Regional coordinators of Sao Paulo State prisons in tuberculosis and HIV coinfection care.
作者信息
Saita Nanci Michele, Pelissari Daniele Maria, Andrade Rubia Laine de Paula, Bossonario Pedro Augusto, Faria Mariana Gaspar Botelho Funari de, Ruffino Netto Antonio, Monroe Aline Aparecida
机构信息
Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.
Ministério da Saúde. Brasília, Distrito Federal, Brazil.
出版信息
Rev Bras Enferm. 2020 Dec 21;73(suppl 6):e20190738. doi: 10.1590/0034-7167-2019-0738. eCollection 2020.
OBJECTIVES
to analyze the care provided to individuals with Tuberculosis (TB)-HIV coinfection in prison units in the state of São Paulo, according to the regional coordination of prisons.
METHODS
cross-sectional study conducted between 2016 and 2018. A structured questionnaire was applied to 112 directors or health professionals from 168 prison units. Data were analyzed by frequency distribution and multiple correspondence analysis.
RESULTS
92.9% of participants reported active search for respiratory symptoms, 89.3% offer the directly observed treatment (DOT) for all TB cases, 95.5% anti-HIV testing for all inmates, 92.9% offer HIV follow-up in specialized care services and 59.8% antiretroviral drugs for cases of coinfection. An association was identified between the Northwest and Central regional coordinations and deficient human resources and low performance of actions for the diagnosis and follow-up of cases.
CONCLUSIONS
although most prison units perform planned actions for the care of coinfected persons, some places need support to guarantee access to these actions.
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