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

Abstract

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

Fatores associados ao retratamento da tuberculose nos municípios prioritários do Maranhão, Brasil

“…Several reasons have been attributed to this situation of non-adherence to treatment, which involve social, cultural, demographic and structural barriers of health programs 25,40,41 . These cases should be addressed as a priority group, in an attempt to avoid aggravation and development of resistant bacteria, thus requiring systematic monitoring throughout the treatment.…”

Accession To Tuberculosis Treatment: Individual And Social Vulnerability Elements

“…This context explains the individual and social vulnerabilities printed in precarious conditions of life and work, which interfere in access to resources, including health ones, and those which relate to information, which in turn can distance the patient from health services, making it more difficult to realize of TB treatment [8,[30][31].…”

When is TB-Aids co-infection treatment discontinued? An analysis of the situation in Brazil

“…Thus it remains necessary to expand the screening programme to detect HIV in TB patients and vice versa, to ensure early treatment and reduce co-infection [7]. However, these strategies in themselves are not enough to reduce the level of TB-AIDS in Brazil; it is also necessary to design and implement actions to reduce social inequalities, to extend access to health services and to strengthen policies of social inclusion, taking into account that this epidemic has a major effect on the poorest groups within society [21,22].…”