature. (9,10) As can be seen in Table 4, most of the CSEM patients were in the 18-23 year age bracket, whereas most of the UBSP patients were in the 24-29 year age bracket, with no significant differences between the groups in terms of age. Most of the patients be an effective strategy, reducing the rates of treatment noncompliance.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Efetividade do tratamento da tuberculose

et al. 2012

View full text Add to dashboard Cite

Objective: To analyze the treatment strategies that influence the effectiveness of tuberculosis treatment at primary care clinics (PCCs) in Brazil. Methods: This was a descriptive, retrospective epidemiological survey based on the medical records of 588 tuberculosis patients enrolled in the tuberculosis control programs at two PCCs located in the city of Belém, Brazil: Centro de Saúde Escola do Marco (CSEM) and Unidade Básica de Saúde da Pedreira (UBSP). The survey was limited to patients enrolled between January of 2004 and December of 2008.We included only patients between 18 and 59 years of age, and we excluded those who were transferred or were found to have been misdiagnosed. We collected data regarding age, gender, type of treatment (self-administered or supervised), co-infection with HIV, and treatment outcome. The health professionals involved in the tuberculosis control program at the two PCCs were interviewed regarding the strategies used for tuberculosis control and regarding routine clinical care for tuberculosis patients. Results: There were no significant differences between the CSEM and UBSP patients regarding age, gender, or co-infection with HIV. Supervised treatment was used significantly more frequently and the rate of cure was higher at the CSEM than at the UBSP, whereas the rate of treatment noncompliance was higher at the UBSP than at the CSEM. Conclusions: For patients enrolled in tuberculosis control programs at PCCs in Brazil, supervised treatment appears to be an extremely important strategy for reducing the rate of treatment noncompliance.

show abstract

Section: Discussioncontrasting

confidence: 54%

Section: Discussionmentioning

confidence: 90%

Efetividade do tratamento da tuberculose

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Although TB became curable in the last century, it still poses a major public health challenge in many countries, particularly developing countries (1)(2)(3) .…”

Section: Introductionmentioning

confidence: 99%

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Caliari

Figueiredo

2012

Acta paul. enferm.

View full text Add to dashboard Cite

Objective: To characterize the profile of patients with tuberculosis (TB) and identify the service flowchart, and the opinion of professionals responsible for the Tuberculosis Control Program of municipalities in the Regional Health Department III of the State of São Paulo. Methods: A descriptive study of quantitative approach covering 122 notifications identified in the Control System of Patients with Tuberculosis, 2007Tuberculosis, /2008, and six interviews with nurses responsible for this program in the region. Results: Of 122 notifications identified, 69% were men, 35% were unemployed, 25% were alcoholics and 86% had pulmonary TB. The control activities were centralized, and the nurses were responsible for programs in the region. These professionals identified favorable points of team involvement and ease in requesting examinations. Unfavorable points included the lack of equipment and professionals, and the delays in obtaining exams. Conclusion: The region has the typical profile for TB, including aspects of social fragility, centralized control actions, and those in charge do not recognize the centralization of the actions, and the lack of autonomy of the units or weaknesses of the program.. Keywords: Health services evaluation; Tuberculosis; National health programs RESUMOObjetivo: Caracterizar o perfil de pacientes com tuberculose (TB) e identificar o fluxograma de atendimento e a opinião dos profissionais responsáveis pelo Programa de Controle da Tuberculose de municípios do Departamento da Regional de Saúde III do Estado de São Paulo. Métodos: Estudo descritivo de abordagem quantitativa abrangendo 122 notificações identificadas no Sistema de Controle de Pacientes com Tuberculose, de 2007/2008, e seis entrevistas com enfermeiros responsáveis por esse Programa, na região. Resultado: Das 122 notificações identificadas, 69% eram de homens, 35% desempregados, 25% etilistas e 86% com TB pulmonar. As ações de controle eram centralizadas, e os enfermeiros eram os responsáveis pelos programas da região. Estes profissionais apontaram como pontos favoráveis o envolvimento da equipe e a facilidade em solicitar exames. Como desfavoráveis, a falta de equipamentos e de profissionais e demora na realização de exames. Conclusão: A região apresenta o perfil típico para TB, incluindo aspectos de fragilidade social, ações de controle centralizadas, e os responsáveis não reconhecem a centralização das ações e a falta de autonomia das unidades como fragilidades do programa. Descritores: Avaliação de programas e projetos de saúde; Tuberculose; Programas nacionais de saúde RESUMENObjetivo: Caracterizar el perfil de pacientes con tuberculosis (TB) e identificar el fluxograma de atención y la opinión de los profesionales responsables del Programa de Control de Tuberculosis de municipios del Departamento de la Región de Salud III del Estado de Sao Paulo. Métodos: Se trata de un estudio descriptivo con abordaje cuantitativo que abarcó 122 notificaciones identificadas en el Sistema de Control de Pacientes con Tuberculosis...

show abstract

“…Despite scientific contributions to the development of guidelines for the TB control [5][6][7][8][9][10][11][12][13] , there are few studies on the operational performance of TCP in a context of decentralization. Moreover, aspects related to the context and to health services, which affect the performance of disease control actions, are not clear; therefore, questions on the effectiveness of decentralization emerge.…”

Section: Palavras-chavementioning

confidence: 99%

“…or centralized specialized services) 5,6,11 . Therefore, intrinsic organizational aspects of different scenarios and health services were found to interfere in the ability to operationalize decentralization.…”

Section: Process Indicatorsmentioning

confidence: 99%

Atenção Primária à Saúde e tuberculose: avaliação dos serviços

Wysocki

Ponce

Brunello

et al. 2017

Rev. bras. epidemiol.

View full text Add to dashboard Cite

Introduction:In order to control tuberculosis, the Brazilian Ministry of Health recommends the decentralization of control actions directed to the Primary Health Care, and there are few studies on the performance of the Tuberculosis Control Program in decentralized contexts. Objective: To evaluate the performance of Primary Health Care services in tuberculosis treatment. Methods: This is an evaluative study with cross-sectional approach conducted in 2011. Two hundred and thirty-nine health professionals from Primary Health Care units were interviewed using a structured instrument based on the evaluation reference of the health services quality (structure -process -results). The performance of these services was analyzed applying techniques of descriptive statistics, validation, and construction of indicators and by determining the reduced variable "Z". Results: The indicators "participation of professionals in tuberculosis patients' care" (structure) and "reference and counterreference" (process) had the best evaluations, whereas "professional training" (structure) and "external actions for tuberculosis control" (process) had the worst results. Conclusion: The decentralization of tuberculosis control actions has been taking place in a vertical manner in Primary Health Care. The challenge of controlling tuberculosis involves overcoming constraints related to the engagement, training, and turnover rates among health professionals, which is a coordination between services and monitoring of control actions in Primary Health Care.

show abstract

Análise do Programa de Controle da Tuberculose em Cáceres, Mato Grosso, antes e depois da implantação do Programa de Saúde da Família

Abstract: The decentralization of the treatment services to the family health clinics did not improve the treatment or monitoring of tuberculosis cases in the city of Cáceres.

Cited by 12 publications

References 12 publications

Efetividade do tratamento da tuberculose

Efetividade do tratamento da tuberculose

Tuberculose: perfil de doentes, fluxo de atendimento e opinião de enfermeiros

Atenção Primária à Saúde e tuberculose: avaliação dos serviços

Contact Info

Product

Resources

About