Services on Demand
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Revista da Escola de Enfermagem da USP
Print version ISSN 0080-6234
RODRIGUES, Ivaneide Leal Ataide; MONTEIRO, Larissa Lima; PACHECO, Régia Hevelline Barros and SILVA, Sílvio Éder Dias da. Abandonment of tuberculosis treatment among patinets co-infected with TB/HIV. Rev. esc. enferm. USP [online]. 2010, vol.44, n.2, pp.383-387. ISSN 0080-6234. http://dx.doi.org/10.1590/S0080-62342010000200020.
This study aimed at analyzing the reasons that patients co-infected with tuberculosis and HIV leave the treatment of tuberculosis and to know the conduct of the health team toward that abandonment. The study, using a qualitative approach, performed semi-structured interviews on 45 professionals working at a referral health center in Pará state. Two units emerged based on the thematic analysis: patient-associated factors that make TB treatment adherence difficult; and service-associated factors that contribute to treatment abandonment. It was found that, in terms of the patients, that their low socioeconomic condition was the most common factor that led to abandonment. Other factors that led to this outcome included the adverse drug effects, the use of illegal drugs, and poor personal motivation. Regarding the service, issues related to the physical structure, working process organization and accessibility were also relevant to their non-adherence. Results show there is a need to change the practices performed at the health care services.
Keywords : Tuberculosis; Endemic diseases; Acquired Immunodeficiency Syndrome; Treatment refusal; Patient care team.