Avaliação dos profissionais de saúde sobre as ações desenvolvidas para o controle da tuberculose na Atenção Primária à Saúde de Juiz de Fora-MG

Abstract

Tuberculosis is today one of the main public health problems, being aggravated by social inequities and inefficiency of health services. The evaluation of these services allows us to better monitor the ability to respond to the needs of individuals and since Primary Health Care is an important scenario to combat the diseases, their monitoring and evaluation is relevant. To evaluate the performance of PHC in tuberculosis control according to its essential and derived attributes, from the perspective of health professionals in the city of Juiz de Fora. This is an evaluative cross-sectional study carried out at the Primary Health Care Units of Juiz de Fora, Minas Gerais, from August 2017 to June 2018. Professionals participated in 677 study. The PCATool - tuberculosis questionnaire was applied. Data was analyzed in IBM SPSS version 15. General, essential, and derived scores and scores were assigned for each attribute (gateway, diagnostic access, treatment access, bond, service cast, coordination, family focus, orientation to Community scores and vocational training). Average scores equal to or greater than 6.6 indicate high service orientation for the atributes. The study identified high service orientation (overall score) of Primary Health Care attributes to perform tuberculosis control actions From the perspective of health professionals, among the essential attributes, the gateway was the one that received the best evaluation, reaffirming the position of Primary Health Care as the health care network's ordinator. Access to the diagnosis was the one that received the worst score, revealing the fragility of the health system that postpones the diagnosis of the disease. Poorly assessed was also derived from community orientation, showing that the development of Tuberculosis control actions by health professionals does not involve the community. Professional categories indicated that longer working time also interferes with the result positively. The eSFs showed better results and the teams located in urban areas evaluated the service with greater orientation towards the attributes. This study allowed the evaluation of the presence and extension of the attributes, according to the structural and procedural characteristics of the Primary Health Care service from the professionals' perspective, bringing notes and necessary analysis of the problems, so as to seek strategies to reach the goals proposed in the National Tuberculosis Control Program.