Abstract

MARREIRO, Leni da Silva; CRUZ, Maria Auxiliadora da; OLIVEIRA, Maria de Nazaré Frota de  and  GARRIDO, Marlucia da Silva. Tuberculosis in Manaus, State of Amazon: treatment outcome decentralization. Epidemiol. Serv. Saúde [online]. 2009, vol.18, n.3, pp.237-242. ISSN 1679-4974.  http://dx.doi.org/10.5123/S1679-49742009000300006.

In 2003, measures to control Tuberculosis have been decentralized to the primary care network in Manaus, the capital city of the State of Amazon. From that moment on, the results of treatment have shown high transfer rate and low cure rate. A retrospective and descriptive study was done to evaluate the process of closing cases of tuberculosis after the decentralization process. 4,491 notification forms were reviewed for correction, inclusion, exclusion and linkage of cases. The records of 2003 and 2004 were compared before and after the review. Main results: increase in the percentage of cure from 42.2% to 81.8% in 2003, and from 28.6% to 76.9% in 2004, decrease in the percentage of transference from 43.5% to 4.2% in 2003 and from 49.6% to 6.9% in 2004. The study has contributed to the understanding of operational failures and to improve actions taken.

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