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Master's Dissertation
DOI
https://doi.org/10.11606/D.22.2009.tde-07102009-154857
Document
Author
Full name
Aline da Silveira Ramos
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
Ribeirão Preto, 2009
Supervisor
Committee
Palha, Pedro Fredemir (President)
Nogueira, Jordana de Almeida
Villa, Tereza Cristina Scatena
Title in Portuguese
O Tratamento Diretamente Observado (DOT) em um município prioritário para o controle da tuberculose no interior do Estado de São Paulo, 1998 - 2004
Keywords in Portuguese
Atenção Primária à Saúde.
Política de Saúde
Terapia Diretamente Observada
Tuberculose
Abstract in Portuguese
O presente estudo teve por objetivo descrever a cobertura do DOT e os resultados de tratamento (cura, abandono e óbito), no Município de Sorocaba, para o período de 1998 a 2004. Trata-se de um estudo descritivo de abordagem quantitativa que utilizou fontes secundárias de informações (EPI-TB da Secretaria Estadual de Saúde, Índice Paulista de Responsabilidade Social e Índice Paulista de Vulnerabilidade Social da Fundação Seade). Os dados foram dispostos em uma planilha do Excel e analisados por estatística descritiva. O município apresentou, para o período proposto, taxas de cobertura do DOT crescentes embora oscilantes, evidenciando taxas de 1998 a 2004 respectivamente de: 14%, 19%, 23%, 22%, 39%, 28% e 42%. A implantação do DOT atuou de forma positiva em relação às taxas de cura e abandono, que apresentaram respectivamente aumento e declínio. Com índices, para 2004, respectivamente de 80% e 8,33%. Quanto ao número de óbitos, houve elevação. Em 1998 os índices de óbito perfaziam 5,23% sendo 6,67% para 2004. Fatores socioeconômicos e demográficos compuseram o cenário da TB no município interferindo no seu controle. Concluiu-se que a presença de fatores de vulnerabilidade conferiu a Sorocaba peculiaridades que devem ser consideradas frente à implementação de ações para o controle da TB no município, e na elaboração de políticas públicas de saúde.
Title in English
Directly Observed Treatment (DOT) in a priority county to the tuberculosis control in the State of São Paulo, 1998-2004
Keywords in English
Directly Observed Treatment
Health Politics
Primary Health Care.
Tuberculosis
Abstract in English
This study had the objective to describe the DOT coverage and the treatment results (cure, abandonment and death), in the Sorocaba county, for the period to 1998 to 2004. It is a descriptive study with quantitative approach that used secondary sources of information (EPITB of the State Secretary of Health, Paulista Index of Social Responsibility and Paulista Index of Social Vulnerability of Seade Foundation). The data were disposed in a spread sheet of Excel and analyzed with decriptive statistic. The county presented, for the proposed period, rates of DOT coverage increasing while oscillating, demonstrating rates to 1998 to 2004 respectively of: 14%, 19%, 23%, 22%, 39%, 28% e 42%. The DOT implementation operated in a positive mean for the cure and abandonment rates that presentes, respectively, increase and decline, with indices, for 2004, respectively, of 80% and 8,33%. In regard to the death numbers, it had rise. In 1998 the death indices counted 5,23%, being of 6,67% for 2004. Socioeconomical and demographic factors composed the TB scene in the county, intervening with its control. We concluded that the presence of vulnerability factors conferred to Sorocaba peculiarities that must to be considered in front of the implementation of the TB control actions in the county, and the elaboration of public health politics.
 
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AlinedaSilveiraRamos.pdf (361.83 Kbytes)
Publishing Date
2009-10-19
 
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