Helizandra Simoneti Bianchini Romanholo1, Eliana Amorim de Souza2,3, Alberto Novaes Ramos Júnior2, Adélia Cileode Gomes Castelo Branco Kaiser4, Ismália Oliveira da Silva5, Aline Lima Brito2, Cídia Vasconcellos1,6. 1. Instituto de Assistência Médica ao Servidor Público Estadual de São Paulo / Universidade Cidade de São Paulo, Postgraduate Program in Health Sciences. São Paulo, Brazil. 2. Universidade Federal do Ceará, Medical school, Postgraduate Program in Public Health. Fortaleza, Ceará, Brazil. 3. Universidade Federal da Bahia, Interdisciplinary Institute of Health Anísio Teixeira, Medicine Course. Vitória da Conquista, Bahia, Brazil. 4. Governo do Estado de Rondônia, Regional Hospital of Cacoal. Cacoal, Rondônia, Brazil. 5. Faculdade de Ciências Biomédicas de Cacoal, Bachelor's Degree in Medicine. Cacoal, Rondônia, Brazil. 6. Universidade São Paulo, Medical school. São Paulo, Brazil.
Abstract
OBJECTIVE: To characterize approach methods for intradomiciliary contacts (IdC) of leprosy cases resident in Northern Brazil, during 2001-2012. METHOD: A cross-sectional and descriptive study in the state of Rondônia. Included IdC of leprosy cases diagnosed/reported in SINAN-Ministry of Health (MS), 2001-2012. A semi-structured instrument was applied to the IdCs, with six interventions: complete dermatological examination; complete neurological examination; BCG vaccination; instructions for return to the health unit; BCG guidance; and guidance to mobilize other contacts. Results: From a total of 459 IdCs included, failure to perform the dermatological examination was reported by 191 people (41.6%) and the neurological examination, by 252 (54.9%); 138 (30.1%) did not have BCG indicated and 122 (26.6%) did not receive guidelines; 257 (56.0%) were not advised to return for a new evaluation/follow-up and 186 (40.5%) were not asked to mobilize other contacts. CONCLUSION: Despite the favorable indicators of IdC examination coverage in the state, the evaluation process presents patterns that indicate operational quality failures.
OBJECTIVE: To characterize approach methods for intradomiciliary contacts (IdC) of leprosy cases resident in Northern Brazil, during 2001-2012. METHOD: A cross-sectional and descriptive study in the state of Rondônia. Included IdC of leprosy cases diagnosed/reported in SINAN-Ministry of Health (MS), 2001-2012. A semi-structured instrument was applied to the IdCs, with six interventions: complete dermatological examination; complete neurological examination; BCG vaccination; instructions for return to the health unit; BCG guidance; and guidance to mobilize other contacts. Results: From a total of 459 IdCs included, failure to perform the dermatological examination was reported by 191 people (41.6%) and the neurological examination, by 252 (54.9%); 138 (30.1%) did not have BCG indicated and 122 (26.6%) did not receive guidelines; 257 (56.0%) were not advised to return for a new evaluation/follow-up and 186 (40.5%) were not asked to mobilize other contacts. CONCLUSION: Despite the favorable indicators of IdC examination coverage in the state, the evaluation process presents patterns that indicate operational quality failures.
Authors: Anderson Fuentes Ferreira; Eliana Amorim de Souza; Mauricélia da Silveira Lima; Gabriela Soledad Márdero García; Francesco Corona; Elaine Silva Nascimento Andrade; Sebastião Alves de Sena Neto; Carmelita Ribeiro Filha; Adriana da Silva Dos Reis; Léia Gadelha Teixeira; Alberto Novaes Ramos Journal: Rev Panam Salud Publica Date: 2019-11-06
Authors: Celivane Cavalcanti Barbosa; Gilberto Silva Nunes Bezerra; Amanda Tavares Xavier; Maria de Fátima Pessoa Militão de Albuquerque; Cristine Vieira do Bonfim; Zulma Maria de Medeiros; Wayner Vieira de Souza Journal: Int J Environ Res Public Health Date: 2022-09-26 Impact factor: 4.614