Vulnerabilidade programática no controle da hanseníase: padrões na perspectiva de gênero no Estado da Bahia, Brasil

Abstract

6; IC95%: 3,5;7,7) em comparação aos homens (AAPC = 3,0; IC95%: 0,5;5,6) 5;9; 0,0), comparados às mulheres 4;7;1). A proporção de casos em abandono de tratamento no período foi de 5,5%, com tendência de redução mais significativa entre mulheres 9;7; -1,1) do que em homens 7;4;0). Recidiva foi verificada em 3,8% de todas as entradas do período; as mulheres apresentaram tendência de redução significativa 2;3;0) e os homens, de crescimento significativo (AAPC = 4,9; IC95%: 2,9;6,8 . A proporção de cura na coorte 2003-2014 foi de 85%, com tendência de redução mais acentuada nos homens Hanseníase; Estudos de Séries Temporais; Gênero e SaúdeEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.Souza EA et al.

Epidemiology and Spatiotemporal Patterns of Leprosy Detection in the State of Bahia, Brazilian Northeast Region, 2001–2014

“…Consequently, health professionals should be trained systematically to perform diagnosis, treatment and psychosocial rehabilitation of cases. However, several studies revealed operational difficulties of primary health services in the development of leprosy control measures [5,6,32], such as contact tracing [6]. Therefore, municipalities of medium and small size should be prioritized and must receive attention from State and Federal governments in order to strengthen regional support networks.…”

“…Therefore, municipalities of medium and small size should be prioritized and must receive attention from State and Federal governments in order to strengthen regional support networks. A previous study from the state of Bahia revealed that from 2003 to 2014, only 47% of leprosy contacts were examined [5]. The proportion of cases diagnosed by contact tracing reduced from 18% in 2004 to 8% in 2014.…”

“…The proportion of cases diagnosed by contact tracing reduced from 18% in 2004 to 8% in 2014. It is important to focus on contact surveillance as a priority strategy for the control of leprosy, following the recommendation of the Brazilian Ministry of Health [1,4,5]. More than 80 municipalities of Bahia maintained high or very high detection rates in children, evidencing considerable ongoing transmission [4].…”

“…In addition, the detection of under-notifications and hidden endemic scenarios in neighboring areas is important, as low endemicity levels in some areas may be related to the poor quality of health services in the realm of active case finding and early diagnosis, not due to the absence of transmission [5,6,32]. …”

“…However, due to operational difficulties within the SUS, there are still shortcomings regarding coverage and quality of control and prevention measures [5,6]. …”