Detection of tuberculosis: the structure of primary health care

Descriptive, evaluative mixed methods research, with direct observation of the physical structure of 69 primary health care units; and semi-structured interviews with 10 subjects. Conducted between 2014 and 2016. Using descriptive statistics and content analysis for data analysis.

RESULTS

In the 50 units in Pelotas there was an absence of: pots (24%); forms (53.1%), register books (48%) and of transportation of material to the laboratory (86%). In the 19 units of Sapucaia do Sul, these inputs were available. The absence of professionals, the turnover of human resources and the lack of training, emerged as the main structural deficiencies.

CONCLUSION

There are structural differences between municipalities. The study suggests that Pelotas should adopt tuberculosis care coordination.

Keywords:
Primary health care; Tuberculosis/prevention & control; Health services research

Structure	Pelotas (n=50)			Sapucaia do Sul (n=19)
Structure	N	%	N	%
Working shifts
One shift	6	12.0	1	5.3
Two shifts	36	72.0	14	73.7
Three shifts	8	16.0	4	21.0
Book to register people with respiratory symptoms
No	24	48.0	0	0.0
Yes	26	52.0	19	100
Form for bacilloscopy request
No	27	53.1	0	0.0
Yes	23	46.9	19	100
Pots for catarrh collection
No	12	24.0	0	0.0
Yes	38	76.0	19	100
Specific room for catarrh collection
No	50	100	19	100
*Where is it collected^ * five respondents ignored this variable**
Residence	28	65.1	19	100
Common use room in the unit	15	34.9	0	0.0
Fridge to store the samples
No	50	100	18	94.7
Yes	0	0.0	1	5.3
Thermal box to store the samples
No	30	60.0	1	5.3
Yes	20	40.0	18	94.7
Transport of samples to the lab
Patient/relatives	43	86.0	0	0.0
Mayor's office	7	14.0	19	100

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[1] Corresponding author:Lílian Moura de Lima Spagnolo. lima.lilian@gmail.com