Evaluation of leprosy control actions in a hyperendemic Brazilian municipality

Authors

DOI:

https://doi.org/10.33233/eb.v21i5.5089

Keywords:

Leprosy, Structure of Services, Health Evaluation, Disease Prevention, Evaluation of Results of Preventive Action

Abstract

Objective: to evaluate the actions developed to control leprosy by professionals working in the Family Health Strategy in a hyperendemic capital of northeastern Brazil. Material and methods: an evaluative, cross-sectional, quantitative study carried out with 81 professionals from the Family Health Strategy in São Luís-Maranhão/Brazil. Data were collected through semi-structured questionnaires containing sociodemographic variables and leprosy control actions developed. Results: there was a predominance of female professionals (80.20%), aged between 40 and 59 years (51.90%), with statutory employment (43.20%) and who had already undergone specific training in leprosy (79.95 %). It is noteworthy that all nurses interviewed (100.00%) reported filling out a notification form, approaching contacts, examining contacts at the Basic Health Unit, indicating/forwarding contacts for BCG vaccination and carrying out health education. Conclusion: the actions proposed by the leprosy control program are not implemented in their entirety. The importance of the professional nurse in the effective execution of the actions of prevention and control of the disease was evidenced.

Author Biographies

Mara Ellen Silva Lima, IESF

Docente do Departamento de Enfermagem, Instituto de Ensino Superior Franciscano (IESF), Paço do Lumiar, MA, Brasil

Kezia Cristina Batista dos Santos, UEMA

Docente do Departamento de Enfermagem, Universidade Estadual do Maranhão (UEMA), São Luis, MA, Brasil

Rita da Graça Carvalhal Frazão Corrêa, UFMA

Docente do Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brasil

Maria de Fátima Lires Paiva, UFMA

Docente do Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brasil

Ana Hélia de Lima Sardinha, UFMA

Docente do Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brasil

Dorlene Maria Cardoso de Aquino, UFMA

Docente do Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brasil

References

Souza ALA, Feliciano KVO, Mendes MFM. Assessment of the implementation of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil. Rev Escola Enf USP 2015 ;49(4):610-18. doi: 10.5123/S1679-49742017000400013

Oliveira JCF, Leão AMM, Britto FVS. Analysis of the epidemiological profile of leprosy at Maricá, Rio de Janeiro: a contribution from nursing. Rev Enf UERJ 2014;22(6):815-21. doi: 10.12957/reuerj.2014.13400

Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Vigilância das Doenças Transmissíveis. Diretrizes para vigilância, atenção e eliminação da Hanseníase como problema de saúde pública: manual técnico-operacional [Internet]. Brasília: Ministério da Saúde; 2016. 60p. [cited 2019 June 19]. Available from: http://portalarquivos2.saude.gov.br/images/pdf/2016/fevereiro/04/diretrizes-eliminacao- hanseniase-4fev16-web.pdf

WHO. World Health Organization. Global Leprosy Strategy: Accelerating towards a leprosy- free world, 2016 [Internet]. Genebra: OMS; 2016. 30p. [cited 2019 June 12]. Available from: https://apps.who.int/iris/bitstream/handle/10665/208824/9789290225096_en.pdf?seq uence=14&isAllowed=y

DATASUS. Taxa de detecção de casos novos por ano de notificação – Acompanhamento da hanseníase no Brasil em 2017 [Internet]. Brasília: Ministério da Saúde; 2019. [cited 2019 June 12]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinannet/ hanseniase/cnv/hanswuf.def

DATASUS. Taxa de detecção de casos novos por ano de notificação segundo município MA residente - Acompanhamento da Hanseníase no Maranhão em 2017 [Internet]. Brasília: Ministério da Saúde; 2019. [cited 2019 June 12]. Available from: http://tabnet.datasus. gov.br/cgi/tabcgi.exe?sinannet/hanseniase/cnv/hanswMA.def.

DataSus. Taxa de detecção de casos novos por ano de notificação segundo município MA residente - Acompanhamento da Hanseníase no Maranhão/São Luís em 2017 [Internet]. Brasília: Ministério da Saúde; 2019. [cited 2019 June 12]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinannet/hanseniase/cnv/hanswMA.def

Rodrigues FF, Calou CGP, Leandro TA, Antezana FJ, Pinheiro AKB, Silva MV, et al. Knowledge and practice of the nurse about leprosy: actions of control and elimination. Rev Bras Enf 2015;68(2):297-304. doi: 10.1590/0034-7167.2015680216i

Souza AL, Vendruscolo C, Zocche DAA, Ascari RA, Schopf K, Oliveira BP. Prevenção quaternária: percepções, possibilidades e desafios na atenção primária à saúde. Enferm Bras 2021;20(6):764-82. doi: 10.33233/eb.v20i6.4815

Vieira NF, Rodrigues RN, Niitsuna ENA, Lanza FM, Lana FCF. Evaluation of primary attention: a comparative between global performance and Leprosy actions. Rev Enferm Centro Oeste Mineiro 2019;9(1):2896-114. doi: 10.19175/recom.v9i0.2896

Carvalho APM, Fabri ACDC, LanzaA FM, Lopes FN, Lana FCF. Integration of leprosy control activities from the perspective of health professionals. Rev Enferm UFPE on line [Internet] 2015;9(1):114-20. doi: 10.5205/reuol.6817-60679-1-ED.0901201516

Sousa GS, Silva RLF, Xavier MB. Leprosy and Primary Health Care: program structure assessment. Saúde Debate 2017;41(112):230-42. doi: 10.1590/0103-1104201711219

Oliveira SB, Ribeiro MDA, Silva JCA, Silva LN. Evaluation of the level of information on hanseníase of professionals of the strategy Family Health. Rev Pesq Saúde 2017;18(3):139-43. doi: 10.5020/18061230.2016.p364

Coelho LS, Albuquerque KR, Maia NMFS, Carvalho LRB, Almeida CAPL, Silva MP. Experience of nurses of primary care in leprosy control actions. Rev Enf UFPE 2015;9(10):1411-7. doi: 10.5205/reuol.8463-73861-2-SM.0910sup201506

Silva MCD, Paz EPA. Nursing care experiences with Hansen’s disease patients: contributions from hermeneutics. Acta Paulista Enf 2017;30(4):435-41. http://doi.org/10.1590/1982-0194201700064

Leal DR, Cazarin G, Bezerra ALCA, Albuquerque AC, Felisberto E. Leprosy Control Program: assessment of implementation in districts. Saúde Debate 2017;41(1):209-28. doi: 10.1590/0103-11042017S16

Souza ALA, Feliciano KVO, Mendes MFM. Family Health Strategy professionals' view on the effects of Hansen's disease training. Rev Escola Enf USP 2015;49(4):610-18. doi: 10.1590/S0080-623420150000400011

Vieira NF, Lanza FM, Lana FCF, Martinez-Riera JR. Assessment of the attributes of primary health care in leprosy control actions. Rev Enferm UERJ 2018;26(1):1-7. doi: 10.12957/reuerj.2018.31925

Aguiar PG, Almeida DA, Silva SDC, Paschoini J. Fatores de manutenção da endemia hansênica e as ações da enfermagem no controle da hanseníase. Revista de Iniciação Científica da Libertas [Internet]. 2014 [cited 2019 Oct 25];4(1):119-132. Available from: http://www.libertas.edu.br/revistas/index.php/riclibertas/article/view/51/75

Carvalho NV, Araujo TME. Actions perfomed out by Family Health professionals in control leprosy in a hyperendemic county J Health Biol Sci 2015;3(3):144-50. doi: 10.12662/2317-3076jhbs.v3i3.183.p144-150.2015

Pacheco MAB, Aires MLL, Seixas ES. Prevalence and control of Hansen’s disease: a research in an urban occupation area of São Luis, Maranhão state, Brazil. Rev Bras Med Família Comunidade [Internet] 2014 [cited 2019 Feb 17];9(30):23-30. Available from: http://docs.bvsalud.org/biblioref/2019/08/879510/690-5199-1-pb.pdf

Ribeiro MDA, Castillo IS, Silva JC, Oliveira SB. The nurse’s view on leprosy treatment in primary health care. Rev Bras Promoção Saúde 2017;30(2):221-28. doi: 10.5020/18061230.2017.p221

Ministério da Saúde (Brasil). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Vigilância em Saúde: Dengue, Esquistossomose, Hanseníase, Malária, Tracoma e Tuberculose [Internet]. Brasília: Ministério da Saúde; 2008. 119p. [cited 2019 Feb 19]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/cab_n21_vigilancia_saude_2ed_ p1.pdf

Goiabeira YNLA, Rolim ILTP, Aquino DMC, Santos LH, Lima ABS, Soeiro VMS. Leprosy control program in a hyperendemic Capital: an operational assessment. Rev Baiana Enf 2018;32(1):1-9. doi: 10.18471/rbe.v32.25144

Lobato DC, Neves DCO, Xavier MB. Evaluation of surveillance actions of household contacts of patients with leprosy in the City of Igarapé/Açu, Pará State, Brazil. Rev Pan- Amazônica Saúde 2016;7(1): 45-53. doi: 10.5123/S2176-62232016000100006

Lanza FM, Lana FCF. O processo de trabalho em hanseníase: tecnologias e atuação da equipe de saúde da família. Texto Contexto Enf 2011;20(1):238-46. doi: 10.1590/S0104-07072011000500030

Published

2022-11-28

Issue

Section

Original articles