Onde estamos e aonde vamos no que toca ao controle da tuberculose

Teixeira, Gilmário M.

doi:10.5123/s0103-460x2004000100001

Cited by 2 publications

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“…Nowadays, TB leads as the cause of death by infectious diseases among adults, despite the technological advancements and the available health actions for its control and even eradication (2) . According to the WHO, one third of the global population is infected by TB.…”

Section: Introductionmentioning

confidence: 99%

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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Section: Introductionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

show abstract

“…Com esta investigação pretendemos colaborar na produção de conhecimentos teóricos e operacionais que possibilitem (re)pensar ações e intervenções locais na atenção à TB, bem como seus indicadores epidemiológicos. A TB ainda ocupa em nossos dias a liderança mundial como causa de morte por doença infecciosa entre adultos, apesar dos avanços tecnológicos e de ações de saúde disponíveis para controlá-la e até mesmo erradicá-la (TEIXEIRA, 2004). Segundo a OMS um terço da população mundial está infectada com a TB sendo dois bilhões de infectados, oito milhões que desenvolverão a doença e 1,8 milhões morrerão dela (BRASIL,2004).…”

Section: Gráficounclassified

A visão dos gerentes das unidades básicas de saúde sobre a tuberculose na agenda municipal, em um município do Estado de São Paulo

Protti¹

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In this study we analyzed the view of Basic Health Unit (BHU) managers about the Tuberculosis (TB) issue in a city in the interior of São Paulo state. Fourteen BHU managers participated in the study. Data collection took place through interviews that focused on "TB in the municipal agenda". A closed questionnaire was administered, and, at the end, an open question was also applied, which allowed for subjects to freely express the difficulties to control TB in the scope of local management. The interview was carried out after obtaining free and informed consent. Data analysis was performed using the Statsoft software Statística 8.0, which was also used to create simple frequency tables, and thematic content analysis was used for the qualitative data. Thus, three thematic categories emerged: 1) Managing the BHU in TB control: a field of challenges; 2) Managerial actions for TB control in Primary Care (PC); strengths and limits; 3) TB Control in PC: the managerial view. The study subjects have worked as managers for over five years and most consider TB a priority disease in the local health setting. In fact, 81.3% of them consider it a priority disease in the municipal health setting, and only 12.5% state that they sometimes consider it a priority. As to their participation in the discussion and definition oft TB control actions in the city, over 50% sometimes or almost never participate. This shows how deep these managers are imbued with this theme. We observed that TB is strongly focused in PC, i.e., in the campaigns and TB week. This characteristic of "focusing" on actions, present in the subjects' statements, recalls the present culture of the local health system organization, having an effect on the field of planning. Managers reported there is a delay in diagnosis, which implies that the patient comes back several times to the health unit searching for a solution to his or her symptoms. In addition to that delay, subjects also state the stigma, which also needs to be solved since both have a direct effect on the planning and organization of TB control actions in PC. The data show that 50% of the managers do not participate and/or do not know about the definition of specific lines for TB, in terms of transferring resources in the municipality. Underreported cases are a concern pointed out by managers who have little knowledge about the Tuberculosis Control Program (TCP), as well as TB cases in their area. Their statements clearly state a technicalbureaucratic management, deficient in the activity planning and organization dimensions at the BHU they manage. Hence, health care managers in the studied context need to recompose management aspects like planning and organization as ways to make the TB control policy feasible according to the legal precepts and regulations inherent in the TCP.

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Onde estamos e aonde vamos no que toca ao controle da tuberculose

Cited by 2 publications

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

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

A visão dos gerentes das unidades básicas de saúde sobre a tuberculose na agenda municipal, em um município do Estado de São Paulo

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