Accession to Tuberculosis Treatment: Individual and Social Vulnerability Elements

Authors

  • Rayrla Cristina de Abreu Temoteo Santa Maria College and Universidade Estadual da Paraíba
  • Fernanda Darliane Tavares de Luna Universidade Estadual da Paraíba
  • Sheylla Nadjane Batista Lacerda Santa Maria College
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC
  • Fernando Luiz Affonso Fonseca Faculdade de Medicina do ACB
  • Edwirde Luiz Silva Universidade Estadual da Paraíba
  • Maria Rita Bertolozzi Universidade de São Paulo
  • Tânia Maria Ribeiro Monteiro de Figueiredo Universidade Estadual da Paraíba

DOI:

https://doi.org/10.3823/1805

Keywords:

Patient adherence, treatment, tuberculosis, vulnerability

Abstract

Introduction:  Tuberculosis (TB) remains as a major public health problem, being the second infectious disease to cause death all over the world. The Directly Observed Treatment (DOT) is one of the recommended strategies to control this disease. The accession in this mode of treatment is integrated into the Tuberculosis Control Program (PCT), this program also provide socio-economic incentives as the distribution of food baskets, bus passes and breakfast. Moreover, public policies for social protection help both family development and social vulnerability. Tuberculosis is still associated with social exclusion and marginalization of the population subjected to poor living conditions and limited access to public services. 

Objective:  Analyze the potential accession to tuberculosis treatment related to individual and social vulnerability aspects. 

Methods: Cross-sectional, qualitative study, conducted with 39 individuals diagnosed with tuberculosis and in treatment for at least 30 days in the city of Campina Grande, Paraiba, Brazil. 20 markers were used as analysis units, with the possibility of score responses from one to three. The lower scores indicate lower potential of adherence to treatment, while the highest ones express greater potential accession.

 Results: markers that were more related to score one and indicated lower potential adherence to tuberculosis treatment were: tuberculosis impact on labor; conception of health-disease causality and work process (employment status). In contrast, markers that were more closely related to the score three that resonate with greater adherence capability to tuberculosis treatment were: Drug use, life (housing situation) and treatment difficulties in the disease course. 

Conclusion:  The instrument used allowed the presentation of low potential markers for adherence to tuberculosis treatment. Therefore, it is recommended the use of markers in Primary Health Care for monitoring adherence to tuberculosis treatment.

 

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Published

2015-09-03

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Primary Care

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