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The respiratory symptomatics finding in priority cities for tuberculosis control in the state of São Paulo(2005).

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Author(s):
Mayra Fernanda de Oliveira
Total Authors: 1
Document type: Master's Dissertation
Press: Ribeirão Preto.
Institution: Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC)
Defense date:
Examining board members:
Tereza Cristina Scatena Villa; Antonio Ruffino Netto; Maria José Bistafa Pereira
Advisor: Tereza Cristina Scatena Villa
Abstract

The objective, of this research, was to analyze the actions taken to respiratory symptomatic finding, in the counties that have priority in the program to control the tuberculosis, in Sao Paulo state, in 2005; the study was carried out considering the perspective of the coordinators/ coordination members belonging to the municipal PCTs. To realize the study, it was adopted the qualitative methodological approach. The semi-structured interviews were accomplished with the coordinators/ coordination members belonging to the Sao Paulo counties that have priority. The coordinators of 22 counties were interviewed. The data was analyzed using the Content Analyzes method - Thematic Mode; this type of analyses allowed to name the thematic Unit: The Respiratory Symptomatic Finding under the optical of coordinators and PCTs coordination members. Related to the organization created to SR Finding, it was found that, this activity, in the basic health units, was highly decentralized; with a initial tendency to decentralize the PSFs. Without doubt, the responsibility for this activity, belongs to the health professionals allocated to the units; among the services offered, in the units, this activity has been performed as a routine practice and also through periodical campaigns; however, this routine was mostly based in the spontaneous demand. In the studied counties, the interviews given by the professionals showed that the compromise – appropriated or not appropriated – appeared in the same proportion. Also, it was observed that the units, in the counties, used other strategies to widen the actions taken to SR Finding; such as: application of the SR book; use of a SR stamp; training the health team; and, obilizations or publicity related to the SR Finding. Related to the baciloscopies analyses, it was observed that the counties have a net of structured laboratories, that make possible to strengthen the actions taken to SR Finding. (AU)