scholarly journals Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Rarianne Carvalho Peruhype ◽  
Fernando Mitano ◽  
Juliana Feliciati Hoffmann ◽  
Catiucia de Andrade Surniche ◽  
Pedro Fredemir Palha

ABSTRACT Objective: to investigate the planning pathways in the transfer of Directly Observed Treatment of tuberculosis. Method: a qualitative study conducted using interviews and a semi-structured guide, administered to five subjects who were among the coordinators and managers of the tuberculosis control programs, and the secretary of health of a municipality in the south of Brazil. Situational Strategic Planning and Discourse Analysis of the French matrix were the theoretical and analytical references used, respectively. Results: three reflexive axes were identified: weaknesses in the process of planning the Directly Observed Treatment transfer, antagonism between planning and daily requirements and formulation of planning and execution. Lack of systematization regarding the planning and execution for transfer the Directly Observed Treatment policy, demonstrates the fragility and incipience of this activity, and the possibility of its non-existence. Conclusion: the urgent need for managers and coordinators to better appropriate the theoretical framework for changing public policies, and the related planning mechanisms, includes a proposal for reorganization and qualification of the diffusion process, both practical-operative and political-organization.

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Rita de Cassia Cordeiro de Oliveira ◽  
Karinne Dantas de Oliveira Adário ◽  
Lenilde Duarte de Sá ◽  
Arieli Rodrigues Nóbrega Videres ◽  
Sérgio Augusto Freire de Souza ◽  
...  

ABSTRACT Qualitative study that aimed to analyze the discourse of 15 district managers about knowledge and information related to the transfer of the Directly Observed Treatment of Tuberculosis policy in the city of João Pessoa, Paraíba, Brazil. The empiric material, collected in May and June 2013 through interviews, was analyzed according to Michel Pêcheux's Discourse Analysis. Despite contradictions, misunderstandings and silences observed in some discourse about this policy, the interviewees value the matricial support and the shared discussions involving the professionals, the management and the users, with emphasis on the rearrangement of the service in operating the Directly Observed Treatment of Tuberculosis. The need for investments in professional qualification is clear, with a view to refining the work process through the reorientation of practices from the perspective of continuing education, which represents a strong device for the exchange of knowledge and innovative proposals with a view to effective tuberculosis control.


2018 ◽  
Vol 71 (4) ◽  
pp. 1940-1948
Author(s):  
Rarianne Carvalho Peruhype ◽  
Simone Gomes Costa ◽  
Juliana Feliciati Hoffmann ◽  
Karen Bissell ◽  
Fernando Mitano ◽  
...  

ABSTRACT Objective: to investigate the possibilities of positive and negative association of improvisation and the understanding of what will be the planning by managers and coordinators of tuberculosis control programs, in a context of transference of the Directly Observed Treatment policy. Method: this is a qualitative study, developed through semi-structured interviews analyzed in the light of French Discourse Analysis. Results: there was a weakening of the constructive and operational planning process, which is at the mercy of political will and the need of putting out fires. This, in turn, along with achômetro (Brazilian popular expression used on unsubstantiated point of view or opinion that is based solely and exclusively on the intuition of the person who says it), composed the metaphor of improvisation in its negative perspective, understood by automatism and unsystematization process. Improvisation, however, emerged as a representation of innovation, creativity, and contextual change. Final considerations: both the planning and the transfer of public policies constitute processes that need to be strengthened and qualified in the field of public health.


2013 ◽  
Vol 20 (5) ◽  
pp. 578-588 ◽  
Author(s):  
Kathleen A Dixon

The aim of this study was to uncover and critically examine hidden assumptions that underpin the findings of nurses’ unethical conduct arising from inquiries conducted by the Nurses Tribunal in New South Wales. This was a qualitative study located within a post-structural theoretical framework. Transcripts of five inquiries conducted between 1998 and 2003 were analysed using critical discourse analysis. The findings revealed two dominant discourses that were drawn upon in the inquiries to construct nurses’ conduct as unethical. These were discourses of trust and accountability. The way the nurses were spoken about during the inquiries was shaped by normalising judgements that were used to discursively position the nurse through narrative.


2021 ◽  
Vol 42 ◽  
Author(s):  
Karinne Dantas de Oliveira Adário ◽  
Rita de Cassia Cordeiro de Oliveira ◽  
Arieli Rodrigues Nóbrega Videres ◽  
Amanda Haissa Barros Henriques ◽  
Pedro Fredemir Palha ◽  
...  

ABSTRACT Objective: To analyze the effects of meanings produced by the speechess of health managers about the Policy Transfer of Directly Observed Treatment of Tuberculosis. Method: Qualitative study developed in 2017 with six managers working in health services located in municipalities in the state of Paraíba. The corpus, constituted by interviews, was analyzed by Discourse Analysis. Results: The speeches expressed aspects favorable to the operationalization of the policy transfer process, such as investing in human, technological, physical and material resources; coordinating management in the organization of the network and raising the awareness of the professionals involved. Barriers were identified, such as the prevalence of cases in the Reference Unit; professional turnover; prejudice and social vulnerability. Conclusions: The study showed that financial investments, government pacts and commitment of the actors involved in the production of care are necessary to carry out the policy transfer process in the municipalities investigated.


2009 ◽  
Vol 21 (3) ◽  
pp. 321-332 ◽  
Author(s):  
Nandini Sharma ◽  
Anita Nath ◽  
Davender Kumar Taneja ◽  
Gopal Krishnan Ingle

Tuberculosis control programs have recognized and addressed those system components in which knowledge and behavior of the patient and the general population are key issues because they have a profound influence on the treatment-seeking behavior and completion of course of treatment. As a part of the Revised National Tuberculosis Control Program, the ongoing information, education, and communication (IEC) efforts in Delhi were further intensified in the form of a multipronged media campaign. The objectives of this study are to evaluate ( a) the impact of the campaign on awareness generation among the target audiences, ( b) their opinion for making the campaign more effective and suited to their needs, and ( c) perceptions of health personnel regarding the campaign. The study follows a descriptive cross-sectional design. The following qualitative methods were used: ( a) focus group discussions of patients and the general population, ( b) 3 key informant interviews of the health care personnel and a defaulter patient, and ( c) in-depth interviews of 20 DOTS (directly observed treatment, short course) providers. The study observed that ( a) different sociocultural segments of the population varied in terms of their observations of IEC messages, ( b) stigma associated with tuberculosis is widely prevalent despite having a campaign, and ( c) television was voted as the most effective IEC medium. IEC strategies should be tailor-made and suited to the needs of a particular subpopulation.


Author(s):  
Laura J. Shepherd

This chapter outlines the motivation for undertaking the research presented here, and offers an account of the contexts for the peacebuilding-related activities in which the United Nations is involved: Burundi; Central African Republic; Guinea; Guinea-Bissau; Liberia; and Sierra Leone. The research design is explained, with an overview provided of both the theoretical framework supporting the research and the methodological approach taken. The methodology is a form of discourse analysis engaging both documentary and transcribed interview texts, and this chapter explains how the author uses the concepts of gender and space to structure the analysis in the rest of the book. The chapter also presents an analysis of the literature on peacebuilding to which the author seeks to make a contribution with this research.


2010 ◽  
Vol 13 (7) ◽  
pp. A504-A505 ◽  
Author(s):  
P Hunchangsith ◽  
JJ Barendregt ◽  
T Vos ◽  
M Bertram

2019 ◽  
Author(s):  
Vidya Mandarani

The materials consist of theories and practice of Introduction to Linguistics including language & linguistics, phonetics, phonology, morphology, semantics, syntax, pragmatics, and discourse analysis. We also tried to enhance the students’ critical thinking on the practice session; we name it Students Activities. From these activities, it is expected that the students are not only be able to comprehend the theoretical framework of introduction to linguistics, but also to improve students’ ability to analyze language in the form of written or verbal.


2018 ◽  
Vol 70 (2) ◽  
pp. 491-496
Author(s):  
M.S. Vanhoni ◽  
G.M. Arná ◽  
L.K. Sprenger ◽  
D.L. Vieira ◽  
L.W. Luis ◽  
...  

ABSTRACT Gastrointestinal parasitism is the main health problem faced by Spheniscus magellanicus, known as Magellanic penguins, in route on the Brazilian coast. The aim of this research was to report the occurrence and intensity of gastrointestinal parasites in S. magellanicus that reached Pontal do Sul, Paraná, South of Brazil. The study was performed at the Marine Study Center of the Federal University of Parana (CEM-UFPR) with 38 specimens, 31 were necropsied and seven were examined alive with coproparasitological exams. From the necropsied animals, 93.5% (29/31) were parasitized with at least one parasite species. Contracaecum pelagicum was the most prevalent 93,5% (29/31) parasite, followed by Cardiocephaloides physalis (64.5%) and Tetrabothrius lutzi (51.6%). Only one animal was free of parasites and the most infected bird had 1.076 parasites with an average of 194 worms. Willis-Mollay method revealed that 57.1% (4/7) had C. pelagicum eggs. In conclusion, the high rate of gastrointestinal parasites in S. magellanicus confirms the clinical exams, when animals had poor health conditions when they were found in the cost of Paraná. This study provides data to enrich the literature regarding the helminth fauna of the Magellanic penguins, assisting sanitary control programs in Rehabilitation Centers for Marine Animals.


2013 ◽  
Vol 4 (11) ◽  
pp. 75-103
Author(s):  
Figen ALGÜL

In this article study, community media and community radios, as different kinds of alternative media will be examined under a theoretical framework. Then Nor Radyo, an internet radio which is an example of the community radios from Turkey will be taken into consideration as the field study. Nor Radyo will be examined within the context of the rhizomatic approach and community radios, over the example of Nor Radyo, will be measured as to whether or not they voice the sound of the counter publicity. For the field study, in-depth interviews were made by Nor Radyo programme-makers; and content and critical discourse analysis was applied in relation with the Nor Radyo programmes.


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