Uma abordagem ao conhecimento sobre os portadores da doença de chagas e os agentes comunitários de saúde

• Ano de defesa: 2016
• Autor(a) principal: Amâncio, Natália de Fátima Gonçalves
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade de Franca; Brasil; Pós-Graduação; Programa de Doutorado Promoção de Saúde; UNIFRAN
• Palavras-chave em Português: Conhecimento; Atitudes e práticas; Doença de Chagas; Programa de Agentes Comunitários de Saúde; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/397

Introduction: Despite the success of the control program of Chagas Programme disease in Brazil, some endemic areas have had difficulties in maintaining the program of health activities, especially after system decentralization, since the sustainability of disease control measures Chagas vectors and depend on information and participation of the community. The aim of the study was to identify the clinical and epidemiological profile, knowledge, attitudes and practices of Chagas disease carriers registered in the Program of Community Agents (PACS) in a municipality of Minas Gerais; describe the housing conditions, life and health, risk factors and socioeconomic conditions of individuals with Chagas disease. Methods: We developed an interview script based on considerations of Knowledge, Attitude and Practice (KAP) on Chagas disease and capacity about Chagas disease to the Community Health Agents of the municipality. Results: The interview script, previously approved by the ethics committee in research, was applied through home visits in December 2014 and January 2015. They agreed to participate in the study 52 subjects (total = 57). Among them 67.3% were female, aged 35-97 years, with low education (64%). 92% of respondents reported having contracted Chagas disease for over two decades, while residing in rural areas (96%) in wattle and daub houses (67%), with mud walls (86%), floor of clay (82%), Buriti thatched roof, thatch (58%), with cracks on the walls (83%), without basic sanitation (100%) and no electricity (96%). The cardiac form of the disease was reported by 38% of respondents, but 25% said they know they have the disease but do not know the way of it. On the use of medicines for Chagas disease 56% reported no use, but to describe the medications that are used for other reasons, you can see that the subject does medication for Chagas disease, but do not know the purpose of it . On the mechanism of transmission and prevention, 79% of respondents said they know how the disease is transmitted Chagas, but 56% said they did not know what you can do to avoid it. Of the 52 subjects interviewed, 100% reported that their ACS never provided information on the transmission, symptoms, treatment and preventive measures on Chagas disease to him or his family. About the capacity of community health agents, it is possible to verify that it was effective, with an increase in the percentages of correct answers post-capacity when compared to the responses precapacity. Conclusion: The profile, conceptions and perceptions of patients about the disease were important in identifying the living conditions when acquired the disease, physical limitations, and highlight the gaps in health education mechanisms in the various health care levels. The findings of the present study may support the reorientation of health practices by providing subsidies for the reformulation of strategies and health promotion activities that will contribute to the improvement and humanization of health care for Chagas disease patients.