Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

Abstract

Introduction: Tuberculosis (TB) remains as a major public health problem, being the second infectious disease to cause death all over the world. The Directly Observed Treatment (DOT) is one of the recommended strategies to control this disease. The accession in this mode of treatment is integrated into the Tuberculosis Control Program (PCT), this program also provide socio-economic incentives as the distribution of food baskets, bus passes and breakfast. Moreover, public policies for social protection help both family development and social vulnerability. Tuberculosis is still associated with social exclusion and marginalization of the population subjected to poor living conditions and limited access to public services.Objective: Analyze the potential accession to tuberculosis treatment related to individual and social vulnerability aspects. Methods:Cross-sectional, qualitative study, conducted with 39 individuals diagnosed with tuberculosis and in treatment for at least 30 days in the city of Campina Grande, Paraiba, Brazil. 20 markers were used as analysis units, with the possibility of score responses from one to three. The lower scores indicate lower potential of adherence to treatment, while the highest ones express greater potential accession.Results: xx markers that were more related to score one and indicated lower potential adherence to tuberculosis treatment were: tuberculosis impact on labor; conception of health-disease causality and work process (employment status). In contrast, markers that were more closely related to the score three that resonate with greater

Mobile Health Technologies May Be Acceptable Tools for Providing Social Support to Tuberculosis Patients in Rural Uganda: A Parallel Mixed-Method Study

“…Social supporters' frequent receipt of SMS notifications may, however, be perceived as patients' lack of commitment to medication adherence. This scenario may potentially result in misunderstandings which may affect the quality of support 6 Tuberculosis Research and Treatment provided and the relationship itself, as noted by our participants. Additionally, the anticipated conflict as a result of unmatched or unmet expectations between patients and their social supporters was indeed reported in the antiretroviral adherence intervention in the same setting [31] and no definitive benefit of social support was seen [18].…”

“…This is because DOTS demands significant time and financial burden from patients as they travel to the clinic; it also demands time commitment from health workers and treatment supporters who have to supervise patients taking their medication [2]. Social factors such as poverty, stigma, and limited knowledge of tuberculosis (TB) can constrain adherence to tuberculosis medications [3][4][5][6][7][8]. Provision of social support, defined as instrumental, emotional, and informational assistance from one's social network, can enhance TB medication adherence by mitigating the social barriers to medication adherence.…”

Vivências De Portadores De Tuberculose E Importância Da Família À Adesão Terapêutica

“…bitos de vida que o portador é acostumado a exercer diariamente muitas vezes comprometem a eficácia do tratamento adequado para obter a cura (LACERDA et al, 2014). É importante que o portador de TB tenha uma percepção do valor da sua posição na vida, quanto a sua saúde no presente, assim como sua própria saúde no futuro.…”

“…A Tuberculose (TB) ainda é considerada como um dos grandes problemas de saúde pública, não somente no Brasil, mas, mundialmente. Sendo caracterizada pelo reflexo da desigualdade social, devido sua incidência ser principalmente em países com piores condições socioeconômicas, aliadas a um dos principais desafiadores no controle da disseminação da tuberculose que é a vigilância, a desorganização dos serviços de saúde e o preconceito que a sociedade apresenta (LACERDA et al, 2014).…”