O Tratamento Diretamente Observado (DOT) em um município prioritário para o controle da tuberculose no interior do Estado de São Paulo, 1998 - 2004 / Directly Observed Treatment (DOT) in a priority county to the tuberculosis control in the State of São Paulo, 1998-2004

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

This study had the objective to describe the DOT coverage and the treatment results (cure, abandonment and death), in the Sorocaba county, for the period to 1998 to 2004. It is a descriptive study with quantitative approach that used secondary sources of information (EPITB of the State Secretary of Health, Paulista Index of Social Responsibility and Paulista Index of Social Vulnerability of Seade Foundation). The data were disposed in a spread sheet of Excel and analyzed with decriptive statistic. The county presented, for the proposed period, rates of DOT coverage increasing while oscillating, demonstrating rates to 1998 to 2004 respectively of: 14%, 19%, 23%, 22%, 39%, 28% e 42%. The DOT implementation operated in a positive mean for the cure and abandonment rates that presentes, respectively, increase and decline, with indices, for 2004, respectively, of 80% and 8,33%. In regard to the death numbers, it had rise. In 1998 the death indices counted 5,23%, being of 6,67% for 2004. Socioeconomical and demographic factors composed the TB scene in the county, intervening with its control. We concluded that the presence of vulnerability factors conferred to Sorocaba peculiarities that must to be considered in front of the implementation of the TB control actions in the county, and the elaboration of public health politics.

ASSUNTO(S)

política de saúde directly observed treatment health politics atenção primária à saúde. primary health care. tuberculose tuberculosis terapia diretamente observada

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