Orientation of primary care in actions to control leprosy: factors relating to professionals

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Abstract

Objective: To identify factors of professionals that relate to the degree of primary health care orientation in the control of leprosy. Method: Study carried out in 70 units of Family Health Strategy of a capital of Brazil, between July and September 2014. An evaluation instrument applied to 408 health professionals was used. The multiple linear regression-bootstrap model was applied to analyze the association of the general, essential and derived score with the explanatory factors of the professionals (work time in the unit and in primary care services, control actions, case care and leprosy training). Results: In the descriptive analysis most of the professionals did not attend cases and did not receive training to perform leprosy actions. A strong orientation was observed in the essential and general score of primary care and the association with leprosy education. In the derived score, weak orientation and association were observed with training in the disease for doctors and community health agents. Conclusion: Professional experience in the Family Health Strategy and leprosy care is crucial for the service to be a provider of control actions oriented according to the essential and derived attributes of primary health care. Brazil has made progress in reducing the incidence of leprosy; however, it is necessary to increase the effectiveness of health surveillance, as a means of early detection and training of professionals.

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Figueiredo Vieira, N., Moura Lanza, F., Martínez-Riera, J. R., Nolasco, A., & Lana, F. C. F. (2020). Orientation of primary care in actions to control leprosy: factors relating to professionals. Gaceta Sanitaria, 34(2), 120–126. https://doi.org/10.1016/j.gaceta.2019.02.011

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