Abstract

DUARTE GRANDALES, Serguei et al. Quality in the implementation of the National Program of Tuberculosis Control in "José Martí" University Polyclinic . MEDISAN [online]. 2013, vol.17, n.5, pp.828-837. ISSN 1029-3019.

An observational, descriptive and cross-sectional investigation was carried out, in order to evaluate the quality in the implementation of the National Program of Tuberculosis Control in the health area from «José Martí» University Polyclinic in Santiago de Cuba, during the year 2010, for which the methodology proposed by the Public Health Faculty from Havana was applied. The structure, process and the results were evaluated, on the basis of criteria, indicators and standards, according to the Program and the experts' criteria. The results demonstrated that some deficiencies existed in the implementation and surveillance of the Program, due to the medical and nursing staff `s ignorance on the control measures of the disease, with remarkable inadequacies as for the screening and the study of patients candidates for the infection, so that the diagnosis of those patients affected was delayed, with the subsequent increment of time during which they remained contaminated, in spite of having good objective conditions to be carry out. Only 75.0% of the affected patients was diagnosed in the primary care, and in general the implementation of the Program was evaluated as inadequate, so that it was recommended to insist in the training of the health professionals, so that their competence rises in this respect.

Keywords : tuberculosis; National Program of Tuberculosis Control; primary health care.

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