Marquieviz Janete, Alves Ilcelia dos Santos, Neves Eduardo Borba, Ulbricht Leandra
Centro Universitário Campos de Andrade, Santa Quitéria.
Cien Saude Colet. 2013 Jan;18(1):265-71. doi: 10.1590/s1413-81232013000100027.
Tuberculosis defined by some as the 'neglected calamity' is still an important public health problem. To try to improve results in tackling the disease, actions have been decentralized to the level of Primary Health Care (PHC), which has been demanding a new direction in the Family Health Strategy (FHS). This research sought to analyze the evolution of the FHS in the municipality of Curitiba between the years 2000 and 2009 and its impact on incidence rates of tuberculosis. The aggregate-type ecological study with a longitudinal territorial time-series base was the methodology used. Data collection was conducted from October 2010 to July 2011. The main results revealed a marked increase of 127.63% in the number of Family Health Teams, with a 76.28% increase of coverage. There was also concern about the ongoing training of these teams, which reflected positively in increasing the number of diagnostic tests performed, reducing the number of new cases, the proportion of individuals abandoning treatment and the mortality rate related to tuberculosis. From the research conducted it can be seen that there has been a correction in the direction of actions to control the incidence of tuberculosis in the municipality of Curitiba.
结核病被一些人定义为“被忽视的灾难”，它仍然是一个重要的公共卫生问题。为了努力改善应对该疾病的成果，行动已下放到初级卫生保健（PHC）层面，这就要求家庭健康战略（FHS）有一个新的方向。本研究旨在分析2000年至2009年间库里蒂巴市家庭健康战略的演变及其对结核病发病率的影响。采用的方法是以纵向地域时间序列为基础的总体类型生态研究。数据收集于2010年10月至2011年7月进行。主要结果显示，家庭健康团队数量显著增加了127.63%，覆盖率提高了76.28%。对这些团队的持续培训也令人关注，这在增加诊断测试数量、减少新病例数量、放弃治疗的个体比例以及与结核病相关的死亡率方面产生了积极影响。从所进行的研究可以看出，库里蒂巴市在控制结核病发病率的行动方向上已经得到了纠正。
