POLICY TRANSFER: PERSPECTIVE OF THE DIRECTLY OBSERVED TREATMENT OF TUBERCULOSIS

Peruhype, Rarianne Carvalho; Sicsú, Amélia Nunes; Lima, Mônica Cristina Ribeiro Alexandre d´Auria de; Hoffmann, Juliana Feliciati; Palha, Pedro Fredemir

Acessibilidade / Reportar erro

Brasil

Texto & Contexto - Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Texto contexto - enferm. 27 (3) • 2018 • https://doi.org/10.1590/0104-070720180001710017 copy

POLICY TRANSFER: PERSPECTIVE OF THE DIRECTLY OBSERVED TREATMENT OF TUBERCULOSIS¹ 1 Article extracted from the thesis - The planning and execution of the policy transfer of the Directly Observed Treatment of Tuberculosis in the city of Porto Alegre - RS presented to the Public Health Nursing Program of the Mother-Child and Public Health Department, Escola de Enfermagem de Ribeirão Preto (EERP) Universidade de São Paulo (USP), in 2015.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to investigate how the policy transfer of the Directly Observed Treatment of Tuberculosis was developed from the perspective of the community health professionals of the Conceição Hospital Group.

Method:

it is a quantitative research of the epidemiological inquiry type, which was based on the application of a validated and self-directed instrument to the health professionals belonging to the 12 Primary Health Care Units to the Community Health Service of the Conceição Hospital Group. For the analysis, the beta regression, the description of the frequencies of the variables, the distribution of the mean, median and the standard deviation were used. In addition, the standardized mean and standardized scores were created.

Results:

109 health professionals participated in the study, most of them female (77.06%), aged between 30 and 59 years old (87.16%) and belonging to the medical category (37.61%). Regarding the three analyzed dimensions of the policy transfer process, it was observed that the Knowledge dimension was the one that had the highest score (77.8%), followed by the dimensions Information (72.7%) and Innovation (67.7%). The need for involvement and participation of the population in the discussions of Directly Observed Treatment, improvement of the infrastructure of the health services and the complexity of the process of accomplishment of this practice were some, among others, important aspects pointed out.

Conclusion:

it is necessary to reformulate and improve the actions related to the operationalization and transfer of the Directly Observed Treatment of Tuberculosis.

DESCRIPTORS:
Tuberculosis; Public health; Public policy; Family health strategy; Health management.

	Item	Nº of theitem	Standardized Score
Information Dimension (Items from 1-9)	The DOT has been discussed among professionals/staff that work with TB in the health unit where I work.	2	85.42
	When discussing about DOT, the Tuberculosis Control Program (TCP) coordination (municipal/state) uses clear, concise, and easily understood language.	6	84.80
	The coordination of the Tuberculosis Control Program (TCP municipal/state) has discussed the Directly Observed Treatment (DOT) with the team of the health unit where I work.	1	84.67
	The TCP coordination (municipal/state) uses strategies to motivate and involve the health unit team in which I work regarding DOT.	5	74.52
	There is no integration/interaction between the coordination of the PCT (municipal/state) and the team of the health unit where I work.	4	68.16
	The population participates in discussions about the DOT in the health unit where I work.	3	25.97

	Item	Nº of theitem	Standardized Score
Knowledge Dimension (Items from 10-19)	In order to achieve success in DOT it is necessary to incorporate other institutions/actions in addition to the health sector.	19	89.91
	I understand the DOT guidelines.	10	87.85
	The team at the health unit where I work recognizes the importance of DOT.	18	87.27
	The TCP coordination (municipal/state) often offers training on DOT.	14	71.26
	I participate in the training offered by the (Municipal/Regional/State) Health Department on DOT.	15	59.31
	In the health unit where I work, the team considers DOT as a simple routine.	13	54.40

	Item	Nº of theitem	Standardized Score
Innovation Dimension (20-39)	DOT requires the development of an individual care plan for the TB patient.	23	92.36
	At the health unit where I work, the team considers DOT as a practice that qualifies TB patient care.	28	91.44
	In the health unit where I work, the difficulties (access, economic, among others) of patients in DOT are perceived by the health team.	38	84.63
	In the health unit where I work, other strategies are created to promote adherence to DOT beyond those already existing in the program.	31	51.68
	The health unit where I work has an adequate infrastructure to provide patient care in DOT (rooms, equipment, etc.).	21	46.53
	At the health unit where I work, the community resources are used to support the patient's adherence to DOT (support groups, self-help groups, neighborhood leaders, church, and neighborhood association).	32	38.25

Domain	Category	Average standardized mean	Deviation
Information	Doctor	0.7096	0.1828
Information	Nurse	0.6666	0.1536
Information	Technician	0.7571	0.1315
Information	Assistant	0.7031	0.1824
Knowledge	Doctor	0.7532	0.1501
Knowledge	Nurse	0.6986	0.2058
Knowledge	Technician	0.6547	0.1739
Knowledge	Assistant	0.7629	0.1316
Innovation	Doctor	0.6595	0.1530
Innovation	Nurse	0.8133	0.1092
Innovation	Technician	0.7679	0.1549
Innovation	Assistant	0.7302	0.1311

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence: Rarianne Carvalho Peruhype, Rua Luis Cosme, 14, apto 702. 91340-240 - Passo Dareia, Porto Alegre, RS, Brazil. E-mail: raricp@gmail.com