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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

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