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The civil societys organizations and the tuberculosis control program an analysis of the partnerships of the state of São Paulo/ Brazil

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Author(s):
Elisangela Martins de Queiroz
Total Authors: 1
Document type: Master's Dissertation
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Escola de Enfermagem (EE/SBD)
Defense date:
Examining board members:
Maria Rita Bertolozzi; Alba Idaly Muñoz Sanchez; Renata Ferreira Takahashi
Advisor: Maria Rita Bertolozzi
Abstract

The objective of this study was to identify and characterize some partnerships oriented towards tuberculosis control set between non governmental organizations (NGOs) and the Tuberculosis (TB) Control Program in the State of São Paulo. It also analyzes the actions implemented in order to check their potential responses to the diseases determinants. The study had a qualitative approach and used the snowball technique to select its subjects. Data were collected from March to July 2010 by means of semi-structured interviews. 6 subjects of governmental agencies and 13 subjects of the civil societys organizations participated in the study. The analysis was based on the social determination of the health-disease process and Gramscis concepts of State and civil society. The project was approved by the Committee of Ethics in Research and the subjects were invited to join the study by signing a Free and Informed Consent Form. Their statements were analyzed according to the speech analysis techniques. The results disclosed that the partnerships were stimulated by the federal government; their target-population were the population in general and some specific groups (vulnerable to the disease); most of them were financed by the Global Fund; the State did not systematically monitored the program, the projects financers did; and the relationship agreed among the parties was more informal and based on each partys commitment. About the actions implemented, they were focused on promoting social control, cross-sectional actions, divulging information on the disease and, with less emphasis, on doing tasks that are responsibilities of the State. Generally speaking, the NGOs did not have sick people with TB among its members, but they were the target of their actions. The role of the State in the partnerships was to stimulate and support, while the NGOs implemented the actions. The analysis showed that the partnerships actions were based on the understanding that TB is related to social exclusion and that it is necessary to defend the rights of the sick. They were also able to make the government come closer to certain groups of population. So, partnerships seem to contribute to decrease the vulnerabilities to which TB carriers are exposed; however, they failed to disclose the base of social exclusion and structural contradictions of the society which determine TB. (AU)

FAPESP's process: 09/12977-3 - Public-private partnership and the tuberculosis control - an analysis of the state of Sao Paulo/ Brazil
Grantee:Elisangela Martins de Queiroz
Support Opportunities: Scholarships in Brazil - Master