Implementation contexts of a Tuberculosis Control Program in Brazilian prisons

OBJECTIVE To analyze the influence from context characteristics in the control of tuberculosis in prisons, and the influence from the program implementation degrees in observed effects.METHODS A multiple case study, with a qualitative approach, conducted in the prison systems of two Brazilian states in 2011 and 2012. Two prisons were analyzed in each state, and a prison hospital was analyzed in one of them. The data were submitted to a content analysis, which was based on external, political-organizational, implementation, and effect dimensions. Contextual factors and the ones in the program organization were correlated. The independent variable was the program implementation degree and the dependent one, the effects from the Tuberculosis Control Program in prisons.RESULTS The context with the highest sociodemographic vulnerability, the highest incidence rate of tuberculosis, and the smallest amount of available resources were associated with the low implementation degree of the program. The results from tuberculosis treatment in the prison system were better where the program had already been partially implemented than in the case with low implementation degree in both cases.CONCLUSIONS The implementation degree and its contexts – external and political-organizational dimensions – simultaneously contribute to the effects that are observed in the control of tuberculosis in analyzed prisons.

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User satisfaction in the tuberculosis control program in a city in Rio de Janeiro, Brazil

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692011000300009 ◽

2011 ◽

Vol 19 (3) ◽

pp. 508-514 ◽

Cited By ~ 7

Author(s):

Rute dos Santos Lafaiete ◽

Maria Catarina salvador da Motta ◽

Tereza Cristina Scatena Villa

Keyword(s):

User Satisfaction ◽

Control Program ◽

Qualitative Approach ◽

Tuberculosis Control ◽

Health Team ◽

Tb Treatment ◽

Primary Health ◽

Tuberculosis Control Program ◽

Health Care Unit ◽

Probabilistic Sample

One way to evaluate health services is through the satisfaction of users. This study evaluates the satisfaction of users cared for by the Tuberculosis Control Program (TBCP) in a primary health care unit in Itaboraí, RJ, Brazil. Users satisfied with the services tend to adhere to their treatment, which is of course essential for successful TB treatment. This descriptive and quantitative study was carried out from December 2008 to February 2009; 88 individuals composed a non-probabilistic sample. A questionnaire validated and adapted to measure the satisfaction of individuals with tuberculosis was used. The study obtained high rates of user satisfaction. These positive evaluations can be explained by the fact these patients were included in the TBCP and were cared for by a health team with whom they established bonds and received support for treatment adherence. Studies with a qualitative approach could broaden the understanding of satisfaction and complement this study’s findings.

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Proposed State Tuberculosis Control Program

Diseases of the Chest ◽

10.1378/chest.13.1.48 ◽

1947 ◽

Vol 13 (1) ◽

pp. 48-58

Author(s):

HILBERT MARK

Keyword(s):

Control Program ◽

Tuberculosis Control ◽

Tuberculosis Control Program

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Assessment of the participation of primary care services in national tuberculosis control program in Gharbia Governorate

Egyptian Journal of Chest Diseases and Tuberculosis ◽

10.1016/j.ejcdt.2017.03.005 ◽

2017 ◽

Vol 66 (2) ◽

pp. 321-325 ◽

Cited By ~ 1

Author(s):

Sherif A. Essa ◽

Mohammad H. Kamel ◽

Osama I. Mohammad ◽

Nashwa M. Shawky Ahmad

Keyword(s):

Primary Care ◽

Control Program ◽

Tuberculosis Control ◽

Care Services ◽

Primary Care Services ◽

National Tuberculosis Control Program ◽

Tuberculosis Control Program ◽

National Tuberculosis ◽

National Tuberculosis Control

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Tuberculosis, Every Physician's Problem

PEDIATRICS ◽

10.1542/peds.22.6.1164 ◽

1958 ◽

Vol 22 (6) ◽

pp. 1164-1164

Author(s):

GARDNER MIDDLEBROOK

Keyword(s):

Relative Effectiveness ◽

Control Program ◽

Tuberculin Test ◽

The State ◽

Tuberculosis Control ◽

The Past ◽

Tuberculosis Control Program

This book, written by one of America's most distinguished authorities on tuberculosis, clearly reflects, in particular, his views concerning the relative effectiveness of various methods of tuberculosis control. It documents the remarkable decline of the contagion during the past few decades. Dr. Myers reviews the very favorable trends which have occurred in the state of Minnesota largely as a result of his inspiration, guidance and remarkable drive. For many years he has been emphasizing the importance of the tuberculin test as the single most useful guide in any tuberculosis control program.

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