Tuberculosis control: decentralization, local planning and management specificities

Authors

  • Janaína Von Söhsten Trigueiro Universidade Federal de Campina Grande; Centro de Educação e Saúde
  • Jordana de Almeida Nogueira Universidade Federal da Paraíba; Departamento de Enfermagem Clínica
  • Lenilde Duarte de Sá Universidade Federal da Paraíba; Departamento de Enfermagem Clínica
  • Pedro Fredemir Palha WHO; Centre for Nursing Research Development
  • Tereza Cristina Scatena Villa WHO; Collaborating Centre for Nursing Research Development
  • Débora Raquel Soares Guedes Trigueiro Universidade Federal da Paraíba

DOI:

https://doi.org/10.1590/S0104-11692011000600003

Keywords:

Tuberculosis, Health Management, Primary Health Care

Abstract

The goal was to analyze, according to the perception of health managers, the practices that guide tuberculosis control actions in cities in the metropolitan region of João Pessoa - PB, Brazil. This qualitative study involved eight professionals in management functions. Testimonies were collected through semi-structured interviews between May and June 2009 and organized through content analysis. Despite the acknowledged benefits of tuberculosis control action decentralization, local planning indicates the predominance of a bureaucratic model that is restricted to negotiation and supplies. Local programming is centered on the coordinator, which shows a command line and vertical management that lead to the fragmentation of the work process. Management action should follow an innovative and transformative route that surpasses bureaucratic barriers and faces the biggest challenge it is proposed: to balance professional interrelations with a view to improving health work performance.

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Published

2011-12-01

Issue

Vol. 19 No. 6 (2011)

Section

Original Articles

License

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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

Tuberculosis control: decentralization, local planning and management specificities . (2011). Revista Latino-Americana De Enfermagem, 19(6), 1289-1296. https://doi.org/10.1590/S0104-11692011000600003