Abstract
The active search of patients with respiratory symptoms is one of the priorities of the National Tuberculosis Control Program. It is expected that this activity must be inserted in the daily work of the Community Health Agents (CHA), in order to find cases precociously. The objective was to analyze the incorporation of case finding (CF) in tuberculosis control in the CHA perception. Data were collected by a survey of laboratory sputum smear results before and after the implantation of CF in the Community Health Agent Program (CHAP) and by an the application of a questionnaire among CHA. After the implantation of CF, the number of sputum smear requests increased in the first two months but decreased in subsequent months. The aspects that may be complicating the sustainability of CF are operational, related to the CHAP's external work (75% CHA experienced difficulties to collect the sputum) and to health service organization (lack of integration between different care points in the health service system: discontinuity in information and communication flows among CHAP and Health Units, strictness in routines/time for sending the sputum to the laboratory). Concluding the family approach is a complex activity demanding that the CHA have a permanent supervision of the nurse or doctor.
Highlights
The active search of patients with respiratory symptoms is one of the priorities of the National Tuberculosis Control Program
Além das habilidades específicas / técnicas, que a utilização de outros conhecimentos que envolvem a sociologia, psicologia, filosofia, entre outros, e, nem sempre o Agentes Comunitários de Saúde (ACS) tem formação ou está preparado para tal abordagem
L. Conhecimentos e opiniões de usuários sobre o valor do exame de escarro, de um serviço de saúde do município de São Pulo visando qualidade das amostras para o diagnóstico da tuberculose pulmonar pelo método bacteriológico
Summary
A pesquisa foi realizada na área que compõe o Distrito de Saúde-Norte, do município de Ribeirão Preto-SP. Para o alcance do objetivo do estudo, foram desenvolvidas duas etapas. Destaca-se que nos meses de abril e maio de 2002 foi realizada a capacitação específica em TB dos ACS. Foi aplicado um questionário, contendo questões abertas e fechadas, a 81 ACS. As entrevistas foram realizadas após o consentimento dos sujeitos de acordo com a Resolução n° 196/96,de 10 de outubro de 1996, normalizada pelo Conselho Nacional de Saúde (CNS), que regulamenta a pesquisa com seres humanos, informando aos entrevistados o teor da pesquisa, objetivos, a privacidade, e a liberdade de desistência em qualquer período sem prejuízo para os mesmos
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