Silva Cristiano Soares da, Barreto Jaison Antônio, Avelino-Silva Vivian Iida, Bierrenbach Ana Luiza
Hospital Sírio-Libanês, Instituto Sírio-Libanês de Ensino e Pesquisa, São Paulo, São Paulo, Brazil.
Instituto Lauro de Souza Lima, Bauru, São Paulo, Brazil.
Rev Inst Med Trop Sao Paulo. 2020 Sep 30;62:e72. doi: 10.1590/S1678-9946202062072. eCollection 2020.
The study aimed to analyze the impact of health interventions carried out in the city of Palmas, Brazil, on the epidemiological and operational indicators of leprosy between 2007 and 2017. The intervention consisted of training healthcare personnel on the diagnosis and follow-up of patients and organizing the referral of patients to health units. Estimates of the impact were calculated by taking the differences between indicators reported in two equal periods of 1.5 years pre- and post-intervention, with a transition period of six months. During the study period, the database contained 1,875 notifications, with 66% of cases diagnosed in the post-intervention period. There was a predominance of males (52%); aged 50 years or more (34.9%); with mixed ethnicity (63.5%). The low level of education was noticeable, with more than half of the cases (51.7%) reporting illiteracy or ≤ 7 years of education. The intervention resulted in an increase in both, epidemiological and operational indicators, suggesting a positive impact of the intervention on leprosy detection and treatment. Our results also emphasize the need for further studies addressing the impact of pragmatic health interventions aiming at controlling and eliminating the disease.
该研究旨在分析巴西帕尔马斯市在2007年至2017年间实施的卫生干预措施对麻风病流行病学和业务指标的影响。干预措施包括对医护人员进行患者诊断和随访培训，以及组织患者转诊至卫生单位。通过计算干预前和干预后两个相等的1.5年期报告指标之间的差异，并设置六个月的过渡期来估算影响。在研究期间，数据库包含1875份通报，其中66%的病例在干预后时期被诊断出来。男性占主导（52%）；年龄在50岁及以上（34.9%）；具有混合种族（63.5%）。教育水平较低很明显，超过一半的病例（51.7%）报告为文盲或受教育年限≤7年。干预导致流行病学和业务指标均有所增加，表明该干预对麻风病的检测和治疗产生了积极影响。我们的结果还强调需要进一步研究务实的卫生干预措施对控制和消除该疾病的影响。
