AVALIAÇÃO DO PROGRAMA MUNICIPAL DE CONTROLE DA TUBERCULOSE NO MUNICÍPIO DE IMPERATRIZ-MA, 2008 a 2013

Abstract

Tuberculosis is an infectious and contagious disease that for decades represents a problem to public health. Are reported annually about 90,000 cases of the disease only in Brazil. Amogn these these patients reported about 3000 has given outcome for death every year. In the state of Maranhão, eight counties are considered priority in combating the disease, is considered priority the municipality that has an incidence of 40 / 100,000 cases / year. This study was conducted in the city of Imperatriz - MA which is considered by the Ministério da Saúde one of the priority municipalities in combating the disease. The study aimed to evaluate the Municipal Program for Tuberculosis Control in Imperatriz-MA, considering the sociodemographic, clinical, epidemiological, number of cases, diagnostic and service offering, type of closure and other indicators. This is an descriptive evaluation study, evaluation parameters defined for the study are established by the Ministério da Saúde. The study results showed that most of the patients 63.3% were male, aged 20 to 39 years and of mixed ethnicity. Regarding education, except for the year 2011, the highest percentages were in illiterate people. There was a higher frequency of disease in patients with type input new case 85.1% of 90.7% pulmonary form. Of the total cases identified most did not perform HIV testing, less than what was stipulated in the target for new cases were identified each year as well as the diagnostic offer proved insufficient in the number of smear and sputum examination. The smear was not performed in 25.5% of patients and most patients do not undergo sputum 89.4%. Concluded with the results of this research in relation to socioeconomic, clinical and epidemiological profile the city resembled enough to other cities in Brazil and the world, allowing the higher frequencies in males, brown and low education. Regarding the assessment of the Municipal Tuberculosis Control Program, the results showed that the indicators established by the Ministério da Saúde are not being met. A key outcome is for the number of new cases reported, which should decrease over the years, but the diagnostic offer should be satisfactory for this result be considered good, which does not happen in the city.