Avaliação das ações de controle da tuberculose no município de Campina Grande-PB

Abstract

This study aimed to evaluate the actions of tuberculosis control in Campina Grande-PB. This is a study performed by the adaptation of instruments of the Primary Care Assessment Tool (PCAT), prepared by Satrfield (2002), adapted and validated to Brazil by Macincko and Almeida (2006), adjusted for TB by Villa and Ruffino-Netto (2009). The study included 116 TB patients diagnosed from May/2010 to January/2009 living in the city of Campina Grande- PB. Interviwees answered each question using a questionary with Likert scales of five scores. Data were analyzed using the nonparametric Kruskal-Wallis (H Test), which is a non- parametric ANOVA with a criterion of classification. As a posteriori test was used Dunn's method to compare in pairs the matters referred and check the statistical differences. There were more male, incomplete elementary education and masonry housing . Patients do not seek the APS as a gateway to the health system, most diagnosis of TB was made by secondary care services and tertiary. About the variables of access to diagnosis, 43.2% of TB patients had no difficulties of getting access to care (3.91), 49.4% always managed medical consultation within 24 hours (3.65); 56.7% never or rarely had difficulty on getting around (3.67), 44.5% of patients always lost days of work (2.87), 62.9% used motorized transport (2.68), 56, 8% had to pay for transportation (2.69) to go to the SS and 53.1% did not seek the nearest health unit to their home when they started to show the first symptoms of TB, the only variable that is statistically significant. It was observed that the conformation that are organized as health services have weaknesses in the decentralization of TB diagnosis process for the APS, that is necessary to adopt strategies that enable people's access measures to control the disease.