Controle da tuberculose e os desafios da gestão na atenção básica de muncípios prioritários da Paraíba

• Ano de defesa: 2009
• Autor(a) principal: Trigueiro, Janaína Von Söhsten
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraí­ba; BR; Enfermagem; Programa de Pós Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Tuberculose; Gestão em Saúde; Atenção Primária à Saúde; Tuberculosis; Health Management; Primary Health Care; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/tede/5174

The organization of actions of tuberculosis (TB) control must associate to the integrated work between the different points of the health care system and its efficacy depends on the relations established between the people, technology and resources. Soon, the coordination highlights as a determinant instrument of this process, which effects will be directly related to the capacity of providing and articulating organizational, political and financial resources of information and knowledge, in function of the time, strategic and operational priorities concretely established. Thus, we chose evaluate, according to the perception of the managers of health, the dynamic of the coordination which organizes and guides the actions of tuberculosis control in the cities of Bayeux and Santa Rita- PB, as well as investigate the existing contradictions between the competences attribute to the coordination of TB control actions and the actions done by the managers. Qualitative approach research which involved eight professionals who worked in managerial positions, among them the coordinators of Tuberculosis Control Programs, of the Basic Attention, of the Health Surveillance, Epidemiological Surveillance as well as the Health Secretaries. The empirical data were obtained through semi-structured interviews and the data analysis was based on the technique of Content Analysis, thematic modality, which conformed the central thematic unity "Tuberculosis Control: (re) discovering the scenery of action of the management of the basic attention", and four categories: "Tuberculosis in the sanitary city context: planning, organization and decentralization of the priority actions , The operationalization of the actions towards tuberculosis: Revealing the practice in the practice ; Light, camera, tuberculosis: professional protagonists, supporting fragilities or vice-versa? , The management with tied hands facing the social reality of users of the service . The results highlight that there is absence of participative planning, of articulation between the managers, devaluation of the TB as priority in the cities, showing that the professionals are not yet enabled to work with this injury. Other debilities were mentioned, such as: Accumulation of functions and turnover of the professionals as well as of the managers, absence of profile to attend the demanding and the wrong use of the information systems. It was pointed out that the factors which prevent the adhesion to the treatment, being cited the use of illegal or legal drugs, the long time of the treatment and the inadequacy of the financial resources which causes the lack of incentives. The task of managing must follow an innovative path and transformer, which goes beyond the bureaucratic barriers and reach the greatest challenge which is imposed to itself: Balance the professional inter-relationships in order to improve the performance of work in health.