Evaluation of Tuberculosis Control Program: a case report

ABSTRACT The lack of integration between health care services network, in addition to the inefficiency of health professionals, are some of the identified problems for the control of Tuberculosis in Brazil. This study evaluated the level of implementation of the Tuberculosis Control Program (PCT) in Divinopolis (MG). The results signalize that PCT is partially implemented, due mostly to deficiencies related to management and planning, the insufficiency of trained professionals and insufficient resources. The decentralization of PCT actions and the enhancement of surveillance activities are signalized as possible solutions for the improvement of TB health care and prevention.

摘要：巴西结核病防控工作存在若干已识别的问题，其中包括医疗服务网络整合不足以及卫生专业人员效能低下。本研究评估了巴西米纳斯吉拉斯州迪维诺波利斯市（Divinopolis）结核病防控规划（Tuberculosis Control Program，PCT）的实施水平。研究结果显示，该规划仅得到部分落实，主要成因包括管理与规划层面存在缺陷、经过培训的专业人员数量不足以及资源匮乏。研究提出，推进结核病防控相关工作的权力下放以及强化监测活动，可作为改善结核病医疗救治与预防工作的可行解决方案。