Abstract
Introduction: The Brazilian National Tuberculosis Control Program was created to recommend and direct clinical actions, organizational setting, information systems and surveillance of tuberculosis. The process of implementation of control actions in Primary Care took place in several formats and with different outcomes, due to the influences of local organizational configuration. Objective: To identify the facilities and difficulties reported by nurses in the implementation of the Tuberculosis Control Program in Primary Health Care. Methods: A descriptive cross-sectional study with a quantitative approach, conducted in the city of Natal, Brazil. Data collected from November from 2017 to February 2018, with 80 nurses from Primary Health Care, through a structured questionnaire. Data were categorized according to similarity criteria and analyzed using descriptive statistics. Results: The availability of nurses to work in the program (47.5%) and the presence of materials (31.2%) were the most frequently mentioned facilities. The most frequently mentioned difficulties were: adherence to treatment (21.2%) and the performance of complementary tests (15.0%). Conclusion: The findings of the study may contribute to reflection and planning of actions by health teams, as well as a tool for local managers to organize their services, in order to ensure the person with tuberculosis comprehensive care.
Highlights
The Brazilian National Tuberculosis Control Program was created to recommend and direct clinical actions, organizational setting, information systems and surveillance of tuberculosis
In the case of Brazil, in the existing research on the implementation of the Tuberculosis Control Plan, the identification of critical and favorable points for achieving the proposed objectives is explored as well as possible solutions. These existing studies collaborate to strengthen the municipalities’ adherence to the program, but they are still insufficient for TB control in the localities[12,13]. In view of this panorama, the following question emerged: what aspects facilitate or hinder the implementation of the TB Control Program in PHC? This study aims to identify the facilities and difficulties mentioned by nurses in the implementation of the Tuberculosis Control Program in Primary Health Care
Its PHC services network is organized in 54 Health Units (HU), geographically distributed in five health districts (HD): Sul, Leste, Oeste, Norte I e Norte II
Summary
The Brazilian National Tuberculosis Control Program was created to recommend and direct clinical actions, organizational setting, information systems and surveillance of tuberculosis. Objective: To identify the facilities and difficulties reported by nurses in the implementation of the Tuberculosis Control Program in Primary Health Care. With a view to reducing the occurrence of the disease, in 1999 the Brazilian Ministry of Health created the National Tuberculosis Control Program and based on this program, clinical, organizational, information and surveillance systems actions are recommended and directed, in addition to interaction with areas inside and outside the health context, at all levels of health care[6]
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