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Assessment of Primary Health Care in the Treatment of Tuberculosis in a Brazilian Locality of the International Triple Frontier.

Authors
  • Silva-Sobrinho, Reinaldo Antonio1
  • Wysocki, Anneliese Domingues2
  • Scatena, Lúcia Marina3
  • Pinto, Erika Simone Galvão4
  • Beraldo, Aline Ale5
  • Andrade, Rubia Laine Paula5
  • Zilly, Adriana1
  • Munhak da Silva, Rosane Meire1
  • Gomes, Michela Prestes5
  • Mayer, Paulo César Morales1
  • Ruffino-Netto, Antonio5
  • Villa, Tereza Cristina Scatena5
  • 1 Universidade Estadual do Oeste do Paraná, Foz do Iguaçu, Brazil. , (Brazil)
  • 2 Universidade Federal do Mato Grosso do Sul, Três Lagoas, Brazil. , (Brazil)
  • 3 Universidade Federal do Triangulo Mineiro, Uberaba, Brazil. , (Brazil)
  • 4 Universidade Federal do Rio Grande do Norte, Natal, Brazil. , (Brazil)
  • 5 Universidade de São Paulo, Ribeirão Preto, Brazil. , (Brazil)
Type
Published Article
Journal
The open nursing journal
Publication Date
Jan 01, 2017
Volume
11
Pages
124–134
Identifiers
DOI: 10.2174/1874434601711010124
PMID: 29204229
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To evaluate the performance of Primary Health Care (PHC) in treatment of TB patients in a triple international border municipality. The present study was an evaluative survey of cross-sectional and quantitative approach conducted with 225 PHC healthcare professionals. Data was collected through a structured and validated instrument, which provided five indicators of "structure" and four indicators of "process" classified as unsatisfactory, regular or satisfactory. The "structure" component was unsatisfactory for the indicator of professionals involved in TB care and training, and regular for the indicator of connection between the units and other levels of care. The "process" component was regular for the indicators of TB information, directly observed treatment and reference and counter reference on TB, and unsatisfactory for external actions on TB control. The "structure" and "process" components points out some weaknesses in terms of management and organization of human resources. Low frequency of training and the turnover influenced the involvement of professionals. Elements of "structure" and "process" show the need for investing in the PHC team and improving the clinical management of cases.

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