Avaliação das equipes de consultório na rua que atendem pessoas que vivem com tuberculose
INTRODUCTION: The homeless population has a risk of becoming ill with Tuberculosis 67 times higher than the general population, always with a high incidence and abandonment rate. To meet the health needs of this population, the Ministry of Health created the Street Clinic (eCnaR) teams with the o...
Na minha lista:
| Autor principal: | |
|---|---|
| Outros Autores: | |
| Formato: | Dissertação |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
|
| Assuntos: | |
| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/31721 |
| Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
| Resumo: | INTRODUCTION: The homeless population has a risk of becoming ill with Tuberculosis
67 times higher than the general population, always with a high incidence and abandonment
rate. To meet the health needs of this population, the Ministry of Health created the Street
Clinic (eCnaR) teams with the objective of expanding access to health services for the
homeless population. OBJECTIVE: to evaluate the street office teams that assist people
living with tuberculosis in the city of Natal. METHOD: This is an evaluative research of the
normative type, with a quantitative and qualitative approach with emphasis on the degree of
implementation, structure and process, of the office team on the street. Avenis Donabedian
was used as a theoretical-methodological framework for health assessment. The study
population consisted of 15 health professionals distributed in the following categories: nurses,
social worker, doctor, psychologist and nursing technician from the three office teams on the
street in the city of Natal / RN. Data collection was carried out from August to October 2020
through a questionnaire based on the Manual of Recommendations for the Control of
Tuberculosis in Brazil, consisting of questions related to professional characterization,
structure / process dimension and the perceptions referred by professionals of health teams
that make up the office teams on the street to assist people living with tuberculosis.
Quantitative data were organized and analyzed using the Statistical Package for the Social
Sciences (SPSS), version 22.0 IBM, using descriptive statistics. For the analysis of the
implantation of the Street Consultation Teams in the city of Natal, the dimensions (structure
and process) and their sub-dimensions (resources: human and material; process: operational
activities) were considered. Regarding the implantation assessment, 20 criteria were selected
and the percentage of responses identified were divided into four classifications: not
implanted (from 0% to 25%), incipient (from 26% to 50%), partially implanted (from 51% to
75%) and implanted (from 76% to 100%). The interviews (qualitative data) were recorded in
audios, transcribed and organized. The analytical processing was performed using the
Interface R software for the Multidimensional Analyzes by Textes et de Questionnaires
(IRAMUTEQ), version 7 alpha 2. The research was approved by the Research Ethics
Committee of the Federal University of Rio Grande do Norte, under which issued its approval
through Opinion 4,065,175. The construction of the logical-operational model allowed the
identification of the structural organization, the activities developed and the expected /
developed results of the tuberculosis control program for the homeless population of the city
of Natal. RESULTS: Of the 15 professionals selected in the sample, 01 was away from his
activities during data collection, thus totaling 14 participants. From the data collected, it was
possible to identify the degree of implementation of the Consultancy Teams on the Street in
the city of Natal / RN, which was classified as implanted (76.79%). In the structure
dimension, material resources were classified as partially implemented (72.73%). As for the
process dimension, operational activities achieved the degree implemented (81.75%).
Regarding the perceptions mentioned by the health professionals who make up the office
teams on the street to assist people living with tuberculosis, three thematic categories
emerged: (1) the reasons that contribute to living on the street; (2) the attributions and
activities of the eCnaR and health managers, and (3) the challenges and difficulties in daily
work. The results found for category 1 were: multifactorial, unemployment, family problems
and drugs; for category 2: monitoring, guidance, care, dispersion of medication and referral to
the health network; and in the lack of recognition of the network and difficulty in working
hours. CONCLUSION: The logical-operational model of the tuberculosis control program for the homeless population allowed an understanding of the program's organization and
supported the evaluation process. The establishment of criteria related to the structure and
process made it possible to identify the degree of implementation of the program of the
municipality of Natal as implemented, which highlights the need to continue the operational
improvement that is essential for the integrality of care, in addition to health education
activities. |
|---|