Avaliação das ações de controle da tuberculose na Atenção Primária à Saúde de Juiz de Fora - MG: a percepção dos gestores

Abstract

Tuberculosis is a health problem that has plagued the world for thousands of years. The battle against the disease continually improves with the insertion of light/light-hard technologies and gains reinforcement with new drugs, implementation of strategies and protocol creation globally. Wek now that the country is investing a lot off forts in the National Tuberculosis Control Program and to contribute in this aspect I present our study that aimed: Evaluate the actions of tuberculosis control in Primary Health Care in Juiz de Fora - MG according to the perception of managers. The research had as participants managers of the Municipal Secretariat of Health whoheldstrategicpositionsthatbroughtaboutthecontroloftuberculosis. This is a study with quantitative approach with cross-sectional (or sectional) and descriptive design. Data collection took place in April and May 2019. We used the component instrument of the Primary Care Assessment Tool adapted and validated for Brazil in 2003 by Macinko, Almeida and Oliveira; and later, in 2009, adapted to assess tuberculosis care by Villa and Ruffino-Netto this instrument has three strands, was presented and applied to participants to the relevant strand for central level managers. The data collected were divided in to ten axes that deal with: general information; TB in the municipal agenda/gateway; access to diagnosis; access to treatment; bond; list of services; coordination; family focus; guidance for the community and vocational training. To support the analysis, nine tables and nine graphs were constructed, which allowed us to conclude that despite the clarification of the managers about the tuberculosis control actions in the city, there are still relevant aspects that deserve to be incorporated in the managers' agenda for a favorable outcome of the activities. Pointed weaknesses in the service and the existence of gaps to be overcome by the municipality to control the disease.