Please use this identifier to cite or link to this item:
http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/5680
Title: | Health-service performance of TB treatment for indigenous and non-indigenous populations in Brazil: a cross-sectional study |
Authors: | Lemos, Everton Ferreira Alves, Aline Mara da Silva Oliveira, Giovana de Castro Rodrigues, Marcella Paranhos Martins, Natália Daiane Garoni Croda, Julio |
Affilliation: | N/T |
Abstract: | Background: Health-service evaluation studies are fundamental for proposing interventions and ensuring improvements in healthcare quality. The present study assesses the performance of health services for indigenous and non-indigenous populations with regard to tuberculosis (TB) control. Methods: Interviews with TB patients who underwent treatment between 2009 and 2011 were conducted using the Primary Care Assessment Tool adapted for TB care in Brazil. Results: Primary healthcare (PHC) was the first treatment for most patients at symptom onset, and the diagnoses were typically performed by specialized services. Many patients experienced delayed TB diagnoses that required more than three medical appointments (51% and 47% for indigenous and non-indigenous populations, respectively). Indigenous people received social support, such as basic-needs grocery packages (2.19 ± 1.63 vs. 1.13 ± 0.49 for non-indigenous people, p < 0.01) and home visits from health professionals, with an emphasis on the performance of directly observed treatment strategies (DOT; 4.57 ± 0.89 vs. 1.68 ± 1.04 for non-indigenous people, p < 0.01). Conclusions: Regardless of the differences between indigenous and non-indigenous populations, the time needed to receive a TB diagnosis was unsatisfactory for both groups. Furthermore, DOT must be performed with better coverage among non-indigenous patients |
Keywords: | Brazil Health of Indigenous Peoples Indians, South American Epidemiology Tuberculosis Health Services, Indigenous |
Keywords: | Região Centro-Oeste Mato Grosso do Sul |
DeCS: | Brasil Saúde de Populações Indígenas Índios Sul-Americanos Epidemiologia Tuberculose Serviços de Saúde do Indígena Doenças Infecciosas |
Issue Date: | 2014 |
Publisher: | BioMed Central |
Citation: | LEMOS, Everton Ferreira; ALVES, Aline Mara da Silva; OLIVEIRA, Giovana de Castro; RODRIGUES, Marcella Paranhos; MARTINS, Natália Daiane Garoni; CRODA, Julio. Health-service performance of TB treatment for indigenous and non-indigenous populations in Brazil: a cross-sectional study. BMC Health Services Research, v. 14, n. 1, p. 237, 2014 |
metadata.dc.identifier.doi: | 10.1186/1472-6963-14-237 |
ISSN: | 1472-6963 |
Other Identifiers: | 10.1186/1472-6963-14-237 1472-6963 |
Copyright: | open access |
Appears in Collections: | EPI - Artigos de Periódicos |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
650031079.pdf | 508.72 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.