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Characteristics of basic health units and detection of tuberculosis cases.

Publication ,  Journal Article
Costa, MR; Queiroz, RCDS; Rocha, TAH; Silva, NCD; Vissoci, JRN; Tonello, AS; Thumé, E; Medeiros, MNL; Branco, MDRFC; Sousa, MEL; Thomaz, EBAF ...
Published in: Rev Soc Bras Med Trop
January 14, 2019

INTRODUCTION: Tuberculosis (TB) is an infectious and contagious disease caused by Mycobacterium tuberculosis. TB emerged in the 21st century as an unsolved public health problem. This study aimed to analyze the relationship between the characteristics of basic health units (BHUs) and the number of TB cases detected in Maranhão, Brazil. METHODS: An ecological, analytical study was conducted using the municipalities in the state of Maranhão as the unit of analysis. Data regarding the number of detected TB cases was obtained from the Sistema de Informação de Agravos de Notificação database, and the characteristics of the BHUs were obtained from the first cycle of data collection for the Program to Improve Access and Quality of Basic Care. The BHU structure was classified as adequate (80%-100%), partially adequate (60%-79%), poorly adequate (40%-59%), or inadequate (<40%) according to the presence of specified items. The number of BHUs per municipality in each adequacy category was estimated. Inflated Poisson regression analysis was performed to estimate the incidence density ratios (IDRs) and the 95% confidence intervals (95% CIs). RESULTS: Municipalities with a higher level of BHU adequacy had a higher number of detected TB cases (IDR = 1.61, 95% CI: 1.01-2.60). CONCLUSIONS: Better structured health services in primary care may be associated with better detection and/or notification of TB cases.

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Published In

Rev Soc Bras Med Trop

DOI

EISSN

1678-9849

Publication Date

January 14, 2019

Volume

52

Start / End Page

e20180230

Location

Brazil

Related Subject Headings

  • Tuberculosis, Pulmonary
  • Tropical Medicine
  • Socioeconomic Factors
  • Quality of Health Care
  • Primary Health Care
  • Humans
  • Health Services Research
  • Disease Notification
  • Brazil
 

Citation

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Costa, M. R., Queiroz, R. C. D. S., Rocha, T. A. H., Silva, N. C. D., Vissoci, J. R. N., Tonello, A. S., … Facchini, L. A. (2019). Characteristics of basic health units and detection of tuberculosis cases. Rev Soc Bras Med Trop, 52, e20180230. https://doi.org/10.1590/0037-8682-0230-2018
Costa, Marcia Ramos, Rejane Christine de Sousa Queiroz, Thiago Augusto Hernandes Rocha, Núbia Cristina Da Silva, João Ricardo Nickenig Vissoci, Aline Sampieri Tonello, Elaine Thumé, et al. “Characteristics of basic health units and detection of tuberculosis cases.Rev Soc Bras Med Trop 52 (January 14, 2019): e20180230. https://doi.org/10.1590/0037-8682-0230-2018.
Costa MR, Queiroz RCDS, Rocha TAH, Silva NCD, Vissoci JRN, Tonello AS, et al. Characteristics of basic health units and detection of tuberculosis cases. Rev Soc Bras Med Trop. 2019 Jan 14;52:e20180230.
Costa, Marcia Ramos, et al. “Characteristics of basic health units and detection of tuberculosis cases.Rev Soc Bras Med Trop, vol. 52, Jan. 2019, p. e20180230. Pubmed, doi:10.1590/0037-8682-0230-2018.
Costa MR, Queiroz RCDS, Rocha TAH, Silva NCD, Vissoci JRN, Tonello AS, Thumé E, Medeiros MNL, Branco MDRFC, Sousa MEL, Thomaz EBAF, Facchini LA. Characteristics of basic health units and detection of tuberculosis cases. Rev Soc Bras Med Trop. 2019 Jan 14;52:e20180230.

Published In

Rev Soc Bras Med Trop

DOI

EISSN

1678-9849

Publication Date

January 14, 2019

Volume

52

Start / End Page

e20180230

Location

Brazil

Related Subject Headings

  • Tuberculosis, Pulmonary
  • Tropical Medicine
  • Socioeconomic Factors
  • Quality of Health Care
  • Primary Health Care
  • Humans
  • Health Services Research
  • Disease Notification
  • Brazil