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Impact of COVID-19 on Tuberculosis control in the State of São Paulo-Brazil: analysis of morbidity and mortality indicators and coping strategies by digital health

Grant number: 23/01758-6
Support Opportunities:Scholarships in Brazil - Doctorate
Effective date (Start): September 01, 2023
Effective date (End): December 31, 2026
Field of knowledge:Health Sciences - Nursing - Public Health Nursing
Principal Investigator:Ricardo Alexandre Arcêncio
Grantee:Yan Mathias Alves
Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

Tuberculosis (TB) is a disease of magnitude, of social relevance, affecting mainly developing countries, with a dramatic picture of poverty. Brazil is on the list of affected countries, in which, despite the progress towards the goal of the End of TB, prevention, diagnosis, and treatment are challenging. The percentage of cure among those diagnosed does not even reach 72%. What seemed critical, with the pandemic of COVID-19, may have worsened, due to the dismantling of policies aimed at confronting the disease, stress generated in health services, and changes in TB epidemiology. Important strategies, such as the DOTS, which were successful in controlling the disease by printing a logic of orientation towards person-centered care, have had their activities suspended. The inclusion of TB in the political agenda was a questionable keynote for the Social Movements, and their actions may have had a portentous effect in protecting families affected by TB. Technological innovations have been required by the services, notably through digital health, to remotely follow up on people affected by the disease, but many professionals found themselves without this resource. Thus, this study aims to evaluate the impact of COVID-19 on the prevention and control of tuberculosis. To this end, the project is structured in two Axes, which are: Axis 1, epidemiological, there will be TB and COVID-19 data survey to conform the cohorts and thus evaluate the real impact of the pandemic on TB epidemiology. In Axis 2, a technology will be introduced to monitor users with TB (the VDOT) in some municipalities of the five macro-regions selected on the basis of Axis 2. At the end, the impact of the VDOT on adherence and care will be verified. (AU)

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