Abstract:
:This article aims to evaluate the contribution of Community DOTS, Directly Observed Treatment Short-Course, for the prevention and control of Tuberculosis actions in primary care in Brazil and Ethiopia, based on the perceptions and practice of the community health care workers. We employed the Symbolic Sites conceptual-methodological framework, accounting for its three types: Black box, Conceptual box, and Toolbox. The contrasting case study involved triangulating and complementing data collection and analysis from semi-structured interviews with community health workers and health professionals, site observation, and document analysis. The results highlight a sense of commitment as an essential value regarding the activities developed by community health workers in both contexts. The main challenges are the insufficient capacity building and supervision (Conceptual box), and the difficulties related to access (Toolbox), expressed in long geographic distances in the Ethiopian case and barriers related to territory violence, mostly drug trafficking, although not explicit, in the Brazilian context. This implies in a continuous effort for the community health workers to adapt their practices, respecting the cultural values (Black box), in order to direct their actions to overcome these challenges. :O objetivo do artigo é avaliar a contribuição do DOTS comunitário, do inglês “Directly Observed Treatment Short-Course”, nas ações de prevenção e controle da tuberculose na atenção primária no Brasil e na Etiópia, a partir das percepções e práticas dos agentes comunitários de saúde (ACS). Utilizou-se o referencial conceitual e metodológico dos sítios simbólicos de pertencimento, com suas três tipologias: caixas preta, conceitual e operacional. Empregou-se o estudo de dois casos contrastantes, triangulando e complementando informações advindas de entrevistas semiestruturadas com ACS e profissionais de saúde e também observação participante. Os achados destacam o sentido de comprometimento dos ACS como um valor importante nas ações desenvolvidas em ambos contextos. Os principais desafios são a insuficiência de capacitação e supervisão das ações realizadas (caixa conceitual), assim como as dificuldades de acesso (caixa de ferramentas), expressas em distâncias geográficas no caso etíope e em barreiras relacionadas à violência no território, não explicitadas, no contexto brasileiro. Isto implica em um esforço contínuo dos ACS para adaptar suas práticas, respeitando os valores culturais (caixa preta) que dão sentido e direção às suas ações na superação dos desafios.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Cardoso GCP,Santos EMD,Alemayehu YK,Woldemichael K,Ereso BM,Lemma Wdoi
10.1590/1413-81232020258.23682018subject
Has Abstractpub_date
2020-08-05 00:00:00pages
2927-2937issue
8eissn
1413-8123issn
1678-4561pii
S1413-81232020000802927journal_volume
25pub_type
杂志文章abstract::The Community Health Agent (CHA) has traditionally been linked to doctors and nurses, being considered exclusive 'property' of these professionals. Historically, oral health tended to operate isolated, disconnecting the mouth from the rest of the body and the individual from his environment. The Family Health Program ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232009000800024
更新日期:2009-10-01 00:00:00
abstract::The main objective is to study the relation and impact of Socioeconomic Status (SES) on the subjective well-being in children and adolescents and the role of social and personal factors in this relation. Data was collected in 16 schools; 8 in the North and 8 in the Lisbon Region of Portugal. The questionnaires were fi...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017224.07652015
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abstract::Federalism is basis of the Republic of Brazil which is made up of the union of states, municipalities and the Federal District, with the basic principle of political and administrative decentralization in all political, economic and social relations. In the health sector, the primary health care provider should be abl...
journal_title:Ciencia & saude coletiva
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doi:10.1590/1413-81232017224.26422016
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017225.33222016
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abstract::This study aimed to identify factors associated with dissatisfaction with dental services among adults. It analyzed 830 adult participants of an epidemiological survey of oral health. The dependent variable was dissatisfaction with the dental service, and the independent ones were selected according to the theoretical...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017225.17362015
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abstract::A critical review of a descriptive/discursive nature was conducted to analyze the methodological performance of a system of 41 indicators created in 2007 in partnership with the United Nations Fund for Children. It was geared to the monitoring and analysis for evaluating the performance of municipalities in addressing...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014193.06012013
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abstract::The scope of this study was to investigate knowledge about and access to emergency contraception among female university students in the south of the State of Santa Catarina. A cross-sectional observational study was conducted between September and October 2008, in which a questionnaire was given to 360 women aged 18 ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000900020
更新日期:2012-09-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017227.23672015
更新日期:2017-07-01 00:00:00
abstract::The medication leaflets represent the main source of written information supplied to the patients, in special to the elderly. This study aimed to analyze the content of the leaflets of drugs often prescribed for elderly people with hypertension, as well as their adequacy to the sanitary regulations and possible health...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232010000600029
更新日期:2010-09-01 00:00:00
abstract::The defense of human rights, namely one of the most important duties of the legislature, is a considerable challenge in the day-to-day business of parliament. The opinions and practices of elected representatives reflect the security concerns and fears of society that engender a vast process of social exclusion. In th...
journal_title:Ciencia & saude coletiva
pub_type: 面试
doi:10.1590/1413-81232015217.11752016
更新日期:2016-06-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017225.13462015
更新日期:2017-05-01 00:00:00
abstract::This article seeks to establish a confrontation between theory and practice with respect to healthcare for the elderly. The theory was evaluated by a study of documents that comprise the legal and theoretical framework related to the health of the elderly, which generated a matrix to assess universal access, equity, c...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014198.13312013
更新日期:2014-08-01 00:00:00
abstract::Vulnerable population groups, including people living with HIV/Aids (PLHA), may have a high prevalence of food insecurity (FI). A cross-sectional study evaluated the internal validity of the Brazilian Food Insecurity Scale (Escala Brasileira de Insegurança Alimentar - EBIA) and measured the prevalence of FI in a sampl...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320172210.02462017
更新日期:2017-10-01 00:00:00
abstract::The aim of this study was to investigate the intraobserver reproducibility of a Portuguese version scale used to evaluate aspects of oral health among children and adolescents HIV+. The scale was proposed by Balbo and a questionnaire was applied in two occasions, within a one week period, to 27 children and adolescent...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232010000400032
更新日期:2010-07-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232013001100005
更新日期:2013-11-01 00:00:00
abstract::This study aimed to verify health self-perception, its prevalence and associated factors in institutionalized elderly. A cross-sectional study is presented herein, conducted in 10 Long-Term care Institutions for the Elderly (LTIE) in the city of Natal (Northeast Brazil), between October and December 2013. Sociodemogra...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,多中心研究
doi:10.1590/1413-812320152111.15562015
更新日期:2016-11-01 00:00:00
abstract::The objective of this research was to analyze the factors associated with the Food and Nutrition Surveillance System (Sisvan Web) coverage for children under five years of age in the municipalities of the Regional Health Inspectorate of Belo Horizonte (HRS-BH). Sisvan Web coverage data were collected from September to...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018239.15922016
更新日期:2018-09-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012000300025
更新日期:2012-03-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014191.2009
更新日期:2014-01-01 00:00:00
abstract::Obesity is considered the most important nutritional disorder due to a rapid increase in its prevalence in recent years. The scope of this study was to estimate the prevalence of abdominal obesity and excess fat in students aged 11 to 14 (boys and girls) from a town in the mountains of southern Brazil, and to verify t...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
abstract::The scope of this study was to analyze child healthcare in the Family Healthcare Program (FHP) in Teixeiras, MG, Brazil. A descriptive transversal study was conducted by applying a questionnaire to 161 mothers of children under 2 years of age. A specific score system was used to analyze the dimensions of structure, pr...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232011000800022
更新日期:2011-07-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015212.16032015
更新日期:2016-02-01 00:00:00
abstract::The practice of social control in the field of the worker's health has been facing barriers imposed by the globalization and the restructuring in the work world, either because of the weakness of the workers' unions, or by the absence of representatives of the various workers categories without formal work bond, belon...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232009000600019
更新日期:2009-11-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232014199.01182014
更新日期:2014-09-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,随机对照试验
doi:10.1590/s1413-81232013000200026
更新日期:2013-02-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232015203.16282014
更新日期:2015-03-01 00:00:00
abstract::Mortality, hospitalization and emergency attendance visits for assault in Brazil, from 1996 to 2007 were analyzed. The data sources are the Mortality Information System/SIM, the Hospital Information System/SIH and the Surveillance System of Violence and Injuries/VIVA of the Ministry of Health. It was focused on males ...
journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/s1413-81232012001200009
更新日期:2012-12-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232017226.18782015
更新日期:2017-06-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232018235.18222016
更新日期:2018-05-01 00:00:00
abstract::This essay has the objective of revisiting the intellectual output of Ricardo Bruno Mendes-Gonçalves (1946-1996), Professor of the Department of Preventive Medicine of the Faculty of Medicine of the University of São Paulo and one of the theoreticians who participated in the construction of the field of Brazilian Coll...
journal_title:Ciencia & saude coletiva
pub_type: 传,历史文章,杂志文章
doi:10.1590/1413-81232015203.00112015
更新日期:2015-03-01 00:00:00