Abstract
The objective of this study was to identify the capacity to offer and execute Primary Healthcare services to people with tuberculosis in a municipality in the Brazilian Northeast. It is a quantitative cross-sectional study of 100 primary health care professionals from the city of Natal/RN. A validated questionnaire was used to assess tuberculosis care. Data were analyzed using descriptive statistics. It was obtained that the interests of the management of the unit to promote changes in the attention to the disease, the goals agreed and registered by the health unit and the records related to the support of the professionals of the health unit were classified with limited capacity. The accomplishment of the teamwork and the prioritization of the improvement of the assistance by the management of the unit were classified with basic capacity. It is concluded that the training of professionals for the control of tuberculosis in Primary Health Care has an unfavorable capacity.
References
World Health Organization. Global tuberculosis report. 2017. Geneva: World Health Organization; 2017.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Brasil Livre da Tuberculose: Plano Nacional pelo Fim da Tuberculose como Problema de Saúde Pública. Brasília: Ministério da Saúde. 2017.
Solovic I, Abubakar I, Sotgiu G, Dara M, Goletti D, Duarte R, et al. Standard operating procedures for tuberculosis care. Eur Respir J. 2017;49(6):1-3. DOI: http://dx.doi.org/10.1183/13993003.00515-2017
Maciel ELN. Post-2015 agenda strategies for tuberculosis control in Brazil: challenges and opportunities. Epidemiol Serv Saúde. 2016;25(2):423-6. DOI: http://dx.doi.org/10.5123/s1679-49742016000200021
Wysocki AD, Ponce MAZ, Brunello MEF, Beraldo AA, Vendramini SHF, Scatena LM, et al. Atenção Primária à Saúde e tuberculose: avaliação dos serviços. Rev Bras Epidemiol. 2017;20(1):161-75. DOI: http://dx.doi.org/10.1590/1980-5497201700010014.
Macedo SM, Andrade RPS, Souza CRBA, Andrade ASS, Villa TCS, Pinto ESG. Strategies for tuberculosis care training. Cogitare Enferm. 2016;21(3):1-8. DOI: http://dx.doi.org/10.5380/ce.v21i3.45339.
Silva DM, Farias HBG, Villa TCS, Sá LD, Brunello MEF, Nogueira JA. Care production for tuberculosis cases: analysis according to the elements of the Chronic Care Model. Rev Esc Enferm USP. 2016; 50(2):237-44. DOI: http://dx.doi.org/10.1590/S0080-623420160000200009.
Ponce MAZ, Wysocki AD, Arakawa T, Andrade RLP, Vendramini SHF, Silva Sobrinho RA, et al. Atraso do diagnóstico da tuberculose em adultos em um município paulista em 2009: estudo transversal. Epidemiol Serv Saúde. 2016; 25(3):553-62. DOI: http://dx.doi.org/10.5123/S1679-49742016000300011.
Costa HMGS, Leite AR, Lima JP, Pedrosa KSC, Fernandes NT, Duarte VF. The importance of teamwork in the effectiveness of directly observed treatment of tuberculosis. Rev Enferm UFPE On Line. 2016;10(4):1202-9.
Cecílio HPM, Marcon SS. O tratamento diretamente observado da tuberculose na opinião de profissionais de saúde. Rev Enferm UERJ. 2016; 24(1):e8425. DOI: http://dx.doi.org/10.12957/reuerj.2016.8425.
Almeida PF, Fausto MCR, Giovanella L. Fortalecimento da atenção primária à saúde: estratégia para potencializar a coordenação dos cuidados. Rev Panam Salud Pública. 2011; 29(2):84-95. DOI: http://dx.doi.org/10.1590/S1020-49892011000200003.
Antunes LB, Tomberg JO, Harter LJ, Lima LM, Beduhn DAV, Gonzales RIC. Sintomático respiratório na Atenção Primária: avaliação das ações segundo recomendações nacionais. Rev RENE. 2016; 17(3):409-15.
Lopes LMG, Vieira NF, Lana FCF. Análise dos atributos da Atenção Primária à Saúde na atenção à tuberculose no Brasil: uma revisão integrativa. Rev Enferm Cent-Oeste Min. 2015; 5(2):1684-703.
Wendling APB, Modena CM, Schall VT. Abandonment of tuberculosis treatment in the perspective of health centers managers in Belo Horizonte-MG, Brazil. Texto & Contexto Enferm. 2012; 21(1):77-85. DOI: http://dx.doi.org/10.1590/S0104-07072012000100009.
Ponce MAZ, Vendramini SHF, Santos MR, Santos MLSG, Scatena LM, Villa TCS. The establishment of bonds between professional and patient in TB treatment: the performance of primary health care services in a city in the interior of São Paulo. Rev Latinoam Enferm (Online). 2011; 19(5):1222-9. DOI: http://dx.doi.org/10.1590/S0104-11692011000500021.
Andrade HS, Oliveira VC, Gontijo TL, Pessôa MTC, Guimarães EAA. Avaliação do Programa de Controle da Tuberculose: um estudo de caso. Saúde Debate. 2017; 41(spe):242-58. DOI: http://dx.doi.org/10.1590/0103-11042017s18.
Santos TMMG, Nogueira LT, Arcêncio RA. Professional practice of the Family Health Strategy in tuberculosis control. Acta Paul Enferm. 2012;25(6):954-61. DOI: http://dx.doi.org/10.1590/S0103-21002012000600020.
Sá LD, Barrêto AJR, de Oliveira AAV, Pinheiro PGOD, Nogueira JA. A organização da estratégia saúde da família e aspectos relacionados ao atraso do diagnóstico da tuberculose. Cogitare Enferm. 2011; 16(3):437-42. DOI: http://dx.doi.org/10.5380/ce.v16i3.21245.
Ponce MAZ, Wysocki AD, Scatolin BE, Andrade RLP, Arakawa T, Ruffino Netto A, et al. Diagnóstico da tuberculose: desempenho do primeiro serviço de saúde procurado em São José do Rio Preto, São Paulo, Brasil. Cad Saúde Pública. 2013; 29(5):945-54. DOI: http://dx.doi.org/10.1590/S0102-311X2013000500012.