Banca de DEFESA: SANDY YASMINE BEZERRA E SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : SANDY YASMINE BEZERRA E SILVA
DATA : 13/11/2018
HORA: 09:00
LOCAL: Departamento de Enfermagem
TÍTULO:

EVALUATION OF THE IMPLEMENTATION LEVEL OF THE TUBERCULOSIS CONTROL PROGRAM IN THE CITY OF NATAL / RN

PALAVRAS-CHAVES:

Tuberculosis; Health Evaluation; Program Evaluation.

PÁGINAS: 71
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

Introduction: The National Tuberculosis Control Program aims reduce morbidity, mortality and transmission of the disease through prevention, diagnosis and treatment. Tuberculosis control is the responsibility of all spheres of government, which should promote the adequate implementation of tuberculosis control programs and ensure the user's access to the health care network. Objectives: The general objective of this study was is evaluate the implementation level of the Program of Control of Tuberculosis in Primary Health Care in the city of Natal, Rio Grande do Norte. The specific objectives were: develop a logic model of the Tuberculosis Control Program focusing on the structure and process dimensions and identify the implementation of the Tuberculosis Control Program in Primary Health Care in the city of Natal, Rio Grande do Norte. Method: This is an evaluative research, with a quantitative approach, with emphasis on the level of program implementation, using Avenis Donabedian's health evaluation as a theoretical-methodological reference. The study population consisted of primary health care nurses from Natal/RN distributed in the 54 Health Units of the municipality. The inclusion criteria used were: nurses working in the professional period in the period of collection of the research and who performed actions in the control of Tuberculosis. The Barbetta formula was used to calculate the sample of Health Units, considering a sample error of 5% and a 95% confidence interval, resulting in 48 Health Units and a participation of at least 02 nurses per unit, totaling 96 nurses. Data collection was carried out from November 2017 to February 2018 through a questionnaire based on the Manual of Recommendations for Tuberculosis Control in Brazil, consisting of questions on the professional characterization and on the structure and process dimensions of the Tuberculosis Program . The data were organized and analyzed through the Statistical Package for the Social Sciences (SPSS), version 22.0 IBM, using descriptive statistics in absolute and relative numbers. In order to analyze the implementation of the Tuberculosis Control Program in the city of Natal, the dimensions (structure and process) and its sub-dimensions were considered (human, structural and material resources; operational activities, health education and information systems). Regarding the evaluation of the level of implantation, 31 criteria were selected and the percentage of responses identified were distributed in four classifications: Not implemented (from 0% to 25%); Incipient (26% to 50%); Partially implanted (from 51% to 75%); Implanted (76% to 100%). Results: The construction of the logic, model allowed the identification of the structural organization, the activities developed and the expected results of the program. Of the 96 nurses selected in the sample, 08 were distant from their activities during data collection, 06 refused to participate in the study and in two units there were only 02 nurses responsible for the activities of the unit, totaling 80 participants. From the data collected, it was possible to identify the level of implementation of the Tuberculosis Control Program in Natal RN, which was classified 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 implanted (86.92%), human resources as partially implanted (55.00%) and structural resources, with incipient implantation (49.58%). As for the process dimension, the operational activities obtained the degree of partially implemented (59.26%), health education activities, incipient (36.88%) and information system activities were classified as implemented (87.00 %). Conclusion: The logic 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 made it possible to identify the level of implementation of the program in the municipality of Natal as partially implemented, which highlights the need for improvement for its proper operation. It is necessary structuring the spaces destined to the care of this clientele, as well as the integrality in the assistance, with greater participation of the other professional categories, besides the intensification of the activities of health education.

MEMBROS DA BANCA:
Externo à Instituição - ALINE ALE BERALDO - MS
Presidente - 1995800 - ERIKA SIMONE GALVAO PINTO
Externo ao Programa - 2580109 - EWERTON WILLIAM GOMES BRITO
Interno - 3168491 - NILBA LIMA DE SOUZA