A atenção primária à saúde (APS) tem-se mostrado como proposição estratégica para sistemas de saúde no mundo. No caso brasileiro é alvo recente de investimento das políticas de saúde até como recurso reordenador do Sistema Único de Saúde, em termos de cobertura populacional e em termos de qualidade assistencial. No entanto, seu uso em documentos e propostas concretas de implantação denota diferentes interpretações do termo, que se considera produto de uma incompleta elaboração conceitual. Isto desencadeia diferentes respostas operacionais no setor saúde, gerando, ao contrário do esperado, heterogeneidades importantes de qualidade assistencial. Com o intuito de contribuir para a melhor compreensão e operação da APS, empreende-se um estudo de perspectiva histórica para identificar e contextualizar os diferentes significados que assume desde sua emergência até os anos 1994. Por meio do exame de documentos oficiais do governo brasileiro com propostas para o sistema de saúde, com ênfase nas Conferências Nacionais de Saúde, e de textos da produção intelectual no campo da Saúde Coletiva nesta temática, buscou-se por analise do conteúdo, o resgate das formulações de APS. Tendo como referência a teoria do trabalho em saúde, procurou-se examinar os conteúdos documentais em três dimensões: enunciação da política, proposição organizacional e definição dos processos de trabalho das práticas de saúde. Metodologicamente operou-se a mencionada análise segundo a história do conceito, definindo o conceito como o plano máximo de complexidade reflexiva e de capacidade explicativa na produção de conhecimento teórico. Para tal, hierarquizouse a construção desse conhecimento em termos da elaboração de idéias, noções e conceitos, nesta ordem. Delimitaram-se dois distintos períodos históricos: 1920 - 1978; 1978 - 1994, em razão da criação do termo APS em 1978, na Conferência de Alma-Ata. No primeiro encontraram-se idéias antecessoras da APS e no segundo, a construção da APS como noção, sendo que nas citadas três dimensões de exame dos textos, encontraram-se as maiores contribuições na política e na organização do sistema relativamente à definição dos processos de trabalho. Com isto aponta-se para a deficiente elaboração reflexiva acerca das práticas de saúde, o que equivale a dizer uma deficiência teórica do sistema de saúde sobretudo em relação a seus modelos tecnológicos e assistenciais, inclusive com grande diversidade conceitual desses últimos termos. Aponta-se por fim que, a partir de 1994, quando a APS torna-se questão central para o sistema de saúde, pode-se esperar um potencial maior de construção do conceito. / Attention given to PHC has been considered a strategic proposition for the health systems in the world. In Brazil it has recently been the target for political health investment and rearranger resource of the health system, in terms of populational coverage and in terms of assistance quality. Its use in documents and concrete implantation proposals denote different interpretations from the term which we consider to be the product of an incomplete conceptual elaboration. This triggers different operational responses in the health sector causing, as opposed to what was expected, important assistance quality heterogeneity. In order to contribute to a better comprehension and effectiveness of the PHC, we make a study of the historical perspectives to identify and put into context the different meanings it takes from its beginning until 1994.By examining official documents from the Brazilian Government with proposals for the health system with emphasis on National Health Conferences and intellectual production of the text in the field of collective health, we have searched through context analysis for the rescue of PHC formulation. Having as a reference the theory of work in the field of health, we tried to examine the contexts of the documents in three dimensions: Political enunciation, organizational proposition and a definition of the work process in the health area. Methodologically speaking, we operate the already mentioned analysis according to its concept s history, defining concept as the highest plan of reflexive complexity and ability to explain in the theoretical knowledge production. In order to do so, we have put the building of this knowledge in terms of ideas, notions and concepts, in this order. We have delimited two distinct historical periods: 1920 - 1978; 1978 - 1994, due to the creation of the term PHC in 1978 at the Alma-Ata Conference. In the first period we have found antecessor ideas of PHC and the in second one, the building up of the PHC as a notion. In the three dimensions of the text exams, we can find the biggest political contribution and in the organization of the system related to the definition of the work processes. With that we point the defective reflexive elaboration of health practices, in other words a theoretical deficiency of the health system, especially when related to its technological and assistance models, including a great conceptual diversity of these two last terms. It is pointed out that, from 1994 on, when PHC becomes the center issue for the health system, a bigger potential of building concept can be expected.

No description available.

Malgré les progrès dans la lutte contre le paludisme au Burkina Faso, il reste la plus importante maladie à transmission vectorielle dans le pays. P. falciparum est le plus répandu et le plus mortel au Burkina Faso. Les facteurs liés à ce fardeau élevé sont l’inaccessibilité (financière et géographique) aux soins de santé, l’insuffisance dans le diagnostic et la prise en charge adéquate et précoce des cas de paludisme. La réalisation de l'Objectif du Développement Durable 3 au Burkina Faso repose sur une mise en œuvre réussie d'un ensemble d'interventions de prévention, de gestion des cas et de surveillance épidémiologique du paludisme. L'objectif de réduire le taux de létalité lié au paludisme à 1 % en 2020 n'a pas été atteint, il est donc nécessaire de réaliser une évaluation de l’efficacité des programmes de lutte antipaludique (utilisation des MILDA, utilisation des CTA, la politique de gratuité des soins de santé) surtout au niveau infranational, utile pour orienter la prise de décision à des échelles géographiques plus petites. Les données cliniques sur le paludisme collectées en routine peuvent fournir des informations indispensables pour l’évaluation de la variation inter et intra mensuelle/annuelle de l’effet des interventions de lutte antipaludique et du risque de paludisme à l'échelle nationale et infranationale chez les enfants de moins de cinq ans. Au Burkina Faso, une quantité importante de données a été régulièrement collectée par le biais du système de transmission des données en ligne via le « District Health Information System 2 (DHIS2) ». Toutefois, leur utilisation pour évaluer l’effet des interventions de lutte sur la dynamique spatio-temporelle du risque de paludisme à l’échelle locale (district) reste limitée au Burkina Faso. Dans cette recherche, nous avons développé des modèles spatiaux et spatio-temporels implémentés dans un cadre hiérarchique bayésien pour (I) évaluer l’effet des interventions de lutte sur la dynamique spatio-temporelle de la morbidité et de la létalité dues au paludisme sur la période 2013-2018 chez les enfants de moins de 5 ans au Burkina Faso et (II) détecter les districts sanitaires (spatio-temporelle) qui ne parviennent pas à atteindre les objectifs du PNLP en termes de morbidité/létalité. Ces modèles utilisent l’Approximation Intégrée de la Laplace (INLA), un algorithme déterministe qui est une méthode appropriée pour analyser les données de routine du paludisme corrélées à la fois dans l’espace et dans le temps. Nous avons observé que la mise en œuvre de la politique de gratuité des soins de santé était significativement associée à une augmentation du nombre de cas rapportés de paludisme testés et confirmés par rapport à la période précédant sa mise en œuvre. Cet effet était cependant hétérogène dans les districts de santé. De plus, nous avons constaté que le taux mensuel de létalité du paludisme était en baisse au cours de la période 2013-2018. Cette réduction était significativement associée à la disponibilité des tests de diagnostic rapide du paludisme et du traitement. Aussi, nous avons observé que le risque de décéder du paludisme chez les enfants de moins de 5 ans était plus faible au cours de la période suivant la mise en œuvre de cette politique par rapport à la période précédente. Nous avons également identifié des districts sanitaires avec un taux de létalité du paludisme élevé dans les parties nord, nord-ouest et sud-ouest du pays. Nos résultats appellent à un effort soutenu et renforcé pour tester tous les cas suspects afin que, parallèlement à l’amélioration de la prise en charge précoce des cas, le fardeau du paludisme chez les enfants de moins de cinq ans soit connu avec précision (voir l'hippopotame presque entièrement). De plus, ils ont mis en évidence les districts sanitaires qui ont le plus besoin d'interventions ciblées et la nécessité de maintenir et de renforcer les programmes de santé en cours pour réduire davantage les décès dus au paludisme au Burkina Faso. / Despite progress in the fight against malaria in Burkina Faso, malaria remains the most important vector-borne disease in the country, and P. falciparum is the most widespread and deadly pathogen in the area. The factors linked to this high burden are the inaccessibility (financial and geographical) to health care, insufficient diagnoses, and inadequate/late management of malaria cases. The achievement of Sustainable Development Goal 3 in Burkina Faso is based on the successful implementation of a set of interventions for the prevention, case management, and epidemiological surveillance of malaria. The objective of reducing the case fatality rate linked to malaria to 1% by 2020 has not been reached. It is, therefore, necessary to carry out an evaluation of the effectiveness of malaria control programs (the use of long-lasting insecticidal nets, the use of Artemisinin-based combination therapy, and free health care policies), especially at the sub-national level, which will be useful for guiding decision-making at smaller geographic scales. Routinely collected clinical data on malaria can provide essential information for the assessment of inter- and intra-monthly/annual variation in the effects of malaria control interventions and the risk of malaria at the national and subnational levels among children under five. In Burkina Faso, a significant amount of data is regularly collected through the online data transmission system via the “District Health Information System 2 (DHIS2)”. However, the use of these data to assess the effects of control interventions on the spatio-temporal dynamics of malaria risk at the local (district) level remains limited in Burkina Faso. In this research, we developed spatial and spatio-temporal models implemented in a Bayesian hierarchical framework to (i) assess the effects of control interventions on the spatio-temporal dynamics of morbidity and lethality due to malaria in the period of 2013–2018 in children under 5 in Burkina Faso and (ii) detect health districts (spatio-temporal) that fail to achieve the PNLP objectives in terms of morbidity/lethality. These models use Laplace Integrated Approximation (INLA), a deterministic algorithm that provides an appropriate method for analyzing routine malaria data correlated in both space and time. We observed that the implementation of the free health care policy was significantly associated with an increase in the number of reported cases of malaria tested and confirmed compared to the period before its implementation. This effect was, however, heterogeneous in the health districts. In addition, we found that the monthly malaria case fatality rate declined during the period of 2013–2018. This reduction was significantly associated with the availability of rapid diagnostic tests for malaria and treatments. We also observed that the risk of dying from malaria in children under 5 years old was lower during the period following the implementation of this policy compared to the previous period and identified health districts with a high case fatality rate from malaria in the northern, northwestern, and southwestern parts of the country. Our results call for a sustained and strengthened effort to test all suspected cases so that, along with improving early case management, the burden of malaria in children under five can be known with precision. In addition, our results highlight the health districts in greatest need of targeted interventions, as well as the need to maintain and strengthen ongoing health programs to further reduce malaria deaths in Burkina Faso. / Doctorat en Sciences de la santé Publique / info:eu-repo/semantics/nonPublished

Introduction: Family-focused cognitive behavioural therapy (FFCBT) is emphasized as an approach to optimize treatment outcomes for early-onset obsessive-compulsive disorder (OCD). Parental engagement is critical to successful treatment. However, few studies have examined how to promote parental engagement during FFCBT. Additionally, from a parental perspective, there is a limited understanding of factors that influence parental engagement throughout treatment, including the role of nurses. Aims: To determine (i) how parents experience and understand their engagement in FFCBT provided for their child with early-onset OCD in community or outpatient mental health programs, and (ii) how parents describe the role of nurses related to parental engagement during the treatment process. Methods: This study used an interpretive description approach. Semi-structured interviews were completed with parents (n = 17) recruited from community or outpatient children’s mental health programs in the Hamilton Region of Southwestern Ontario. Treatment provider interviews (n = 9) augmented the data collected from parents’ perceptions of their engagement and the role of nurses during FFCBT. Interviews were analyzed using Braun and Clark’s (2006) thematic analysis process. Results: A conceptualized model was constructed to display and communicate the individual, interpersonal, and contextual influences identified by parents and treatment providers. These influences facilitated or inhibited parental engagement during treatment across distinct phases, levels, and stages of engagement. Six distinct nursing roles were identified that promoted parental engagement throughout treatment. / Dissertation / Doctor of Philosophy (PhD) / Without effective treatment, pediatric obsessive-compulsive disorder (OCD) can interfere with childhood development. Early-onset OCD is a unique subtype of the disorder involving pediatric patients with symptoms that present before the age of 10 years. Family-focused cognitive behavioural therapy (FFCBT) emphasizing parental involvement is commonly used to treat pediatric OCD. However, parental engagement during FFCBT, including nurses’ roles, is poorly understood. This study aimed to increase knowledge about parental engagement during FFCBT for children with early-onset OCD receiving treatment in community programs. Data analysis of parent and treatment provider interviews identified various factors and how nurses influenced parental engagement during FFCBT. A model was made to display how these factors helped or hindered parental engagement during treatment and how nurses promoted engagement across three distinct phases. This new knowledge informed recommendations to promote parental engagement for treatment providers, improve service development and delivery, and strengthen nursing education.

No / OBJECTIVES: To describe ways of coping in people with mild to moderate AD when faced with situations that are challenging to their memory. METHOD: Twenty-four participants (12 with mild and 12 with moderate AD) were presented with a set of seven tasks that were analogues of everyday situations that tax memory. The participants' responses were videotaped and analysed. RESULTS: Participants' coping responses were grouped into seven categories to best reflect the main strategies. Individuals used a significantly greater frequency of effortful problem solving (self-reliance and reliance on carers) (p < 0.01) than other ways of coping. Positive acknowledgement of memory difficulties was used significantly more than negative acknowledgement and defensive coping (concealment and avoidance) (p < 0.01). CONCLUSION: This study used novel methodology of observation of behavioural responses in analogues of everyday situations. The predominance of effortful problem-solving emphasizes the role of the person with AD as an active agent in the management of memory loss. An emphasis in previous literature on defensive coping and denial is counter-balanced by the finding that participants commonly coped by acknowledging their memory impairment.

Made available in DSpace on 2016-01-26T12:51:22Z (GMT). No. of bitstreams: 1 mileneribeiro_dissert.pdf: 1237177 bytes, checksum: fbaa0442928db20fee464f8922f774b6 (MD5) Previous issue date: 2009-10-27 / The neonatal screening is methodology populational specific screening if year old age from 0 to 30 days the of life that allow the early diagnostic of diseases like Congenital Hypothyroidism, Phenylketonuria, Sickle Cell Anaemia and others haemoglobinopathies as a preventive action and specific treatment to reduce or elimination of disorders associated to these diseases. Objective: To evaluate the profile of the Neonatal Screening Program in Sao José do Rio Preto - SP. Methods: Retrospective study based on Association of the Parents and Friends of the Handicapped from Sao Paulo (APAE-SP) database, based on the principle of all the collected exams in live births from January 2005 to December 2007. Data for the profile related to sample characteristics, program coverage, exams numbers and estimated number of live births were obtained from the APAE-SP Laboratory, the data from the comparative analysis were obtained from hospitals collecting and Health Department of that city in the period. Results: Of a total of 17,494 children 51.5% were female and 48.4% were male. Samples were collected after 7 days of life in 62.5% of the sample. The average time to recievement of results was 28.2 days. In the sample studied, 435 showed altered results, and 5 cases (0.03%) of Congenital Hypothyroidism (incidence of 1:3,499), 2 cases (0.01%) of Phenylketonuria (incidence of 1:8747) and 428 cases of Hemoglobinopathies (incidence of 1:40,874) with a single case (0.006%) of sickle cell disease (incidence 1:17,494). Conclusion: Although the study demonstrate that within the period recommended as suitable for the collection process, shipment of samples and delivery of results, it s necessary to develop strategies to improving the structure, the dissemination of the neonatal program, orientation the parents of the importance of "foot test" and greater involvement of health managers. / Triagem neonatal é um método de rastreamento especifica para uma população com idade entre 0-30 dias de vida, que permite o diagnóstico precoce de doenças como o Hipotireoidismo Congênito, a Fenilcetonúria, a Anemia Falciforme e outras hemoglobinopatias, tem como objetivo a ação preventiva com tratamento específico para diminuição ou eliminação das seqüelas associadas a estas doenças. Objetivo: Avaliar o perfil do Programa de Triagem Neonatal em São José do Rio Preto SP. Casuística e Métodos: Estudo retrospectivo baseado no banco de dados da Associação de Pais e Amigos dos Excepcionais de São Paulo (APAE-SP); tendo como princípio todos os exames coletados nos nascidos vivos no período de janeiro de 2005 à dezembro 2007. Os dados relativos ao perfil referente à caracterização da amostra, cobertura do programa, fluxo dos exames e número estimado de nascidos vivos foram obtidos junto ao Laboratório da APAE-SP. Os dados da análise comparativa foram obtidos junto aos hospitais de coleta e a Secretaria de Saúde da referida cidade. Resultados: De um total de 17494 crianças 51,5% eram do sexo feminino e 48,4% do sexo masculino. As coletas foram realizadas após 7 dias de vida em 62,5% da amostra. O tempo médio para recebimento dos resultados foi de 28,2 dias. Da amostra estudada, 435 resultados se mostraram alterados sendo, 5 casos (0,03%) de Hipotireoidismo Congênito (incidência de 1:3499), 2 casos (0,01%) de Fenilcetonúria (incidência de 1:8747) e 428 casos (2,45%) de Hemoglobinopatias (incidência de 1:40.874) com um único caso (0,006%) de Anemia Falciforme (incidência de Conclusão: Apesar de o estudo demonstrar-se dentro do período preconizado como adequado para o processo de coleta, envio de amostras e entrega de resultados, mostra-se necessário o desenvolvimento de estratégias de melhoria na estrutura, na divulgação do Programa Nacional de Triagem Neonatal, orientação aos pais da importância do teste do pezinho e maior envolvimento dos gestores de saúde.

Made available in DSpace on 2016-04-27T13:10:25Z (GMT). No. of bitstreams: 1 Jessica D Pacheco Flumignan.pdf: 637845 bytes, checksum: 4cacbea45f853bcf57e222cfd4e9ea3b (MD5) Previous issue date: 2014-09-27 / The guidelines of the National Oral Health Program established by the Brazilian Ministry of Health were a milestone to happen a restructuring of the oral healthcare in the country. That program determined that there was a network of primary care combined with all network services, ensuring integrality in actions, joining the individual to the collective, in the prevention, promotion, treatment and recovery of health of the population, not neglecting the necessary attention to the emergencies. The dental emergencies cover all immediate measures to relieve symptoms of pain, situations of infectious processes, trauma or even aesthetic. We have made a quantitative prospective study from a cross-section of the population to investigate the profile and characteristics of the demand for dentistry users treated at the Pre-Hospital Units (UPH) from the western and northern areas of the city of Sorocaba/SP. The analysis happened with an interview of 270 users in the period from 08 January to 21 February, 2013. The dentists who were acting with users in the period relating to interviews were also interviewed. The user s profile of this service was predominantly female (61.5% of the cases). The age group that s to od out was between 20-44 years old (68,2% females and 31,8% males). The complaint of pain was predominant, and may or may not be associated with another complaint. Most patients reported they knew about the UPH through their partners, but very close to this number we found reports of users who said they knew about it through their own UBS (Basic Health Units). The service of emergency care at the UPH showed 95.2% of interventions in the studied cases. We suggest some proposals aiming to qualify the service of the emergency department at the UPHs in Sorocaba / As diretrizes do Programa Nacional de Saúde Bucal criado pelo Ministério da Saúde foram um marco para que ocorresse uma reestruturação da atenção à saúde bucal no país. Esse programa determinou que houvesse uma rede de atenção básica articulada com toda a rede de serviços, assegurando a integralidade nas ações, articulando o individual com o coletivo, na prevenção, promoção, tratamento e recuperação da saúde da população, não descuidando da atenção necessária às situações de urgência. As urgências odontológicas compreendem todas as medidas imediatas que visam aliviar os sintomas de dor, situações de processos infecciosos, traumas ou até mesmo estéticos. Fizemos estudo prospectivo quantitativo a partir de um corte transversal na população para investigar o perfil e as características da demanda dos usuários em odontologia atendidos nas Unidades Pré-Hospitalares (UPH) das Zonas Oeste e Norte de Sorocaba. A análise aconteceu com entrevista onde foram incluídos 270 usuários atendidos no período de 08/01 a 21/02/2013. Foram entrevistados também os cirurgiões dentistas que estavam atuando no período referente às entrevistas com os usuários. O perfil de usuário desse Serviço foi predominantemente do gênero feminino (61,5% dos casos). A faixa etária que mais se destacou foi entre 20 a 44 anos (68,2% gênero feminino e 31,8% masculino). A queixa de dor foi predominante, podendo ou não estar associada a outra queixa. A maioria dos pacientes relatou que conheceu as UPH através de seus pares, porém muito próximo desse número encontramos relatos de usuários que disseram ter tido conhecimento dentro das próprias unidades básicas de saúde (UBS). O serviço de atendimento de urgências nas UPH mostrou 95,2% de intervenção nos casos estudados. Sugerem-se algumas propostas com o objetivo de qualificar o serviço de odontologia no município de Sorocaba

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The purpose of the study was to assess the impact of HIV/AIDS programmes at the workplace. The case study used both quantitative and qualitative methods (Triangulation) to determine the level of awareness and evaluate the impact of the programmes implemented at the workplace. The data was collected using a pilot tested structured questionnaire which was distributed to a purposive sample (n=60), involving all the departments at the company. Semi structured interviews involving purposively identified participants (n = 3) were conducted to clarify and explain issues in relation to questionnaire responses. The data from the structured questionnaire was analyzed using a statistical package for social sciences (SPSS).The findings revealed that the organization had achieved 90% awareness and 75% positive impact. The study also revealed that social background, individual values and religion influenced sexual behaviour, hence the recommendation for more preventive oriented programmes to influence positive behavioural change amongst employees / Health Studies / M.A. (Public Health)

Submitted by Valquíria Barbieri (kikibarbi@hotmail.com) on 2017-09-01T21:33:19Z No. of bitstreams: 1 DISS_2014_Jackelyne de Souza Pontes.pdf: 11674355 bytes, checksum: 4416113ef3f9e25af02a42fc100413a5 (MD5) / Approved for entry into archive by Jordan (jordanbiblio@gmail.com) on 2017-09-12T13:14:45Z (GMT) No. of bitstreams: 1 DISS_2014_Jackelyne de Souza Pontes.pdf: 11674355 bytes, checksum: 4416113ef3f9e25af02a42fc100413a5 (MD5) / Made available in DSpace on 2017-09-12T13:14:45Z (GMT). No. of bitstreams: 1 DISS_2014_Jackelyne de Souza Pontes.pdf: 11674355 bytes, checksum: 4416113ef3f9e25af02a42fc100413a5 (MD5) Previous issue date: 2014-08-29 / Este trabalho tem como objetivo difundir conhecimento sobre as condições de saúde bucal através de um estudo epidemiológico da cárie dental entre o povo do DSEI Xavante/MT, buscando melhor compreender a configuração do padrão bucal do referido povo. Objetivo: Analisar os fatores associados à prevalência da doença cárie da população do DSEI Xavante/MT Polo Base Água Boa, residente em Mato Grosso, em 2012. Método: Trata-se de estudo transversal da população Xavante atendida de janeiro à junho de 2012 na Fase I do Projeto Brasil Sorridente Indígena. As variáveis dependentes foram: o índice CPO-D (dente cariado, perdido e obturado) e o ceo-d (dente cariado, extraído e obturado) do tipo contínua (que permite mensuração) e as variáveis independentes: sexo, faixa etária, aspectos culturais (uso de tabaco, hábitos alimentares, práticas de autocuidado, adorno ou modificação na cavidade bucal), acesso à área urbana (distância da aldeia em relação à cidade, meios de locomoção). Os dados serão analisados por estatística descritiva, análise bivariada e regressão múltipla de Poisson, sendo considerado um nível de significância de 5%. Resultados: A prevalência da cárie dentária na população Xavante estudada foi de 99,38%, enquanto a média do índice de CPO-D encontrado foi de 11,59(±8,11). O componente obturado constituiu apenas 1,72% do índice, ao passo que os componentes cariado e perdido constituíram, respectivamente, 69,83% e 28,45%. Houve associação bruta significativa entre desigualdade na distribuição da doença e o tipo de dentição sendo que ambas se mantiveram associadas significativamente no modelo ajustado. A severidade da doença cárie também associou-se significativamente com a faixa-etária e o tipo de dentição. / This paper aims to disseminate knowledge about oral health conditions through an epidemiological study of dental caries among the people of DSEI Xavante / MT, seeking to better understand the configuration of oral patterns referred people. Objective: To analyze factors associated with the prevalence of caries of the DSEI Xavante / MT Base Good Water Polo, residing in Mato Grosso, in 2012 population factors. Method: This cross-sectional study of the Xavante population served from January to June 2012 in phase I of the Project Smiling Brazil Indigenous. The dependent variables were the CPO-D index (decayed tooth, missing and filled teeth) and the ceo-d (decayed tooth extracted and filled teeth) of the continuous type (which allows measurement) and the independent variables: gender, age, aspects cultural (tobacco use, dietary habits, self-care practices, adornment or modification in the oral cavity), access to the urban area (away from the village to the city, means of locomotion). Data will be analyzed using descriptive statistics, bivariate analysis and multiple Poisson regression, and the level of significance of 5%. Results: The prevalence of dental caries in Xavante population studied was 99.38%, while the average of the CPO-D index was found to be 10.40. The fillings constituted only 1.72% of the index, whereas decayed and lost parts formed, respectively, 69.83% and 28.45%. There was a significant association between gross inequality in the distribution of the disease and the type of dentition and both remained significantly associated in the adjusted model. The caries severity was also significantly associated with age group and type of dentition.