O tratamento supervisionado no controle da tuberculose em Ribeirão Preto sob a percepção do doente.

Abstract

Villa (TITE). Agradeço a acolhida que tive desde o início desta caminhada, a orientação e estímulo que me fizeram crescer como ser humano e profissional.

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

“…In fact, the interviews revealed that almost all professionals accompanying patients or who were responsible for ST in the health unit belonged to the nursing team. This fact was identified in other studies carried out in Ribeirão Preto and in the West and Central regions of the city of São Paulo (9,(11)(12)(13) .…”

“…The results found in this study are in agreement with that of others concerning the fact that there are patients who do not even mention the word Tuberculosis (thing) and do not accept the diagnosis. It reflects the perseverance of stigma and discrimination (9)(10)(11)(12) .…”

“…The isolation of patients from others (such as family members) and the segregated use of objects, which worsens discrimination, is a negative practice still recommended by professionals (12) . A professional in this study reported acting this way trying to reassure patients.…”

“…Another study in which interventions that seek to overcome biological and social vulnerabilities, even minimal ones, are among the goals of workers and confer dignity on patients (12) .…”

“…Another study indicates that these incentives are part of a very common ideology in Brazil, which integrates socalled philanthropy (12) . The author of this study states that such practice, […] not being well managed can result in further exclusion of these patients… Another study suggests that the heterogeneity of incentive distribution in the city of São Paulo has negative repercussions on the Brazilian Tuberculosis Control Program (TCP) and that ST cannot depend on arrangements in which only some sub-districts include patients in the program, while others depend on donations (3) .…”