Subsídios para reorientação dos serviços de saúde em relação aos contatos de portadores de hanseníase de Paracatu (MG)

• Ano de defesa: 2010
• Autor(a) principal: Ferreira, Iris Leda Camargos Silva
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade de Franca; Brasil; Pós-Graduação; Programa de Mestrado em Promoção de Saúde; UNIFRAN
• Palavras-chave em Português: Prevenção e controle de hanseníase; Promoção de saúde; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/615

Leprosy is a serious public health problem in Brazil and especially in the county of Paracatu (MG), a site of priority for the disease control according to the National Program of Leprosy Control due to a high detection rate (3.73%/ 10,000 inhabitants – detection rate in 2008). Prevention consists of avoiding close physical contact with untreated people and the follow up activities to the patients and their contacts, assuring that they conclude treatment and be cured. However, a significant part of intra domiciliary contacts of the school children treated for leprosy previously (2004 to 2006) were not submitted to the dermato neurological examination. The aims of the present study were to identify leprosy intra domiciliary contacts socio economic profile, their awareness about the disease, their perceptions about local health services, and the reasons of not being exanimate. We have developed a semistructured interview, applied in home visits for 46 subjects from 33 families in Paracatu (MG), performed during 2009. The results shows that among the 46 intra domiciliary contacts, 61% were male, 24% aged from 21 to 28 years, 33% were fathers of a treated child, 54% were considered functionally illiterates, with a low familiar income. Among them, 78% were residents of periphery neighborhood, with low socio economic conditions and insufficient coverage of sanitary infrastructure. The main reason given for not being submitted to the dermato neurologic examination, by 38% of the contacts, was due to work period. About 50% of the interviewed referred not know about the risk of acquiring the disease. They suggested an enlargement of the timetables for health services and domiciliary visits, information material about the disease, as well as the improvement of health services access. Conclusion: health services reorientation, from the point of view of the clients, can enhance health promotion actions, disease prevention and adhesion to leprosy treatment.