Primary Prison Care Teams and tuberculosis notification in Rio Grande do Sul/Brazil

Abstract

This paper aims to describe the implementation process of the Prison Primary Care Teams in Rio Grande do Sul, the frequency of tuberculosis notifications in people deprived of liberty, and their chronological relationship. This documentary research is nested in a descriptive cross-sectional study of historical series. We analyzed the decrees on the qualification of Prison Primary Care Teams, the number, and the year of notification of tuberculosis cases from the National System of Notifiable Diseases from 2014 to 2020. The state of Rio Grande do Sul pioneered prison health municipalization and shared financing, which resulted in the implementation of 45 teams, covering approximately 54.5% of people deprived of liberty a closed regime. The teams notified 5,175 cases of tuberculosis from 2014 to 2020, with a progressive increase in the notification of cases and the implementation of new teams. The strategy of implementing Prison Primary Care Teams driven by the National Comprehensive Health Care Policy for People Deprived of Liberty in the Prison System was crucial for increasing TB diagnosis, notification, and control in Rio Grande do Sul.

Continuing health education as a tuberculosis control strategy in the prison system

“…Currently, there are 45 eAPP distributed in penal institutions throughout the state of Rio Grande do Sul, most of which are overcrowded. 2 …”

“…Atualmente, existem 45 eAPP distribuídas em instituições penais de todo o estado, a maioria superlotada. (2) A necessidade de ampliar e aprimorar as ações de atenção à tuberculose, vigilância da tuberculose e gestão do controle da tuberculose, conforme recomendado pelos órgãos de saúde nacionais e internacionais, (3,4) estimulou o desenvolvimento de atividades de educação permanente em saúde com foco nas pessoas privadas de liberdade. (5) O Programa de Educação Permanente em Saúde -Sistema Prisional (PEPSSP) ocorreu de 6 de julho a 14 de dezembro de 2021, sendo voltado para servidores do sistema prisional, gestores, representantes do controle social e a comunidade acadêmica.…”