EVALUATION OF LEPROSY CONTROL ACTIONS DEVELOPED IN PRIMARY CARE: A PROPOSED TOOL FOR MANAGERS

ABSTRACT Objectives: to evaluate the quality of primary care in leprosy control actions, to correlate effects on monitoring indicators. Methods: a cross-sectional study, conducted in Belo Horizonte, from July to September 2014. Interviews with 408 professionals were conducted through the application of a tool that assesses attributes of primary care in leprosy control actions, and monitoring indicators were calculated. Spearman correlation was used, significance level p < 0.05. Results: the overall score correlated with the percentage of cases treated in primary care and of family health staff coverage. The derived score correlated with the percentage of cases treated in primary care, and the essential score correlated with the proportion and rate of cases diagnosed, with grade 2 physical disability. Conclusions: the quality of leprosy control actions performed by primary care professionals produces impacts on health indicators, and developing strategies consistent with the reality of the territory is necessary.

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Primary health care in leprosy, assessed by users and professionals

International Archives of Medicine ◽

10.3823/2563 ◽

2018 ◽

Vol 11 ◽

Author(s):

Nayla Andrade Barboza ◽

Viriato Campleo ◽

Anselmo Alves Lustosa ◽

Bruno Santos Sampaio ◽

Gabriela Meireles Linhares de Araújo

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Urban Area ◽

User Satisfaction ◽

Control Actions ◽

Primary Health ◽

Care Assessment ◽

Leprosy Control ◽

Municipal Health

Objective: Evaluate the performance of primary health care in control of leprosy in Teresina, Brazil from the perspective of users and professionals. Methods: This cross-sectional, descriptive study involved 25 healthcare users with leprosy and 34 professionals (physicians and nurses) working in 13 municipal health units within the urban area of Teresina. The data were collected from January to June, 2017, using the Instrument for Assessing the Performance of Primary Care in Leprosy Control Actions, a document based on the Primary Care Assessment Tool/PCATool Brasil which measures the presence and extension of essential and derived attributes from primary health care. Results: The mean scores obtained for the essential, derived and global attributes, through the perception of the users, were lower than 6.6, indicating that the primary health services in Teresina are not sufficiently oriented to carry out leprosy control actions, mainly in terms of access, integrality of services provided, family orientation and community orientation. The professionals showed a contrasting view, with averages exceeding 6.6 for all attributes and scores. The difference in perception between the groups was significant for all attributes except for coordination (Mann-Whitney U test, p = 0.479).The overall evaluation of quality was not influenced by the user’s clinical or socioeconomic variables, but rather by the organization/provision of services. Conclusions: The municipal health units within the urban area of Teresina must be strongly guided by primary health care attributes in order to reach higher levels of user satisfaction.

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Avaliação do programa de controle da hanseníase: estudo por triangulação de métodos

Online Brazilian Journal of Nursing ◽

10.17665/1676-4285.20165594 ◽

2016 ◽

Vol 15 ◽

pp. 583

Author(s):

Gutembergue Santos De Sousa ◽

Rodrigo Luis Silva Ferreira ◽

Marília Brasil Xavier

Keyword(s):

Primary Care ◽

Time Series ◽

Health Services ◽

Quality Indicators ◽

Quantitative Study ◽

General Aspect ◽

Control Actions ◽

The City ◽

Good Rating ◽

Leprosy Control

Aim: To evaluate the municipal program of hanseniasis control in Canaã dos Carajás, PA. Method: This is a quantitative study, for the evaluation of health services, whose evaluative proposal is the triangulation of methods, through the study of the structure, processes and results. Results: several weaknesses were found in the program structure. Although some attributes have not been positively evaluated in a general aspect, the scores found allowed a good rating of the municipality's performance in terms of leprosy control actions. The appraised indicators showed fluctuations over the time series. Conclusion: the city has poor structure, high guidance for the development of leprosy actions in primary care and regular quality indicators according to the established parameters.

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Evaluation of the Primary Care in leprosy control: proposal of an instrument for users

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000700013 ◽

2014 ◽

Vol 48 (6) ◽

pp. 1054-1061 ◽

Cited By ~ 1

Author(s):

Fernanda Moura Lanza ◽

Nayara Figueiredo Vieira ◽

Mônica Maria Celestina de Oliveira ◽

Francisco Carlos Félix Lana

Keyword(s):

Primary Care ◽

Content Validation ◽

Methodological Study ◽

Retest Reliability ◽

Control Actions ◽

Primary Health ◽

The Face ◽

Development Of Instrument ◽

Test Retest Reliability ◽

Leprosy Control

Objective Developing an instrument to evaluate the performance of primary health care in the leprosy control actions, from the perspective of users and do the face and content validation. Method This is a methodological study carried out in four stages: development of instrument, face and content validation, pre-test, and analysis of test-retest reliability. Results The initial instrument submitted to the judgment of 15 experts was composed of 157 items. The face and content validation and pre-test of instrument were essential for the exclusion of items and adjustment of instrument to evaluate the object under study. In the analysis of test-retest reliability, the instrument proved to be reliable. Conclusion The instrument is considered adequate, but further studies are needed to test the psychometric properties. 

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Instrument for evaluating the actions of leprosy control in Primary Care

Revista Brasileira de Enfermagem ◽

10.5935/0034-7167.20140044 ◽

2014 ◽

Vol 67 (3) ◽

Author(s):

Fernanda Moura Lanza ◽

Nayara Figueiredo Vieira ◽

Mônica Maria Celestina de Oliveira ◽

Francisco Carlos Félix Lana

Keyword(s):

Primary Care ◽

Leprosy Control

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Challenges in leprosy control actions in brazilian basic care / Desafios nas ações de controle da hanseníase na atenção básica brasileira

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.rpcfo.v13.10441 ◽

2021 ◽

Vol 13 ◽

Author(s):

Larissa Genuíno Carneiro Martini ◽

Aisha Sthefany Silva de Meneses ◽

João Mário Pessoa Júnior ◽

Emanuella de Castro Marcolino ◽

Ana Elisa Pereira Chaves ◽

...

Keyword(s):

Basic Care ◽

Control Actions ◽

Leprosy Control

Objetivo: analisar as ações de controle da hanseníase na Atenção Básica no Brasil, a partir da avaliação externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Método: estudo transversal de abordagem quantitativa realizado a partir de dados secundários coletados junto as equipes de profissionais do PMAQ-AB, 2º ciclo. Resultados: a região Centro-Oeste com maior percentual de equipes com casos registrados de hanseníase(71,20%), sendo a que mais realiza diagnóstico de casos novos(90,2%); grande parte das equipes refere a existência da ficha de notificação(85,9%) e segue acompanhamento do tratamento dos usuários(95,2%); o Sudeste aparece como a região que menos faz busca ativa de faltosos do tratamento(83%); quanto a vigilância intradomiciliar, a maioria dos profissionais entrevistados afirma realizá-la(94,8%). Conclusão: reforça-se a necessidade de melhorias do trabalho das equipes para o atendimento integral às pessoas com hanseníase.

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Exploratory analysis based on leprosy epidemiological and operational indicators in the city of Governador Valadares/MG/Brazil

Journal of Medical and Biological Science Research ◽

10.36630/jmbsr_20012 ◽

2020 ◽

Vol 6 (5) ◽

pp. 62-68

Author(s):

Katiuscia Cardoso Rodrigues ◽

◽

Pedro Henrique Ferreira Marçal ◽

Rafael Silva Gama ◽

Gilvan Ramalho Guedes ◽

...

Keyword(s):

Health Management ◽

Whole Numbers ◽

Mode Of Entry ◽

Control Actions ◽

Operational Classification ◽

Apparent Decrease ◽

The City ◽

High Disease Burden ◽

Leprosy Control ◽

Municipal Health

Governador Valadares (GV) is a municipality of recognized leprosy hyperendemicity. From 2001 to 2010, the municipal health management invested in a heterogeneous way in the decentralization of control actions to expand access to diagnosis, highlighting the years 2002 and 2004, when training-campaigns took place in the Family’s Health Program. It is an epidemiological study, of a descriptive nature, of a longitudinal type, developed in the city of GV/Minas Gerais/Brazil. The variables collected were: Age group, categorized as <15 years and> 15 years; Gender; Year of notification; Operational classification categorized as paucibacillary and multibacillary; Number of registered household and outside contacts, classified by whole numbers starting with zero (no communications), and mode of entry, as new or not. The estimates obtained from the analysis of municipal indicators reveal that the coefficients of general detection and children under 15 years old remained at hyperendemic levels during the ten years of study with an apparent decrease in general detection to the period studied. Furthermore, according to national parameters, it was observed maintenance of a consistent number of diagnoses in children under 15 and insufficient contact examination coverage. Our study points to the importance of continuing leprosy control actions over time. Observing the findings related to some epidemiological and operational leprosy indicators in GV from 2001 to 2010 makes us aware of a high disease burden. Keywords: Epidemiological parameters, leprosy, operational indicators

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Therapeutic itinerary of people with leprosy: paths, struggles, and challenges in the search for care

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0532 ◽

2021 ◽

Vol 74 (1) ◽

Author(s):

Eliziane Oliveira de Lima ◽

Maria Rocineide Ferreira da Silva ◽

Mirna Neyara Alexandre de Sá Barreto Marinho ◽

Olga Maria de Alencar ◽

Thayza Miranda Pereira ◽

...

Keyword(s):

Risk Factors ◽

Sputum Smear ◽

Smear Microscopy ◽

Comprehensive Treatment ◽

Sputum Smear Microscopy ◽

Major Difficulty ◽

Control Actions ◽

Operational Activities ◽

The Relationship ◽

Leprosy Control

ABSTRACT Objectives: to understand how the therapeutic itineraries of people affected by leprosy are processed. Methods: this is a descriptive, qualitative study, conducted in April 2018 in Barão de Grajaú in Maranhão, with interviews in the form of narratives of seven patients who had a late leprosy diagnosis. Results: the search for diagnosis is a major difficulty in accessing health services, resulting in a late diagnosis and, consequently, with the presence of visible deformities. It was noticed that the health units do not have a flow, nor protocols for comprehensive treatment, and these people are referred to a referral unit in another state to perform sputum smear microscopy. Final Considerations: leprosy control actions need reformulations that seek the relationship between operational activities, epidemiological indicators and risk factors, in accordance with the real needs of each region, thus highlighting the gaps evidenced in the therapeutic itineraries.

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Avaliação dos atributos da atenção primária à saúde nas ações de controle da hanseníase [Assessment of the attributes of primary health care in leprosy control actions] [Evaluación de los atributos de la atención primaria a la salud en las acciones de control de la lepra]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2018.31925 ◽

2018 ◽

Vol 26 ◽

pp. e31925 ◽

Cited By ~ 1

Author(s):

Nayara Figueiredo Vieira ◽

Fernanda Moura Lanza ◽

Francisco Carlos Félix Lana ◽

José Ramón Martínez-Riera

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Health Professionals ◽

Minas Gerais ◽

Control Measures ◽

Assessment Instrument ◽

Cross Sectional ◽

Primary Health ◽

Leprosy Control

Objetivo: avaliar a presença e extensão dos atributos da atenção primária nas ações de controle da hanseníase, na visão dos profissionais de saúde. Método: estudo transversal, envolvendo 251 profissionais da atenção primária de Betim. Utilizou-se o Instrumento de avaliação de desempenho da atenção primária nas ações de controle da hanseníase, mediante entrevistas, sendo o escore calculado por meio da média das respostas dadas pelas Escala de Likert. Foi aprovado pelo Comitê de Ética e Pesquisa da Universidade Federal de Minas Gerais. Resultados: forte orientação do serviço (≥6,6) nos atributos porta de entrada, integralidade dos serviços disponíveis e prestados, e orientação familiar; e fragilidades (<6,6) no acesso, orientação comunitária e profissional. Conclusão: ao avaliar a presença e extensão dos referidos atributos, os profissionais constataram deficiências que prejudicam a qualidade das ações de controle da hanseníase. Torna-se necessário integrar as ações da endemia na atenção primária para eliminar esse grave problema de saúde pública.ABSTRACTObjective: to evaluate the presence and extent of the attributes of primary health care in leprosy control measures in the view of health professionals. Method: this cross-sectional study involved 251 primary health care personnel in Betim. The Assessment Instrument primary care performance in leprosy control measures was used through interviews, with scores calculated as means of Likert Scale responses. The study was approved by the research ethics committee of Minas Gerais Federal University. Results: strengths (≥ 6.6) were service orientation to gateway attributes, comprehensiveness of services available and provided, and the family; and weaknesses (<6.6) were access, and orientation towards the community and health professionals. Conclusion: when evaluating the presence and extent of the attributes, the health professionals found deficiencies that impaired the quality of leprosy control measures. Measures to address the endemic must be integrated into primary care in order to eliminate this serious public health problem.RESUMENObjetivo: evaluar la presencia y extensión de los atributos de la atención primaria en las acciones de control de la lepra desde el punto de vista de profesionales de salud. Método: estudio transversal, involucrando a 251 profesionales de la atención primaria de Betim. Se utilizó el Instrumento de evaluación de rendimiento de la atención primaria en las acciones de control de la lepra, a través de entrevistas, siendo la puntuación calculada a través del promedio de las respuestas dadas por la escala de Likert. Estudio aprobado por el Comité de Ética en Investigación de la Universidad Federal de Minas Gerais. Resultados: fuerte orientación del servicio (≥6,6) en los atributos puerta de entrada, integralidad de los servicios disponibles y ofrecidos, orientación familiar y fragilidades (<6,6) en el acceso, orientación comunitaria y profesional. Conclusión: al evaluar la presencia y extensión de los mencionados atributos, los profesionales constataron deficiencias que perjudican la calidad de las acciones de control de la lepra. Se hace necesario integrar las acciones de la endemia en la atención primaria para eliminar este grave problema de salud pública.

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Decentralization of leprosy control actions in the micro-region of Almenara, State of Minas Gerais

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692011000100025 ◽

2011 ◽

Vol 19 (1) ◽

pp. 187-194 ◽

Cited By ~ 6

Author(s):

Fernanda Moura Lanza ◽

Francisco Carlos Félix Lana

Keyword(s):

Data Collection ◽

Family Health ◽

Minas Gerais ◽

Care Providers ◽

Structured Interviews ◽

Control Actions ◽

Health Strategy ◽

Family Health Strategy ◽

Leprosy Control ◽

Health Managers

This study analyzes the decentralization process of Leprosy control actions for Family Health Strategy units in the cities of the Almenara micro-region, in the state of Minas Gerais, Brazil. This qualitative research, based on the concept "Technological Organization of Work", was carried out in nine municipalities. Semi-structured interviews and document research were used for data collection. Forty-five interviews with care providers and health managers were conducted. The data collection took place between November 2007 and February 2008. Content Analysis was utilized to study the data and results indicate that the cities present different levels of decentralization and that the process was determined based on local specifications and on the engagement of care providers and health managers. Several cities kept a reference team to provide support to primary health care. The conclusion is that the decentralization process is a strategy that proves to be useful in facing Leprosy in the micro-region.

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