Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN
Introduction: The National Tuberculosis Control Program aims to reduce morbidity, mortality and transmission of the disease through prevention, diagnosis and treatment. Tuberculosis control is a matter of responsibility for all spheres of government, such as those for the implementation of diseas...
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Tuberculose Avaliação em saúde Avaliação de programas e projetos de saúde CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
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Tuberculose Avaliação em saúde Avaliação de programas e projetos de saúde CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM Silva, Sandy Yasmine Bezerra e Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN |
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Introduction: The National Tuberculosis Control Program aims to reduce morbidity,
mortality and transmission of the disease through prevention, diagnosis and treatment.
Tuberculosis control is a matter of responsibility for all spheres of government, such as those
for the implementation of disease control programs. Objectives: The general objective of this
study was to evaluate the grade of implementation of the Tuberculosis Control Program in
Primary Health Care, in the city of Natal, Rio Grande do Norte. The specific objectives were:
to elaborate the logical model of the Tuberculosis Control Program focusing on the
dimensions of Structure and Process and to identify the measure of implementation of the
Tuberculosis Control Program in Primary Health Care, in the city of Natal, Rio Grande do
Norte. Method: This is a normative evaluation study, with a quantitative approach, with
emphasis on the grade of program implementation, using Avenis Donabedian's health
evaluation as a theoretical-methodological reference. The study population consisted by
nurses from the Primary Health Care of Natal / RN, distributed in the 54 Health Units of the
municipality. From the sample calculation, considering 5% of error and 95% confidence
interval, the collection was defined in 48 Health Units, with the participation of at least 02
nurses per unit, resulting in a sample of 96 nurses, without replacement. The data collection
took place from November 2017 to February 2018, through a questionnaire consisting of 62
questions. The data were organized and analyzed through the Statistical Package for the
Social Sciences program, version 22.0 IBM. For the identification of the measure of
implantation, 31 criteria were selected and the percentage of identified answers was
distributed in four classifications: Not implanted (from 0% to 25%); Incipient (26% to 50%);
Partially implanted (from 51% to 75%); Implanted (76% to 100%). The study was analyzed
by the Research Ethics Committee of the Federal University of Rio Grande do Norte, which
issued its approval through opinion 2,327,693 and Certificate of Presentation for Ethical
Assessment 76788317.9.0000.5537. Results: The construction of the logical model allowed
the identification of the structural organization, the activities developed and the expected
results of the program. From the 96 nurses selected in the sample, 08 were distant from their
work activities during data collection, 06 refused to participate in the survey and in 02 units
there were only 1 nurse responsible for the activities of the unit, totaling 80 participants. From
the data collected, it was possible to identify the grade of implementation of the Tuberculosis
Control Program in the city of Natal / RN as partially implanted (62.85%). The Structure and
Process dimensions were also classified with the same degree of evaluation (61.80% and
63.17%, respectively). In the Structure dimension, material resources were classified as
implemented (86.92%); human resources, as partially implemented (55.00%) and structural
resources, with incipient implementation (49.58%). Regarding the Process dimension, the
operational activities obtained the grade of partially implemented (59.26%); health education
activities, incipient (36.88%) and activities of information systems were classified as
implanted (87.00%). Conclusion: The logistic model of the Tuberculosis Control Program
that was built allowed an understanding of the organization of the program and subsidized the
evaluation process. The identification of the criteria related to the Structure and Process
classified the municipal tuberculosis program of Natal as partially implemented. It is
necessary to structure spaces for the care of patients with Tuberculosis, as well as integral care, with greater participation of the health team, as well as the intensification of health
education activities. |
| author2 |
Pinto, Erika Simone Galvão |
| author_facet |
Pinto, Erika Simone Galvão Silva, Sandy Yasmine Bezerra e |
| format |
masterThesis |
| author |
Silva, Sandy Yasmine Bezerra e |
| author_sort |
Silva, Sandy Yasmine Bezerra e |
| title |
Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN |
| title_short |
Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN |
| title_full |
Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN |
| title_fullStr |
Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN |
| title_full_unstemmed |
Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN |
| title_sort |
avaliação do grau de implantação do programa de controle da tuberculose no município de natal/rn |
| publisher |
Brasil |
| publishDate |
2019 |
| url |
https://repositorio.ufrn.br/jspui/handle/123456789/26567 |
| work_keys_str_mv |
AT silvasandyyasminebezerrae avaliacaodograudeimplantacaodoprogramadecontroledatuberculosenomunicipiodenatalrn AT silvasandyyasminebezerrae evaluationofthedegreeofimplementationofthetuberculosiscontrolprograminthecityofnatalrn |
| _version_ |
1773957888850526208 |
| spelling |
ri-123456789-265672019-02-07T04:33:52Z Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN Evaluation of the degree of implementation of the tuberculosis control program in the city of Natal /RN Silva, Sandy Yasmine Bezerra e Pinto, Erika Simone Galvão Beraldo, Aline Ale Brito, Ewerton William Gomes Silva, Maria de Lourdes Costa da Souza, Nilba Lima de Tuberculose Avaliação em saúde Avaliação de programas e projetos de saúde CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM Introduction: The National Tuberculosis Control Program aims to reduce morbidity, mortality and transmission of the disease through prevention, diagnosis and treatment. Tuberculosis control is a matter of responsibility for all spheres of government, such as those for the implementation of disease control programs. Objectives: The general objective of this study was to evaluate the grade of implementation of the Tuberculosis Control Program in Primary Health Care, in the city of Natal, Rio Grande do Norte. The specific objectives were: to elaborate the logical model of the Tuberculosis Control Program focusing on the dimensions of Structure and Process and to identify the measure of implementation of the Tuberculosis Control Program in Primary Health Care, in the city of Natal, Rio Grande do Norte. Method: This is a normative evaluation study, with a quantitative approach, with emphasis on the grade of program implementation, using Avenis Donabedian's health evaluation as a theoretical-methodological reference. The study population consisted by nurses from the Primary Health Care of Natal / RN, distributed in the 54 Health Units of the municipality. From the sample calculation, considering 5% of error and 95% confidence interval, the collection was defined in 48 Health Units, with the participation of at least 02 nurses per unit, resulting in a sample of 96 nurses, without replacement. The data collection took place from November 2017 to February 2018, through a questionnaire consisting of 62 questions. The data were organized and analyzed through the Statistical Package for the Social Sciences program, version 22.0 IBM. For the identification of the measure of implantation, 31 criteria were selected and the percentage of identified answers was distributed in four classifications: Not implanted (from 0% to 25%); Incipient (26% to 50%); Partially implanted (from 51% to 75%); Implanted (76% to 100%). The study was analyzed by the Research Ethics Committee of the Federal University of Rio Grande do Norte, which issued its approval through opinion 2,327,693 and Certificate of Presentation for Ethical Assessment 76788317.9.0000.5537. Results: The construction of the logical model allowed the identification of the structural organization, the activities developed and the expected results of the program. From the 96 nurses selected in the sample, 08 were distant from their work activities during data collection, 06 refused to participate in the survey and in 02 units there were only 1 nurse responsible for the activities of the unit, totaling 80 participants. From the data collected, it was possible to identify the grade of implementation of the Tuberculosis Control Program in the city of Natal / RN as partially implanted (62.85%). The Structure and Process dimensions were also classified with the same degree of evaluation (61.80% and 63.17%, respectively). In the Structure dimension, material resources were classified as implemented (86.92%); human resources, as partially implemented (55.00%) and structural resources, with incipient implementation (49.58%). Regarding the Process dimension, the operational activities obtained the grade of partially implemented (59.26%); health education activities, incipient (36.88%) and activities of information systems were classified as implanted (87.00%). Conclusion: The logistic model of the Tuberculosis Control Program that was built allowed an understanding of the organization of the program and subsidized the evaluation process. The identification of the criteria related to the Structure and Process classified the municipal tuberculosis program of Natal as partially implemented. It is necessary to structure spaces for the care of patients with Tuberculosis, as well as integral care, with greater participation of the health team, as well as the intensification of health education activities. Introdução: O Programa Nacional de Controle da Tuberculose tem como objetivo reduzir a morbidade, mortalidade e transmissão da doença através de ações de prevenção, diagnóstico e tratamento. O controle da Tuberculose é de responsabilidade de todas as esferas de governo, as quais devem promover a implantação dos programas de controle dessa doença. Objetivos: O objetivo geral desse estudo consistiu em avaliar o grau de implantação do Programa de Controle da Tuberculose na Atenção Primária à Saúde, no município de Natal, Rio Grande do Norte. Os objetivos específicos foram: elaborar o modelo lógico do Programa de Controle da Tuberculose com foco nas dimensões de Estrutura e Processo e identificar o grau de implantação do Programa de Controle da Tuberculose na Atenção Primária à saúde, no município de Natal, Rio Grande do Norte. Método: Trata-se de um estudo de avaliação normativa, de abordagem quantitativa, com ênfase no grau de implantação de programas, utilizando como referencial teórico-metodológico a avaliação em saúde de Avenis Donabedian. A população do estudo foi constituída por enfermeiros da Atenção Primária à Saúde de Natal/RN, distribuídos nas 54 Unidades de Saúde do município. A partir do cálculo amostral, considerando 5% de erro e intervalo de confiança de 95%, foi definida a coleta em 48 Unidades de Saúde, sendo preconizada a participação de, no mínimo, 02 enfermeiros por unidade, resultando em uma amostra de 96 enfermeiros, sem reposição. A coleta de dados ocorreu nos meses de novembro de 2017 a fevereiro de 2018, através de um questionário constituído por 62 questões. Os dados foram organizados e analisados através do programa Statistical Package for the Social Sciences, versão 22.0 IBM. Para a identificação do grau de implantação, foram selecionados 31 critérios e o percentual de respostas identificadas foi distribuído em quatro classificações: Não implantado (de 0% a 25%); Incipiente (de 26% a 50%); Parcialmente implantado (de 51% a 75%); Implantado (de 76% a 100%). O estudo foi analisado pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte, o qual emitiu sua aprovação através do parecer 2.327.693 e Certificado de Apresentação para Apreciação Ética 76788317.9.0000.5537. Resultados: A construção do modelo lógico permitiu a identificação da organização estrutural, das atividades desenvolvidas e dos resultados esperados do programa. Dos 96 enfermeiros selecionados na amostra, 08 encontravam-se afastados de suas atividades laborais durante a coleta de dados, 06 recusaram a participar da pesquisa e em 02 unidades só havia 01 enfermeiro responsável pelas atividades da unidade, totalizando assim 80 participantes. A partir dos dados coletados, foi possível identificar o grau de implantação do Programa de Controle da Tuberculose no município de Natal/RN como parcialmente implantado (62,85%). As dimensões Estrutura e Processo também foram classificadas com o mesmo grau de avaliação (61,80% e 63,17%, respectivamente). Na dimensão Estrutura, os recursos materiais foram classificados como implantados (86,92%); os recursos humanos, como parcialmente implantados (55,00%) e os recursos estruturais, com implantação incipiente (49,58%). Quanto à dimensão Processo, as atividades operacionais obtiveram o grau de parcialmente implantado (59,26%); as atividades de educação em saúde, incipiente (36,88%) e as atividades de sistemas de informação foram classificadas como implantadas (87,00%). Conclusão: O modelo lógico do Programa de Controle da Tuberculose construído permitiu a compreensão da organização do programa e subsidiou o processo de avaliação. A identificação dos critérios relacionados à Estrutura e ao Processo classificou o programa de Tuberculose municipal de Natal como parcialmente implantado. Faz-se necessária a estruturação de espaços destinados a atendimento dos portadores da Tuberculose, assim como a integralidade na assistência, com maior participação da equipe de saúde, além da intensificação das atividades de educação em saúde. 2019-02-06T21:15:37Z 2019-02-06T21:15:37Z 2018-11-13 masterThesis SILVA, Sandy Yasmine Bezerra e. Avaliação do grau de implantação do programa de controle da tuberculose no município de Natal/RN. 2018. 74f. Dissertação (Mestrado em Enfermagem) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2018. https://repositorio.ufrn.br/jspui/handle/123456789/26567 por Acesso Aberto application/pdf Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM |