Agente Comunitário de Saúde no controle da tuberculose na Atenção Primária à Saúde

Crispim, Juliane de Almeida; Scatolin, Beatriz Estuque; Silva, Laís Mara Caetano da; Pinto, Ione Carvalho; Palha, Pedro Fredemir; Arcêncio, Ricardo Alexandre

doi:10.1590/s0103-21002012005000021

Cited by 13 publications

(17 citation statements)

References 6 publications

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“…The study also highlights that it is a kind of weakness not to identify the RS during the home visits (CRISPIM et al, 2012).…”

Section: Discussionmentioning

confidence: 89%

“…Also showed a significant increase in the identification of cases of the disease (FAÇANHA et al, 2009), suggesting that the trained teams can have positive impact on the control of the disease, such as a long-term decrease of the incidence. It is important to consider that planning and organizing the capacity activities must be feasible because problems with the possibility of the team to be absent from work or communication problems among the teams have to be solved in order to allow updates and discussions about tuberculosis in the region of the health unit.…”

Section: Discussionmentioning

confidence: 99%

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<b>Tuberculosis in primary health care: identifying priority cases in a municipality in southern Brazil

Härter

Andrade²,

Villa³

et al. 2015

Acta Sci. Health Sci.

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ABSTRACT. The objective of this study was to analyze the performance of a Typical Primary Health Care Unit (TPHCU) and Family Health Unit (FHU) in the cases of TB detection and verify the capacity of health services for respiratory symptomatic (RS) care according to two types of organization. The study was carried out in Pelotas, Rio Grande do Sul, from April to August 2012. Two hundred and seventy-six health professionals from 51municipal units of Primary Health Care (PHC) participated in the study; they answered a pre-tested structured questionnaire. The data were analyzed using frequencies and multiple correspondence analyses. The FHU was associated with: professionals qualified to identify the RS, availability of container for sputum collection and request forms for baciloscopy; clinical evaluation and request for baciloscopy; collective actions in the community. The TPHCU was connected with: professionals out of date for clinical practices and tests and uncertainty in identifying RS; lack of container to collect sputum and request form for baciloscopy; professionals who did not perform clinical evaluation and did not request baciloscopy. Therefore, the detection of TB cases in primary health care center, especially in the TPHCU, was poor in structuring and developing actions to detect cases of the disease in the city.

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“…The study also highlights that it is a kind of weakness not to identify the RS during the home visits (CRISPIM et al, 2012).…”

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

<b>Tuberculosis in primary health care: identifying priority cases in a municipality in southern Brazil

Härter

Andrade²,

Villa³

et al. 2015

Acta Sci. Health Sci.

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“…Contudo, o conhecimento do ACS para o manejo da TB é considerado frágil frente à efetividade das ações de controle da TB realizadas por este ator (14)(15) . Do ponto de vista qualitativo, faz-se necessário questionar se os ACSs estão capacitados para o papel de articulador entre a comunidade e a equipe de APS, embora seu papel seja de suma importância para o controle da TB (15)(16) .…”

Section: Iresultadosunclassified

“…Destaca-se que esse modelo tem predominado sobre o acolhimento, a integralidade no cuidado e os aspectos culturais dos usuários, (21) e que as capacitações disponibilizadas pelos gestores de saúde são insuficientes do ponto de vista quantitativo dos profissionais (8,22) . Assim, sinaliza-se a necessidade de educação permanente dos profissionais da APS, pois o cuidado deve ser baseado na integralidade em saúde por meio da integração das equipes e da abordagem multiprofissional, (18) como também da adequação das ações à realidade local e coerência com as diretrizes para o controle da TB e o uso de metodologias condizentes com a condição de saúde (14,(19)(20)(21)(22) . O autocuidado apoiado, ou seja, os componentes relacionados com os registros sobre o apoio e suporte dos profissionais na unidade de saúde para o portador de TB cuidar da própria saúde, acolhimento das preocupações dos portadores de TB e familiares e as intervenções de mudança de comportamento de portadores de TB apontaram capacidade razoável; porém, na observação de campo foram identificadas limitações nas iniciativas para o autocuidado apoiado, como ações de educação em saúde e estabelecimento de vínculo com os profissionais da equipe de referência, e intervenções para mudança de comportamento no sentido do portador de TB parar de fumar ou de persistir em outros comportamentos que retardam ou dificultam a recuperação e cura da TB.…”

Section: Iresultadosunclassified

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Controle Da Tuberculose Em Município Fronteiriço: Análise Da Capacidade Institucional Dos Serviços De Saúde*

Campos

Silva-Sobrinho²,

Brunello³

et al. 2018

Cogitare Enferm.

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Objetivo: analisar a Atenção Primária à Saúde quanto ao controle da tuberculose em Foz do Iguaçu, Paraná. Método: estudo transversal, tipo inquérito, com abordagem quantitativa das dimensões de organização da Atenção à Tuberculose, articulação com a comunidade, autocuidado apoiado, suporte à decisão e desenho do sistema de prestação de serviços, envolvendo 105 profissionais da saúde de 14 unidades no período de dezembro de 2013 a janeiro de 2014 e no ano de 2015 com a análise descritiva e de variância Anova. Resultados: evidenciou-se como pior desempenho a dimensão de articulação com a comunidade, classificada como básica, que obteve média 3,2 e desvio-padrão de 1,8. O melhor desempenho referiu-se à dimensão de autocuidado apoiado, classificada como razoável, com média de 6,9 e desvio-padrão de 2,1. Conclusão: foi observada a necessidade de capacitação dos profissionais e observância aos princípios e diretrizes dos programas e políticas de controle da tuberculose na atenção primária à saúde.

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Atenção a Tuberculose Multirresistente no Brasil: aportes à organização das Redes de Atenção à Saúde e a Gestão da Clínica

Ballestero¹

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Multidrug-resistant tuberculosis is a serious health condition, which care involves different points of attention: Reference Center and Primary Health Care, demanding the resolute organization of the Health System, in an articulated, coordinated manner and aiming an integral care. This study aimed to analyze the organization of care for multidrug-resistant tuberculosis, and to build and validate a tool for Clinical Management. It is a research developed in two stages. The first one was a descriptive exploratory one, with data collected between June and November 2015, through non-participant observation in the Reference Centers of five Brazilian states (four regions), within approximately three days in each Center. It was observed the organization, patient flow, physical structure, human resources and laboratory and information systems and records, guided by a directed script built by the researchers. We used the theoretical foundations and constituent elements of the Attention Network to analyze the data. During the second phase a methodological study was developed, including the production of a "Handbook of Treatment Control", based in the efforts and needs of the Centers visited. The material was validated by twelve specialists (professionals of higher education who have worked for three years or more in the research or in the assistance to the disease), through the Delphi Technique, between October 2016 and February 2017. The descriptive results pointed to important approximations in terms of organization according to the economy scale, concentration of physical and human resources in the references, with qualified service to the high demand. It was observed difficulties for the access of the users, faced by the teams with mechanisms that facilitate it geographically and financially. Vertical / horizontal integration of services was not noted. There were redefinitions of the clinical competences of different professional categories. As for the operational structure, the communicating center was the specialized service; there is difficulty of interaction between the assistance points, marked by the absence of computerized medical records. The support system was in the process of structuring, with emphasis on SITETB, but there are difficulties in regulating the people flows. In this perspective, the validated Handbook aims to provide better integration among the professionals involved in the assistance. It was composed by three large blocks: i) general data: identification (demographic data, information on health services and clinical aspects) and registration of the appointment scheduling; ii) information to patients and their families: on the disease, treatment and home and community precautions; and iii) information to health professionals: about the disease, directly observed treatment, treatment follow-up, contact evaluation and records regarding case management. The judges suggested changes in the language used in the Handbook, and at the end of the second round all modifications were approved by 80% or mo...

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Agente Comunitário de Saúde no controle da tuberculose na Atenção Primária à Saúde

Cited by 13 publications

References 6 publications

<b>Tuberculosis in primary health care: identifying priority cases in a municipality in southern Brazil

<b>Tuberculosis in primary health care: identifying priority cases in a municipality in southern Brazil

Controle Da Tuberculose Em Município Fronteiriço: Análise Da Capacidade Institucional Dos Serviços De Saúde*

Atenção a Tuberculose Multirresistente no Brasil: aportes à organização das Redes de Atenção à Saúde e a Gestão da Clínica

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