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Community involvement in dot: an innovative kind of care to tuberculosis patient in são paulo state, brazil

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Author(s): Ricardo Alexandre Arcêncio, Mayra Fernanda Oliveira, Tereza Cristina Scatena Villa

Journal: Revista de Enfermagem UFPE On Line
ISSN 1981-8963

Volume: 4;
Issue: 4;
Start page: 1663;
Date: 2010;
Original page

Keywords: tuberculosis | consumer participation | health services accessibility | directly observed therapy | primary health care

ABSTRACT
Objective: assessing the TB control program coordinators perspective about the community involvement in TB care in priority cities of São Paulo State. Methodology: this is about a semi-structured interviews with 22 subjects. Data were submitted to categorical thematic content analysis. A scale of involvement of community was defined to the study: zero when the subjects did not include the community in TB care; 1, the coordinators involved the community as substitute of human resources; 2: they involved the community to increase the adherence; 3, the coordinators involved the community members to their empowerment. The Research Ethical Committee of Ribeirão Preto Nursing College approved this study (protocol 169/2005) Results: the most coordinators did not achieve satisfactory level of community involvement, they refusal the inclusion of voluntaries in TB facilities. Conclusion: The involvement of community into empowerment perspective is low in state, however in cities where this was employed, the health staffs had obtained increase of adherence, social-mobilization and reduction in preconception and stigma for TB. Descriptors: tuberculosis; consumer participation; health services accessibility; directly observed therapy; primary health care.
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