Access to tuberculosis diagnosis in a municipality of the Western Amazon: health professionals’ perspective
DOI:
https://doi.org/10.17058/reci.v13i2.18114Keywords:
Tuberculose, Pessoal de saúde, Diagnóstico, Serviços de saúdeAbstract
Background and Objective: identifying the factors that weaken access to tuberculosis diagnosis allows assessing the actions and surveillance strategies of Primary Health Care (PHC), in addition to ensuring follow-up and monitoring of cases. This study aimed to analyze the dimension of access to diagnosis in PHC from health professionals’ perspective in a municipality in the Western Amazon. Methods: this is a descriptive survey-type study, carried out in a cross-sectional way and with a quantitative approach in Porto Velho with professionals who work in PHC in the urban area through interviews with the Primary Care Assessment Tool questionnaire, validated for Brazil and adapted for tuberculosis care. Only the access to diagnosis dimension of the version for health professionals was considered, which has twelve variables and presents categories of responses according to the Likert scale. Data were analyzed using descriptive statistics, after complying with ethical precepts. Results: a total of 266 professionals were interviewed, and the mean score was classified as regular as well as they almost always have difficulty obtaining information over the phone; sometimes they use motorized transport; have costs with public transport to travel to the health unit; and sometimes they miss a work shift or appointment for the appointment. Conclusion: it is essential to reflect on the role with PHC insertion and resolvability as well as adequate clinical conduct, considering the epidemiological data that remain challenging in the municipality.
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References
. World Health Organization. Global Tuberculosis Report 2020. Geneva: WHO; 2020.
Ministério da Saúde (Brasil). Secretaria de Vigilância em Saúde. Boletim Epidemiológico da Tuberculose. Brasília, n. esp., março. 2021.
Ministério da Saúde (Brasil). Secretaria de Vigilância em Saúde. Manual de Recomendações para o Controle da Tuberculose no Brasil. Brasília: Ministério da Saúde, 2019.
Freitas PR, Honda ER, Pinto ESG, et al. Intervenção educativa sobre tuberculose para Agentes Comunitários de Saúde em unidades da Atenção Primária à Saúde em um município da Região Norte. Desafios - Revista Interdisciplinar da Universidade Federal do Tocantins 2020, 7(3):145-157. https://doi.org/10.20873/uftv7-8556
Mendes EV. A construção social da atenção primária à saúde. Brasília, CONASS, 2015.
Silva LT, Felipini MCC, Oliveira TB de, et al. Perfil epidemiológico da tuberculose no serviço de referência do estado de Rondônia. Revista de Epidemiologia e Controle de Infecção 2019; 9(1):48-54. https://doi.org/10.17058/reci.v9i1.12249
Villa TCS, Brunello MEF, Andrade RL de P. Capacidade gerencial da atenção primária à saúde para o controle da tuberculose em diferentes regiões do Brasil. Texto & Contexto – Enfermagem 2018, 27(4):e1470017. https://doi.org/10.1590/0104-07072018001470017
Marahatta SB, Yadav RK, Giri D, et al. Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: a qualitative study among patients, community members and health care workers. Plos One 2020; 15(1):1-18. https://doi.org/10.1371/journal.pone.0227293
Ferreira MRL, Bonfim RO, Siqueira TC, et al. Abandono do tratamento da tuberculose: uma revisão integrativa: uma revisão integrativa. Revista Enfermagem Contemporânea 2018;7(1):63-71. https://doi.org/10.17267/2317-3378rec.v7i1.1579
Starfield B. Atenção Primária, equilíbrio entre necessidades de saúde, serviços-tecnologia. Brasília: UNESCO, Ministério da Saúde, 2002.
Almeida C, Macinko J. Validação de uma metodologia de avaliação rápida das características organizacionais e do desempenho dos serviços de Atenção Básica do Sistema Único de Saúde (SUS) em nível local. Brasília, DF: Ministério da Saúde, 2006.
Villa TCS, Ruffino-Netto A. Tuberculose: pesquisas operacionais. 1. ed. Ribeirão Preto: FUNPEC Editora, 2009.
Zawedde-Muyanja S, Nakanwagi A, Dongo JP, et al. Decentralization of child tuberculosis services increases case finding and uptake of preventive therapy in Uganda. The International Journal of Tuberculosis and Lung Disease 2018; 22(11):1314-1321. https://doi.org/10.5588/ijtld.18.0025
Ereso BM, Ymer SA, Grandmann C, et al. Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study. Plos One 2020, 15(1): e0226307. https://doi.org/10.1371/journal.pone.0226307
Oliveira AH, Pinto AGA, Lopes M do SV, et al. Therapeutic itinerary of people with tuberculosis in face with their health needs. Escola Anna Nery 2019; 23(3):e20190034. https://doi.org/10.1590/2177-9465-EAN-2019-0034
Tomberg JO, Spagnolo L de ML, Harter J, et al. Comportamento de busca por serviços de saúde para a detecção da tuberculose. Revista de Enfermagem da UFSM 2020; 10:1-18. https://doi.org/10.5902/2179769241815
Baumgarten A, Hilgert JB, Pinto IC, et al. Facility infrastructure of primary health services regarding tuberculosis control: a countrywide cross-sectional study. Primary Health Care Research & Development 2018; 20:e67. https://doi.org/10.1017%2FS1463423618000646
Gali JH, Varma HV, Badam AK. Hurdle in the eradication of tuberculosis: delay in diagnosis. The Egyptian Journal of Chest Diseases and Tuberculosis 2018; 68(1):32-38. https://doi.org/10.4103/ejcdt.ejcdt_124_18
Shiferaw MB, Zegeye AM. Delay in tuberculosis diagnosis and treatment in Amhara state, Ethiopia. BMC Health Services Research 2019; 19, 232. https://doi.org/10.1186/s12913-019-4056-7
Spagnolo LML, Tomberg JO, Martins MD da R, et al. Detecção da tuberculose: a estrutura da atenção primária à saúde. Revista Gaúcha de Enfermagem 2018, 39:e20180157. https://doi.org/10.1590/1983-1447.2018.20180157
Vyas A, Creswell J, Codlin AJ, et al. Community-based active case-finding to reach the most vulnerable: tuberculosis in tribal areas of India. The International Journal of Tuberculosis and Lung Disease 2019; 23(6):750-755. https://doi.org/10.5588/ijtld.18.0741
Kweza PF, Schalkwyk, Abraão N, et al. Estimating the magnitude of pulmonary tuberculosis patients missed by primary health care clinics in South Africa. The International Journal of Tuberculosis and Lung Disease 2018; 22(3):264-272. https://doi.org/10.5588/ijtld.17.0491
Rodríguez-Márquez I, Montes F, Upegui LD. et al. Delays in diagnosing pulmonary tuberculosis within a context of medium incidence, Medellín, Colombia, 2017: a operational research. BMC Public Health 2020; 20(1):757. https://doi.org/10.1186/s12889-020-08829-9
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