Revista Brasileira de Epidemiologia
Print version ISSN 1415-790X
MARCOLINO, Alinne Beserra Lucena et al. Evaluation of access to tuberculosis control actions in the context of family health teams in Bayeux - PB. Rev. bras. epidemiol. [online]. 2009, vol.12, n.2, pp. 144-157. ISSN 1415-790X. http://dx.doi.org/10.1590/S1415-790X2009000200005.
The decentralization of Tuberculosis control actions in Primary Health Care (PHC) has imposed the reorientation of practices of Family Health Teams (FHT) and required methods that evaluate to what extent the components of PHC are being reached. This study focuses on the PHC-access component, aimed at analyzing Tuberculosis control actions in the context of the FHT in Bayeux-PB. It is an evaluative study with a quantitative approach, involving 82 healthcare workers. The tool used had seven closed questions, according to the possibilities given by a Likert type interval scale. Data were tabulated using the software Statistical Package for the Social Sciences and were analyzed according to frequency and median. Outcomes revealed the weaknesses and potentialities of access to Tuberculosis control actions. Regarding potentialities, decentralization of treatment is being established in the practice of the FHT: 92.7% of the interviewees mentioned that Tuberculosis patients always obtain appointments at units, in that 82.9% may obtain it within 24 hours; specific medication was accessible to 64.6% of the FHT. As to weaknesses, 61% of interviewees did not collect sputum; 54.9% of units do not offer care during lunch time; 89.8% do not have support for transportation; only 40.2% adopt regular home visitation. Management mechanisms that enable to standardize and use existing resources to expand FHT resolution capability, promoting efficiency in the services, assuring population access is recommended.
Keywords : Tuberculosis; Primary Health Care; Family Health.