Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

Authors

  • Rarianne Carvalho Peruhype Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
  • Fernando Mitano Universidade de Lúrio. Escola de Medicina
  • Juliana Feliciati Hoffmann Universidade Federal do Rio Grande do Sul. Faculdade de Medicina
  • Catiucia de Andrade Surniche Universidade Federal do Rio Grande do Sul. Faculdade de Medicina
  • Pedro Fredemir Palha Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.1590/rlae.v26i0.154229

Keywords:

Health Planning, Tuberculosis, Public Policies, Primary Health Care, Public Health, Health Management

Abstract

Objective: to investigate the planning pathways in the transfer of Directly Observed Treatment of tuberculosis. Method: a qualitative study conducted using interviews and a semi-structured guide, administered to five subjects who were among the coordinators and managers of the tuberculosis control programs, and the secretary of health of a municipality in the south of Brazil. Situational Strategic Planning and Discourse Analysis of the French matrix were the theoretical and analytical references used, respectively. Results: three reflexive axes were identified: weaknesses in the process of planning the Directly Observed Treatment transfer, antagonism between planning and daily requirements and formulation of planning and execution. Lack of systematization regarding the planning and execution for transfer the Directly Observed Treatment policy, demonstrates the fragility and incipience of this activity, and the possibility of its non-existence. Conclusion: the urgent need for managers and coordinators to better appropriate the theoretical framework for changing public policies, and the related planning mechanisms, includes a proposal for reorganization and qualification of the diffusion process, both practical-operative and political-organization.

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Author Biographies

  • Rarianne Carvalho Peruhype, Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto

    Pós-doutoranda, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. Enfermeira, Departamento de Ações em Saúde, Secretaria Estadual de Saúde do Rio Grande do Sul.

  • Fernando Mitano, Universidade de Lúrio. Escola de Medicina

    PhD, Professor Doutor, Escola de Medicina, Universidade de Lúrio, Marrere, Nampula, Moçambique

  • Juliana Feliciati Hoffmann, Universidade Federal do Rio Grande do Sul. Faculdade de Medicina

    Doutoranda, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul

  • Catiucia de Andrade Surniche, Universidade Federal do Rio Grande do Sul. Faculdade de Medicina

    Doutoranda, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul.

  • Pedro Fredemir Palha, Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto

    PhD, Professor Associado, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo.

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Published

2019-02-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis. (2019). Revista Latino-Americana De Enfermagem, 26, e3015. https://doi.org/10.1590/rlae.v26i0.154229