Adherence to treatment of multidrug-resistant tuberculosis from the perspective of social epidemiology

• Grant number: 12/24413-0
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate
• Start date: October 01, 2013
• End date: August 31, 2014
• Field of knowledge: Health Sciences - Collective Health - Epidemiology
• Principal Investigator: Maria Rita Bertolozzi
• Grantee: Kuitéria Ribeiro Ferreira
• Supervisor: Carles Muntaner
• Host Institution: Escola de Enfermagem (EE). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Institution abroad: University of Toronto (U of T), Canada
• Associated to the scholarship: 10/18892-7 - Adherence to treatment of multidrug-resistant tuberculosis, BP.DR

Abstract

Adherence to treatment is central role in tuberculosis control and constitutes one of the most important issues of the daily care and one of the challenges in controlling the disease, mainly due to multidrug resistance that not only deepen the suffering of those affected and those who live with, causing major repercussions in the economic realm, both for the individual and for the government, as it subtracts the sick from work substantively the treatment cost. It is found in the literature few studies on adherence, in view of the social determinants of health and disease and to treat this issue in the realm of processes leading to accession, namely dealing with otherness positive. This project is part of a matrix project that is being developed in a PhD course and aims to conduct along the internationally recognized researchers, analysis and discussion of the data obtained in the main project and see how it handles the adherence of multidrug-resistant tuberculosis (MDRTB). The research is descriptive and the methodological procedures are qualitative. It will use the theoretical framework of Social Determination of the Health-Disease and Dialectics Hermeneutics. The empirical material was collected from April to November 2012, through interviews with patients with MDRTB, and is accompanied by a referral unit for the treatment of MDRTB in the State of Sao Paulo, after medical rising for healing. The data characterizing the profile of personal characteristics, life and work of the subjects are being systematized in Excel and Epi Info. Their statements were recorded and will be transcribed verbatim and analyzed according to analysis technique suitable discourse. The ethical aspects have been observed. The analysis of the empirical material with the substrate Social Determination of Health-Disease and the Epidemiology Social will be therefore viable in the development of this proposal together the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto. (AU)