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- Title
LOCAL AND HEALTH SYSTEMS CONTEXTS IN TUBERCULOSIS CONTROL, STATE OF SÃO PAULO.
- Authors
Tiemi Arakawa; Tavares Magnabosco, Gabriela; Firmino Brunello, Maria Eugênia; de Paula Andrade, Rubia Laine; Saita, Nanci Michele; Aparecida Monroe, Aline; Scatena Villa, Tereza Cristina
- Abstract
Objective: to evaluate tuberculosis control in 44 municipalities in São Paulo according to aspects of the external, political-organizational and technical-operational context of local health systems. Method: operational study of cluster analysis using operational and outcome indicators of new cases of tuberculosis for the years 2014 and 2015; and hypothesis test for proportion to identify association of groups with population size, Gini index, coverage of Community Health Agents Program and Family Health Strategy and per capita expenditure in primary care and epidemiological surveillance. Results: the first group (n=19) presented satisfactory results of operational indicators and outcome; the second (n=5) had regular performance (satisfactory outcome and unsatisfactory for directly observed treatment) and was associated with low Gini index and lower proportion of PACS; the third (n=20) group, with poor performance, was associated with a higher Gini index and small population size. Conclusion: the findings highlighted the relationship between socioeconomic aspects and the performance of tuberculosis control actions.
- Subjects
BRAZIL; TUBERCULOSIS prevention; CLUSTER analysis (Statistics); COMMUNITY health services; CUSTOMER satisfaction; ECOLOGICAL research; LOCAL government; RESEARCH methodology; MEDICAL care; PRACTICAL politics; RESEARCH; RESEARCH funding; DESCRIPTIVE statistics
- Publication
Revista Mineira de Enfermagem, 2020, Issue 24, p1
- ISSN
1415-2762
- Publication type
Article
- DOI
10.5935/1415-2762.20200025