p. 1-38 / Submitted by Santiago Fabio (fabio.ssantiago@hotmail.com) on 2013-04-23T20:37:59Z No. of bitstreams: 1 44444444.pdf: 639088 bytes, checksum: 4e30ebf9edb1a60e107b4e1461e251d6 (MD5) / Approved for entry into archive by Maria Creuza Silva(mariakreuza@yahoo.com.br) on 2013-05-04T17:32:06Z (GMT) No. of bitstreams: 1 44444444.pdf: 639088 bytes, checksum: 4e30ebf9edb1a60e107b4e1461e251d6 (MD5) / Made available in DSpace on 2013-05-04T17:32:06Z (GMT). No. of bitstreams: 1 44444444.pdf: 639088 bytes, checksum: 4e30ebf9edb1a60e107b4e1461e251d6 (MD5) Previous issue date: 2007 / OBJETIVO: Verificar a efetividade da estratégia DOTS para tuberculose e os percentuais de cura e de abandono em municípios brasileiros, além de comparar as coberturas do Programa Saúde da Família (PSF) e os percentuais de cura e de abandono nos municípios prioritários. MÉTODOS: Estudo ecológico exploratório de agregado espacial, em 114 municípios prioritários para tuberculose em 2004 e 109 em 2005 nos estados do Amazonas, Mato Grosso, Pernambuco, Rio Grande do Sul e São Paulo, utilizando-se dados da coorte de casos de tuberculose. RESULTADOS: Porto Alegre apresentou nos dois anos o menor percentual de Unidades de Saúde com Programa de Controle da Tuberculose e DOTS implantados e menor cobertura do Programa Saúde da Família, contudo não foi a capital com menores percentuais de cura no mesmo período. Da mesma forma, os municípios do Rio Grande do Sul foram os com menores coberturas DOTS, mas não necessariamente os com menores proporções de cura e de abandono quando comparados aos das outras Unidades Federadas do estudo. Cuiabá foi a capital com maiores coberturas DOTS, maiores percentuais de cura e menores de abandono. Nenhuma das capitais atingiu os 85% de cura e 5% de abandono preconizados pelo Ministério da Saúde. A mediana da cura entre os municípios selecionados no período variou em 2005, de 63,6% em Pernambuco a 81,7% no Amazonas, em 2004. O valor mediano da proporção de abandono variou de 5,7 em São Paulo, 2005 a 11,5% em Mato Grosso, 2004. As menores coberturas do Programa Saúde da Família foram no Rio Grande do Sul. CONCLUSÕES: Neste estudo, os maiores percentuais de cura e os menores de abandono não estão associados à estratégia DOTS. / Salvador

The study aimed to assess factors affecting the uptake of community-based Tuberculosis care (CTBC) as experienced by patients in Lobatse in order to make recommendations to enhance the uptake of CBTC in this area. A cross-sectional study was conducted, using structured interviews amongst 101 TB patients in Lobatse who registered for directly observed treatment (DOT) for TB in the GOB’s health facilities from January 2011 to August 2013. The SPSS (version 21) was used to analyse the data. Univariate logistic regression models were used. Participation in CTBC was an outcome. The main predictors for participation in CBTC included, knowledge and attitudes towards CTBC (p=0.0003), perceived barriers and enablers towards this programme (p=0.0279), and patient satisfaction with this programme (p=0.0315). The research findings pertain to TB services in Lobatse, because the study was conducted in government health facilities implementing the Botswana National Tuberculosis Programme (BNTP) CTBC guidelines only in Lobatse / Health Studies / M.A. (Public Health)

The study aimed to assess factors affecting the uptake of community-based Tuberculosis care (CTBC) as experienced by patients in Lobatse in order to make recommendations to enhance the uptake of CBTC in this area. A cross-sectional study was conducted, using structured interviews amongst 101 TB patients in Lobatse who registered for directly observed treatment (DOT) for TB in the GOB’s health facilities from January 2011 to August 2013. The SPSS (version 21) was used to analyse the data. Univariate logistic regression models were used. Participation in CTBC was an outcome. The main predictors for participation in CBTC included, knowledge and attitudes towards CTBC (p=0.0003), perceived barriers and enablers towards this programme (p=0.0279), and patient satisfaction with this programme (p=0.0315). The research findings pertain to TB services in Lobatse, because the study was conducted in government health facilities implementing the Botswana National Tuberculosis Programme (BNTP) CTBC guidelines only in Lobatse / Health Studies / M. A. (Public Health)