O contexto socioambiental da tuberculose pulmonar em Juiz de Fora (MG)
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Data
2013-12-18
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Universidade Federal de Goiás
Resumo
Juiz de Fora (JF) had a high prevalence of tuberculosis (TB) in the set of municipalities
in the state of Minas Gerais (MG) and Brazil, whose causes are not known. Get to know
them and analyze the relationships involving environmental quality of neighborhoods
and areas of the municipality of JF (MG), with a higher incidence of pulmonary TB, the
public health policy of Primary Care (AB) in controlling the disease, with focus on the
profile of Community Health Agents (ACS) and the carriers of the disease, especially
those who discontinue treatment constitute the main scope of this thesis. How socioenvironmental
context proceeded to the rescue of knowledge about TB, its introduction
in Brazil and the historical evolution of the treatment, the current international situation
and the recommendations of international organizations especially the World Health
Organization (WHO) for countries with a high burden of disease, such as Brasil. The
text that results from research on TB in JF uses theoretical sources from different areas
of knowledge, empirical research, document and database of the Ministry of Health, in
consultation with the reporting forms / TB research model SINANand statistical
analyzes of the type control case, calculating the "odds ratio" as a measure of strength of
association between the correlated parameters. The results revealed multifactorial
causation. The TB concentrates in the neediest regions in that the Environmental
Quality Index (IQA) is low revealed by unhealthy housing, lack of sanitation, low
education and income. The profile of these ACS integrated into to the healthcare teams
at the level the AB confirms frailties in their knowledge, insufficient number for
demand and low involvement in disease control. The sociodemographic and clinical
epidemiological profile of TB patients related to treatment dropout reveal prevalence of
self-administered treatment to the detriment the supervised treatment as determined the
National Programme Tuberculosis Control (PNCT) and the predominance of the more
socioeconomically disadvantaged groups. It can be concluded that TB disease is in fact
associated with poverty and somewhat neglected by the national public policy.
Recommendations are done to resolve the causes found, as the need for awareness
among the local health authorities and investment in trainings for family healthcare
teams, addition to initiatives in health education for the community in general, mainly
as to the benefits arising from the early diagnosis and supervised treatment. At the same
time is recommended improve infrastructure conditions in the regions where the IQA is
low.
Descrição
Citação
LIMA, Maria de Fátima Furtado. O contexto socioambiental da tuberculose pulmonar em Juiz de Fora (MG). 2013. 275 f. Tese (Doutorado em Ciências Ambientais) - Universidade Federal de Goiás, Goiânia, 2013.