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Peculiaridades do controle da tuberculose em um cenário de violência urbana de uma comunidade carente do Rio de Janeiro

2007; Sociedade Brasileira de Pneumologia e Tisiologia; Volume: 33; Issue: 3 Linguagem: Inglês

10.1590/s1806-37132007000300014

1806-3756

Fabiana Barbosa Assumpção de Souza, Tereza Cristina Scatena Villa, Solange Cavalcante, Antônio Ruffino-Netto, Luciane Cruz Lopes, Marcus Barreto Conde,

Public Health in Brazil

To describe the difficulties and peculiarities encountered by health professionals during the treatment and investigation of contacts of tuberculosis (TB) patients in disadvantaged communities.A qualitative study carried out at health care facilities in Health Programming Area 1.0, located in the city of Rio de Janeiro, Brazil, which has a TB incidence rate of 240/100,000 inhabitants. From among the professionals responsible for visiting and treating TB cases and their contacts, two home visit agents and one clinical nurse were selected to be interviewed for the study. Data were transcribed and structured in the form of quotations, emphasizing the predominant ideas.The central ideas focus on the issue of violence, one significant facet of which is the set of rules imposed by narcotraffickers, and on the barriers to the movement of patients/health professionals for TB treatment, as well as on public safety (police).This study provides public health officials, as well as institutions that graduate health professionals, data for reflection and analysis of the difficulties that urban violence creates for the control of TB in a disadvantaged community.