Causes of multidrug-resistant tuberculosis from the perspectives of health providers:
| Autor(a) principal: | |
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| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/133559 |
Resumo: | Funding Information: The study was supported by the São Paulo Research Foundation (FAPESP) [Grant 2018/14337–0], the National Council for Scientific and Technological Development (CNPq) [Grant 130160/2020–2] and Research Productivity Grant from the National Council for Scientific and Technological Development (CNPq) [Grant 304483/2018–4 - PQ modality (Level 1C)]. Publisher Copyright: © 2021, The Author(s). |
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Causes of multidrug-resistant tuberculosis from the perspectives of health providers:challenges and strategies for adherence to treatment during the COVID-19 pandemic in BrazilCOVID-19Multidrug-resistant tuberculosisQualitative researchSocial determinants of healthTuberculosisHealth PolicySDG 1 - No PovertySDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 11 - Sustainable Cities and CommunitiesSDG 12 - Responsible Consumption and ProductionFunding Information: The study was supported by the São Paulo Research Foundation (FAPESP) [Grant 2018/14337–0], the National Council for Scientific and Technological Development (CNPq) [Grant 130160/2020–2] and Research Productivity Grant from the National Council for Scientific and Technological Development (CNPq) [Grant 304483/2018–4 - PQ modality (Level 1C)]. Publisher Copyright: © 2021, The Author(s).Background: Multidrug-resistant tuberculosis (MDR-TB) is a serious phenomenon on a global scale that can worsen with the COVID-19 pandemic. The study aimed to understand the perceptions of health professionals about MDR-TB, their strategies to ensure adherence to treatment and their challenges in the context of the COVID-19 pandemic in a priority municipality for disease control. Methods: We conducted a qualitative study and recruited 14 health providers (four doctors, three nurses, three nursing technicians, three nursing assistants and a social worker) working in a city in the state of São Paulo, Brazil. Remote semi-structured interviews were conducted with the participants. For data analysis, the thematic content analysis technique was applied according to the study’s theoretical framework. Results: The study revealed the causes of MDR-TB are associated with poverty, vulnerability, and social risk. A pre-judgement from the providers was observed, namely, all patients do not adhere due their resistance and association with drug abuse or alcoholism. The study also observed difficulty among health providers in helping patients reconstruct and reframe their life projects under a care perspective, which would strengthen adherence. Other issues that weakened adherence were the cuts in social protection and the benefits really necessary to the patients and a challenge for the providers manage that. The participants revealed that their actions were impacted by the pandemic and insecurity and fear manifested by patients after acquiring COVID-19. For alleviating this, medical appointments by telephone, delivery of medicine in the homes of patients and visits by health professionals once per week were provided. Conclusion: The study advances knowledge by highlighting the challenges faced by the health system with the adherence of patients with MDR-TB in a context aggravated by the pandemic. An improvement in DOT is really necessary to help the patients reframe their lives without prejudices, face their fears and insecurity, recover their self-esteem and motivate in concluding their treatment.Escola Nacional de Saúde Pública (ENSP)Population health, policies and services (PPS)Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)RUNSouza, Ludmilla Leidianne LimirioSantos, Felipe Lima dosCrispim, Juliane de AlmeidaFiorati, Regina CéliaDias, SóniaBruce, Alexandre Tadashi InomataAlves, Yan MathiasRamos, Antônio Carlos VieiraBerra, Thaís Zambonida Costa, Fernanda Bruzadelli PaulinoAlves, Luana SelesMonroe, Aline AparecidaFronteira, InêsArcêncio, Ricardo Alexandre2022-02-24T23:21:35Z2021-10-012021-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/133559eng1472-6963PURE: 34257640https://doi.org/10.1186/s12913-021-07057-0info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:12:16Zoai:run.unl.pt:10362/133559Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:47:50.513562Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: challenges and strategies for adherence to treatment during the COVID-19 pandemic in Brazil |
| title |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: |
| spellingShingle |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: Souza, Ludmilla Leidianne Limirio COVID-19 Multidrug-resistant tuberculosis Qualitative research Social determinants of health Tuberculosis Health Policy SDG 1 - No Poverty SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 11 - Sustainable Cities and Communities SDG 12 - Responsible Consumption and Production |
| title_short |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: |
| title_full |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: |
| title_fullStr |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: |
| title_full_unstemmed |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: |
| title_sort |
Causes of multidrug-resistant tuberculosis from the perspectives of health providers: |
| author |
Souza, Ludmilla Leidianne Limirio |
| author_facet |
Souza, Ludmilla Leidianne Limirio Santos, Felipe Lima dos Crispim, Juliane de Almeida Fiorati, Regina Célia Dias, Sónia Bruce, Alexandre Tadashi Inomata Alves, Yan Mathias Ramos, Antônio Carlos Vieira Berra, Thaís Zamboni da Costa, Fernanda Bruzadelli Paulino Alves, Luana Seles Monroe, Aline Aparecida Fronteira, Inês Arcêncio, Ricardo Alexandre |
| author_role |
author |
| author2 |
Santos, Felipe Lima dos Crispim, Juliane de Almeida Fiorati, Regina Célia Dias, Sónia Bruce, Alexandre Tadashi Inomata Alves, Yan Mathias Ramos, Antônio Carlos Vieira Berra, Thaís Zamboni da Costa, Fernanda Bruzadelli Paulino Alves, Luana Seles Monroe, Aline Aparecida Fronteira, Inês Arcêncio, Ricardo Alexandre |
| author2_role |
author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) Population health, policies and services (PPS) Instituto de Higiene e Medicina Tropical (IHMT) Global Health and Tropical Medicine (GHTM) RUN |
| dc.contributor.author.fl_str_mv |
Souza, Ludmilla Leidianne Limirio Santos, Felipe Lima dos Crispim, Juliane de Almeida Fiorati, Regina Célia Dias, Sónia Bruce, Alexandre Tadashi Inomata Alves, Yan Mathias Ramos, Antônio Carlos Vieira Berra, Thaís Zamboni da Costa, Fernanda Bruzadelli Paulino Alves, Luana Seles Monroe, Aline Aparecida Fronteira, Inês Arcêncio, Ricardo Alexandre |
| dc.subject.por.fl_str_mv |
COVID-19 Multidrug-resistant tuberculosis Qualitative research Social determinants of health Tuberculosis Health Policy SDG 1 - No Poverty SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 11 - Sustainable Cities and Communities SDG 12 - Responsible Consumption and Production |
| topic |
COVID-19 Multidrug-resistant tuberculosis Qualitative research Social determinants of health Tuberculosis Health Policy SDG 1 - No Poverty SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 11 - Sustainable Cities and Communities SDG 12 - Responsible Consumption and Production |
| description |
Funding Information: The study was supported by the São Paulo Research Foundation (FAPESP) [Grant 2018/14337–0], the National Council for Scientific and Technological Development (CNPq) [Grant 130160/2020–2] and Research Productivity Grant from the National Council for Scientific and Technological Development (CNPq) [Grant 304483/2018–4 - PQ modality (Level 1C)]. Publisher Copyright: © 2021, The Author(s). |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-10-01 2021-10-01T00:00:00Z 2022-02-24T23:21:35Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://hdl.handle.net/10362/133559 |
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http://hdl.handle.net/10362/133559 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
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1472-6963 PURE: 34257640 https://doi.org/10.1186/s12913-021-07057-0 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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