Assessment of primary heath care in the treatment of TB from the perspective of health professionals and patients in Brazilian cities

• Grant number: 11/09469-6
• Support Opportunities: Regular Research Grants
• Start date: September 01, 2011
• End date: February 28, 2014
• Field of knowledge: Health Sciences - Nursing - Public Health Nursing
• Principal Investigator: Tereza Cristina Scatena Villa
• Grantee: Tereza Cristina Scatena Villa
• Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• Associated researchers: Aline Aparecida Monroe ; Antonio Ruffino Netto ; Pedro Fredemir Palha

Abstract

The objective of the present research project was to assess Primary Health Care Services for treatment of tuberculosis (TB) in cities of Brazil. The method used included both the quantitative and the qualitative approaches. The cities were chosen based on the model of TB care in different regions: Ribeirão Preto (SP), São José do Rio Preto (SP), Uberaba (MG), Rio de Janeiro (RJ), João Pessoa (PB) Cabedelo (PB) Natal (RN), and Foz do Iguaçú (PR). The study population consisted of TB patients and health professionals involved with the treatment of TB, and were key informers. In the quantitative approach data were collected through primary sources (structured interviews) and secondary sources (TB-WEB and SINAN information systems, medical records, and registration forms). For the interviews with the professionals a structured tool was used to collect data on the service regarding structure, process, and results, which were assessment categories and were weighed differently and classified as "satisfactory" or "unsatisfactory". The content of the tool was validated so as to verify items and ratings adequacy. A Multiple Correspondence Factorial Analysis was used to find association between components of the structure and process with treatment outcome. Patients undergoing treatment completed a structured questionnaire to evaluate attention required and received and the data collected were analyzed by means of descriptive statistical techniques. In the qualitative approach, semi-structured interviews including issue-related questions were conducted with health care professionals and content analysis techniques were used. The project aimed to support new public policies for the treatment of TB. (AU)

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

DA SILVA, DAIANE MEDEIROS; NOGUEIRA, JORDANA DE ALMEIDA; DE SA, LENILDE DUARTE; WYSOCKI, ANNELIESE DOMINGUES; SCATENA, LUCIA MARINA; SCATENA VILLA, TEREZA CRISTINA. Avaliação de desempenho de Serviços da Atenção Básica para o tratamento da tuberculose. Revista da Escola de Enfermagem da USP, v. 48, n. 6, p. 1041-1050, DEC 2014. (11/09469-6)

SCATENA, LUCIA MARINA; WYSOCKI, ANNELIESE DOMINGUES; BERALDO, ALINE ALE; MAGNABOSCO, GABRIELA TAVARES; FIRMINO BRUNELLO, MARIA EUGENIA; NETTO, ANTONIO RUFFINO; NOGUEIRA, JORDANA DE ALMEIDA; SILVA SOBRINHO, REINALDO ANTONIO; GOMES BRITO, EWERTON WILLIAM; DIAS ALEXANDRE, PATRICIA BORGES; et al. Validação e confiabilidade: instrumento para avaliação de serviços que tratam tuberculose. Revista de Saúde Pública, v. 49, 2015. (11/09469-6)

ANNELIESE DOMINGUES WYSOCKI; MARIA AMÉLIA ZANON PONCE; MARIA EUGÊNIA FIRMINO BRUNELLO; ALINE ALE BERALDO; SILVIA HELENA FIGUEIREDO VENDRAMINI; LÚCIA MARINA SCATENA; ANTONIO RUFFINO NETTO; TEREZA CRISTINA SCATENA VILLA. Atenção Primária à Saúde e tuberculose: avaliação dos serviços. Revista Brasileira de Epidemiologia, v. 20, n. 1, p. 161-175, 2017-03-00. (11/09469-6, 11/08381-8)