Cobertura do tratamento diretamente observado (DOTS) da Tuberculose no Estado de São Paulo (1998 a 2004)

Villa, Tereza Cristina Scatena; Assis, Elisangela Gisele de; Oliveira, Mayra Fernanda de; Arcêncio, Ricardo Alexandre; Gonzáles, Roxana Isabel Cardozo; Palha, Pedro Fredemir

doi:10.1590/s0080-62342008000100013

Cited by 18 publications

(24 citation statements)

References 7 publications

(7 reference statements)

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“…In 1993, the WHO established a state of emergency and advised countries to adopt strategies to improve disease control, such as the implementation of the Directly Observed Treatment Short course (DOTS) with a view to achieve the goals established in relation to treatment success (85%) and case detection (70%), and to lessen treatment abandonment (5) .…”

Section: Introductionmentioning

confidence: 99%

“…The state of São Paulo, in Brazil, adopted the strategy in 1998 and in 2004 its coverage grew in 68.89% of the priority cities (5) . The DOTS coverage in 2004 in the city of São Paulo was 29.3% (20.9% in the Midwest, 22.9% in the Southeast, 33.2% in the East, 48.8% North and 56% in the South regions), a rate of incidence of 61/ 100,000 inhabitants, higher than the national average (48.4 in 2000), and also a rate of abandonment of 6.9%, higher than that recommended by WHO (6) .…”

Section: Introductionmentioning

confidence: 99%

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Tuberculose: tratamento supervisionado nas Coordenadorias de Saúde Norte, Oeste e Leste do Município de São Paulo

Queiroz

Bertolozzi

2010

Rev. esc. enferm. USP

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In general, the DOTS makes it possible to establish attachments and that treatment adherence is associated with the need of returning to work. The identified weaknesses were the health professionals' lack of involvement in the treatment and the irregular distribution of incentives. Results show that treatment adherence transcends the biological and individual scope, and that it is central that health professionals recognize patients as people who have specific needs that are not limited to the tuberculosis treatment. KEY WORDS RESUMENEl estudio objetivó analizar las potencialidades y límites de la estrategia del Tratamiento Directamente Supervisado (DOTS), de acuerdo el punto de vista de pacientes y empleados de Unidades Básicas de Salud de las Coordinaciones Norte, Oeste y Este de la Municipalidad de São Paulo. Las entrevistas fueron recolectadas con consentimiento libre y aclarado, y decodificadas a través de la técni-ca de análisis del discurso. Se tomó como referencia teórica la Teoría de la Determinación Social del Proceso Salud-Enfermedad. De un modo general, se identificó que el DOTS posibilita la creación de vínculo y que la adhesión al tratamiento se asocia a la necesidad de volver al trabajo. Los límites detectados fueron la ausencia de compromiso por parte de los profesionales respecto del tratamiento y la distribución irregular de incentivos. Los hallazgos revelan que la adhesión al tratamiento trasciende los ámbitos biológico e individual, apuntándose como fundamental el hecho de que los trabajadores de la salud reconozcan a los pacientes como portadores de necesidades que no se restringen al tratamiento de la tuberculosis. DESCRIPTORES

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tuberculose: tratamento supervisionado nas Coordenadorias de Saúde Norte, Oeste e Leste do Município de São Paulo

Queiroz

Bertolozzi

2010

Rev. esc. enferm. USP

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“…The TB decentralization results from a legal-juridical set that has been consolidated since the end of the 1980's, which makes the municipality the management of health actions (5)(6) . Nevertheless, the managerial decentralization finds obstacles in its operationalization, such as: the lack of technical ability and the low fiscal competence of the municipalities to take over such responsibilities, among others (1,7) .…”

Section: Resultsmentioning

confidence: 99%

“…Therefore, the little participation in these discussions does not seem to have a relation with the work period in this position. When TB is recognized as a neglected disease (1) , we come across a complex context in which PHC professionals have difficulties to diagnose TB and the health services lack the appropriate managerial organization to provide care to the patients (5) .…”

Section: Observe the Statements Belowmentioning

confidence: 99%

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A gerência da Unidade Básica de Saúde no controle da tuberculose: um campo de desafios

Protti¹,

Silva²,

Palha

et al. 2010

Rev. esc. enferm. USP

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Neste estudo analisamos a gerência das Unidades Básicas de Saúde no controle da Tuberculose em um município do interior de São Paulo. Participaram do estudo 14 gerentes; a coleta dos dados foi realizada por meio de um questionário fechado e uma questão aberta, e também por meio de entrevista com consentimento livre e esclarecido. Para o tratamento dos dados, utilizamos o Programa Statística 8.0 da Statsoft, e para os dados qualitativos, utilizamos a técnica de análise de conteúdo, modalidade temática. Fica explícita uma gerência técnico-burocrática, com debilidades nas dimensões do planejamento e organização das atividades dos serviços de saúde. Assim, os gerentes desta investigação necessitam incorporar aspectos do planejamento e organização como forma de viabilizar a política de controle da TB.

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Clinical and epidemiological characteristics associated with unfavorable tuberculosis treatment outcomes in TB-HIV co-infected patients in Brazil: a hierarchical polytomous analysis

Prado

Rajan

Miranda

et al. 2017

The Brazilian Journal of Infectious Diseases

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Cobertura do tratamento diretamente observado (DOTS) da Tuberculose no Estado de São Paulo (1998 a 2004)

Cited by 18 publications

References 7 publications

Tuberculose: tratamento supervisionado nas Coordenadorias de Saúde Norte, Oeste e Leste do Município de São Paulo

Tuberculose: tratamento supervisionado nas Coordenadorias de Saúde Norte, Oeste e Leste do Município de São Paulo

A gerência da Unidade Básica de Saúde no controle da tuberculose: um campo de desafios

Clinical and epidemiological characteristics associated with unfavorable tuberculosis treatment outcomes in TB-HIV co-infected patients in Brazil: a hierarchical polytomous analysis

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