Avaliação do programa de controle da tuberculose em cenário Amazônico: Desafios em Coari

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Abstract

This is an evaluative research, a type of study case of the context and degree of implementation of the Tuberculosis Control Program (PCT) in the city of Coari, State of Amazonas, 2001-2008. Research techniques combined quantitative and qualitative approaches, using a logical model and a judgment matrix. The quantitative component used data from the Information System for Notifiable Diseases and Population Data from the Department of the Brazilian National Health System. The variables assessed were age, sex, clinical form, origin area, type of entry, diagnostic and outcome. For population there were calculated geometric interpolation, by age, gender and residence (urban or rural). The qualitative component combined techniques and sources: documentary research and observation and interview. The logical model led to the understanding of the structure, process and outcome of the PCT, and with the judgment matrix we identified the degree of implementation. The mean tuberculosis incidence was 27 cases per 100. 000 inhabitants in urban area, and 9. 4 per 100, 000 in rural area, with a male/female ratio of 1. 6. The external context assessment, surveillance and operation of the PCT showed intermediate degree of implementation. In the organizational context, the physical structure of the Health Units, human resources and effectiveness, the result was incipient. In general, the level of implementation was intermediate. Oscillations in notifications and annual rates of incidence indicate serious difficulties in the actions of the tuberculosis control. These difficulties are also associated with non-compliance with the goals of the PCT, disconnection between the PCT and the primary health care and absence of health care polices for the interior population.

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Heufemann, N. E. C., Gonçalves, M. J. F., & Garnelo, M. L. (2013). Avaliação do programa de controle da tuberculose em cenário Amazônico: Desafios em Coari. Acta Amazonica, 43(1), 33–42. https://doi.org/10.1590/S0044-59672013000100005

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