Attributes of primary health care in the assistance for people with leprosy: nurses' perspective
DOI:
https://doi.org/10.17267/2317-3378rec.2023.e5191Keywords:
Leprosy, Primary Health Care, NursesAbstract
OBJECTIVE: Evaluate the attributes of Primary Health Care (PHC) in leprosy control actions from the perspective of nurses. MATERIALS AND METHODS: A cross-sectional, descriptive and quantitative study was carried out. A previously validated instrument to assess PHC attributes was virtually applied to nurses linked to the Family Health Strategy (FHS) in a city in Northeast Brazil in 2020. This instrument includes 76 items divided into eight components, considering the essential and derived attributes of PHC. RESULTS: Considering 72 FHS nurses (82,7%; n=72) the attribute “access” was the only one that did not reach the cutoff point of high orientation of the PHC in the assistance of people with leprosy (≥ 6.6), reaching a score of 6.0 in the view of the participants. The essential attributes “entrance”, “continued care” and “coordination” reached scores of 10, 9 and 8.7, respectively. “Family guidance” as a derived attribute reached a score of 10. CONCLUSION: From the perspective of FHS nurses in a city in Northeast Brazil, with the exception of access, assistance for people with leprosy is provided based on the attributes of PHC.
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References
(1) Makhakhe L. Leprosy review. S Afr Fam Pract. 2021;63(1):e1-e6. https://doi.org/10.4102/safp.v63i1.5311
(2) Chen KH, Lin CY, Su SB, Chen KT. Leprosy: a review of epidemiology, clinical diagnosis, and management. J Trop Med. 2022:8652062. https://doi.org/10.1155/2022/8652062
(3) Miguel CB, Mota PB, Afonso BO, Agostinho F, Cazzaniga RA, Abreu MCM, et al. Leprosy morbidity and mortality in Brazil: 2008-2018. Braz J Infect Dis. 2021;25(6):101638. https://doi.org/10.1016/j.bjid.2021.101638
(4) Oliveira GL, Oliveira JF, Pescarini JM, Andrade RFS, Nery JS, Ichihara MY, et al. Estimating underreporting of leprosy in Brazil using a Bayesian approach. PLoS Negl Trop Dis. 2021;15(8):e0009700. https://doi.org/10.1371/journal.pntd.0009700
(5) Vieira NF, Martínez-Riera JR, Lana FCF. Primary care quality and its effects on leprosy monitoring indicators. Rev Bras Enferm. 2020;73(4):e20190038. https://doi.org/10.1590/0034-7167-2019-0038
(6) Sousa GS, Silva RLF, Brasil-Xavier M. Hanseníase e atenção primária: um estudo avaliativo sob a ótica do médico. Rev Salud Publica (Bogota). 2018;20(3):359-365. https://doi.org/10.15446/rsap.V20n3.56109
(7) Guyon P, Hourlier J, Manco N. Nurses engaged in the fight against leprosy. Rev Infirm. 2015;(213):33-6. https://doi.org/10.1016/j.revinf.2015.06.010
(8) Vieira NF, Lanza FM, Martínez-Riera JR, Nolasco A, Lana FCF. Orientation of primary care in actions to control leprosy: factors relating to professionals. Gac Sanit. 2020;34(2):120-126. https://doi.org/10.1016/j.gaceta.2019.02.011
(9) Malta M, Cardoso LO, Bastos FI, Magnanini MM, Silva CM. STROBE initiative: guidelines on reporting observational studies. Rev Saude Publica. 2010;44(3):559-65. https://doi.org/10.1590/s0034-89102010000300021
(10) Resolução n. 466 de 12 de dezembro 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União [Internet], Brasília (2013 jun. 13); Sec. 1:59. Available from: <https://www.in.gov.br/servicos/diario-oficial-da-uniao>.
(11) Instituto Brasileiro de Geografia e Estatística (IBGE). Panorama - Cidades. [Internet]. Brasília (DF); 2023. Available from: <https://www.ibge.gov.br/cidades-e-estados/pe/petrolina.html>.
(12) Ministério da Saúde. Painel de indicadores - Atenção Primária à Saúde. [Internet]. Secretaria de Atenção Primária à Saúde (SAPS). Brasília (DF): Ministério da Saúde; 2023. Available from: <https://sisaps.saude.gov.br/painelsaps/saude-familia>.
(13) Lanza FM. Avaliação da atenção primária no controle da hanseníase: validação de instrumentos e análise do desempenho de municípios endêmicos do Estado de Minas Gerais [thesis]. Belo Horizonte: Universidade Federal de Minas Gerais; 2014.
(14) Oliveira MAC, Pereira IC. Primary Health Care essential attributes and the Family Health Strategy. Rev Bras Enferm. 2013;66(spe):158-164. https://doi.org/10.1590/S0034-71672013000700020
(15) Santos MEC, Marcos EAC, Miranda-Filho RCC, Deus DBB, Fernandes TRMO. Neglected tropical diseases: Perspective for elimination leprosy in Petrolina-PE and Juazeiro-BA, Brazil 2020. Rev Ensino Cienc Inov Saude. 2022;3(1):27-33. https://doi.org/10.51909/recis.v3i1.187
(16) Gomes ATM, Lima BVM, Barros MSN, Fernandes TRMO, Souza CDF, Carmo RF. Spatial distribution and epidemiological analysis of leprosy in the 53 municipalities of the Interstate Health Network of the Middle São Francisco Valley. Res Soc Dev. 2023;12(2):e17612240085. https://doi.org/10.33448/rsd-v12i2.40085
(17) Vieira NF, Rodrigues RN, Niitsuma ENA, Lanza FM, Lana FCF. Evaluation of primary attention: a comparative between global performance and leprosy actions. Rev Enferm Cent-Oeste Min. 2019;9:e2896. https://doi.org/10.19175/recom.v9i0.2896
(18) Prates ML, Machado JC, Silva LSD, Avelar PS, Prates LL, Mendonça ET, et al. Performance of primary health care according to PCATool instrument: a systematic review. Cien Saude Colet. 2017;22(6):1881-1893. https://doi.org/10.1590/1413-81232017226.14282016
(19) Paula WK, Samico IC, Caminha MF, Batista-Filho M, Silva SL. Primary health care assessment from the users' perspectives: a systematic review. Rev Esc Enferm USP. 2016;50(2):335-45. https://doi.org/10.1590/S0080-623420160000200021
(20) Cantalino JLR, Scherer MDDA, Soratto J, Schäfer AA, Anjos DSOD. User satisfaction in relation to Primary Health Care services in Brazil. Rev Saude Publica. 2021;55:22. https://doi.org/10.11606/s1518-8787.2021055002533
(21) Mantellini GG, Gonçalves A, Padovani CR. Public Policies related to Leprosy Physical Disabilities at the turn of the century: a decade of (lack of) control? Physis. 2019;29(1):e290105. https://doi.org/10.1590/S0103-73312019290105
(22) Ferreira AF, Sousa EA, García GSM, Reis AS, Corona F, Lima MS, et al. Leprosy in the North and Northeast regions of Brazil: an integrated spatiotemporal approach. Trop Med Int Health. 2020;25(2):193-208. https://doi.org/10.1111/tmi.13343
(23) Barbosa CC, Bonfim CVD, Brito CMG, Ferreira AT, Gregório VRDN, Oliveira ALS, et al. Spatial analysis of reported new cases and local risk of leprosy in hyper-endemic situation in Northeastern Brazil. Trop Med Int Health. 2018;23(7):748-757. https://doi.org/10.1111/tmi.13067
(24) Barbosa CC, Bonfim CVD, Brito CMG, Souza WV, Melo MFO, Medeiros ZM. Spatial analysis of epidemiological and quality indicators of health services for leprosy in hyperendemic areas in Northeastern Brazil. Rev Inst Med Trop Sao Paulo. 2020;62:e93. https://doi.org/10.1590/S1678-9946202062093
(25) Pescarini JM, Teixeira CSS, Silva NBD, Sanchez MN, Natividade MSD, Rodrigues LC, et al. Epidemiological characteristics and temporal trends of new leprosy cases in Brazil: 2006 to 2017. Cad Saúde Pública. 2021;37(7):e00130020. https://doi.org/10.1590/0102-311X00130020
(26) Raposo MT, Reis MC, Caminha AVQ, Heukelbach J, Parker LA, Pastor-Valero M, et al. Grade 2 disabilities in leprosy patients from Brazil: Need for follow-up after completion of multidrug therapy. PLoS Negl Trop Dis. 2018;12(7):e0006645. https://doi.org/10.1371/journal.pntd.0006645
(27) Pescarini JM, Strina A, Nery JS, Skalinski LM, Andrade KVF, Penna MLF, et al. Socioeconomic risk markers of leprosy in high-burden countries: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2018;12(7):e0006622. https://doi.org/10.1371/journal.pntd.0006622
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Copyright (c) 2023 Flávia Freire Ramos da Silva, Ricardo Barbosa-Lima, Mauro Niskier Sanchez, Gerson Oliveira Penna
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
