Lúcia Maria Frazão Helene

A reprodução social da hanseníase: um estudo do perfil de doentes com hanseníase no Município de São Paulo

Tomamos como objeto de estudo a relacao trabalho-vida de hansenianos sob controle do setor publico do Municipio de Sao Paulo, em 1996. Fundamentando-se na teoria da determinacao social do processo saude-doenca, a preocupacao foi a de ampliar o reconhecimento da rede de determinacao da hanseniase, buscando produzir conhecimentos que subsidiem a extensao dos projetos de intervencao. Foram colhidas informacoes junto a uma amostra proporcional de hansenianos - a familia como unidade amostral -, classificando-os de acordo com sua insercao social. Os resultados mostram que a maioria dos hansenianos se concentra nos grupos marginalizados da producao social, deslocados para regioes em que a exclusao social e mais acentuada, diferenciando-se pelo trabalho que realizam. A manter-se a tendencia de concentracao dos hansenianos nos estratos intermediario e inferior, renovar-se-a a construcao da hanseniase, tendo como origem os excluidos do Sudeste do Brasil ou os migrantes nordestinos que sobrevivem nos subempregos, na malha periferica da producao capitalista, pulverizados em trabalhos precarios, desqualificados, e no espaco de reproducao social que parece favorecer um maior acometimento da doenca em jovens e mulheres.

Atenção básica de saúde e a assistência em Hanseníase em serviços de saúde de um município do Estado de São Paulo

UNLABELLED This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. METHODOLOGY the interviews were conducted with professionals responsable for care in Hansens Disease and with manager of public health policies. RESULTS the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations.This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. Methodology: the interviews were conducted with professionals responsable for care in Hansens Disease and with manager of public health policies. Results: the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations.

Organização de serviços de saúde na eliminação da Hanseníase em municípios do Estado de São Paulo

Este trabalho tem como objetivo analisar as acoes de controle da hanseniase desenvolvidas em nove municipios do Estado de Sao Paulo e uma coordenadoria de saude da Capital, selecionados a partir de sua populacao, localizacao geografica e coeficientes de prevalencia. Foi aprovado pelo Comite de Etica no 514/05 e foram aplicados instrumentos por meio de entrevistas em 59 profissionais e 17 interlocutores. Os dados foram analisados utilizando o programa SPSS (Statistical Package for Social Scientists). Verificou-se que a prevalencia apresenta declinio e a deteccao permanece estavel. As acoes de prevencao de incapacidade fisica, educacao em saude e a busca ativa sao pouco desenvolvidas. Os profissionais mais capacitados encontram-se nas unidades de referencia, ha fragilidade quanto ao trabalho em equipe.The present study aims to analyze actions to control Hansens disease developed in nine municipalities of the State of São Paulo and one of the health authorities of the city of São Paulo, selected based on their population, geographic location and prevalence coefficients. The study was approved by the Ethics Committee n masculine 514/05 and instruments were administered by means of interviews to 59 professionals, 17 interlocutors and 9 managers. Data were analyzed using the program SPSS (Statistical Package for Social Scientists). It was verified that prevalence is on the decline and detection remains stable. The physical incapacity prevention actions, health education and active search have not been satisfactorily developed. The most qualified professionals are in the reference units and teamwork is fragile.

The basic health and assistance to Hansen's Disease in health care services of a municipality of São Paulo State

UNLABELLED This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. METHODOLOGY the interviews were conducted with professionals responsable for care in Hansens Disease and with manager of public health policies. RESULTS the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations.This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. Methodology: the interviews were conducted with professionals responsable for care in Hansens Disease and with manager of public health policies. Results: the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations.

La atención básica a la salud y la asistencia a la Lepra en servicios de salud de un municipio del Estado de São Paulo

UNLABELLED This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. METHODOLOGY the interviews were conducted with professionals responsable for care in Hansens Disease and with manager of public health policies. RESULTS the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations.This descriptive study was carried out in a municipality of Sao Paulo State. The objective was to identify and to characterize the Leprosy Control Program in primary care in the city of research. Methodology: the interviews were conducted with professionals responsable for care in Hansens Disease and with manager of public health policies. Results: the public health policies prioritize the development of primary care and emphasis on the public health. The control actions are held by trained and experient professionals. It emphasizes absence of active search for cases which undermines the real epidemiological situation, and the important health education to the reduction of stigma and bring the subject of adjustments necessary in new situation of life and overcome limitations.

La organización de los servicios de salud en la eliminación de la Lepra en municipios del Estado de São Paulo

Este trabalho tem como objetivo analisar as acoes de controle da hanseniase desenvolvidas em nove municipios do Estado de Sao Paulo e uma coordenadoria de saude da Capital, selecionados a partir de sua populacao, localizacao geografica e coeficientes de prevalencia. Foi aprovado pelo Comite de Etica no 514/05 e foram aplicados instrumentos por meio de entrevistas em 59 profissionais e 17 interlocutores. Os dados foram analisados utilizando o programa SPSS (Statistical Package for Social Scientists). Verificou-se que a prevalencia apresenta declinio e a deteccao permanece estavel. As acoes de prevencao de incapacidade fisica, educacao em saude e a busca ativa sao pouco desenvolvidas. Os profissionais mais capacitados encontram-se nas unidades de referencia, ha fragilidade quanto ao trabalho em equipe.The present study aims to analyze actions to control Hansens disease developed in nine municipalities of the State of São Paulo and one of the health authorities of the city of São Paulo, selected based on their population, geographic location and prevalence coefficients. The study was approved by the Ethics Committee n masculine 514/05 and instruments were administered by means of interviews to 59 professionals, 17 interlocutors and 9 managers. Data were analyzed using the program SPSS (Statistical Package for Social Scientists). It was verified that prevalence is on the decline and detection remains stable. The physical incapacity prevention actions, health education and active search have not been satisfactorily developed. The most qualified professionals are in the reference units and teamwork is fragile.

Health services organization on the elimination of Leprosy in municipalities of São Paulo State

Este trabalho tem como objetivo analisar as acoes de controle da hanseniase desenvolvidas em nove municipios do Estado de Sao Paulo e uma coordenadoria de saude da Capital, selecionados a partir de sua populacao, localizacao geografica e coeficientes de prevalencia. Foi aprovado pelo Comite de Etica no 514/05 e foram aplicados instrumentos por meio de entrevistas em 59 profissionais e 17 interlocutores. Os dados foram analisados utilizando o programa SPSS (Statistical Package for Social Scientists). Verificou-se que a prevalencia apresenta declinio e a deteccao permanece estavel. As acoes de prevencao de incapacidade fisica, educacao em saude e a busca ativa sao pouco desenvolvidas. Os profissionais mais capacitados encontram-se nas unidades de referencia, ha fragilidade quanto ao trabalho em equipe.The present study aims to analyze actions to control Hansens disease developed in nine municipalities of the State of São Paulo and one of the health authorities of the city of São Paulo, selected based on their population, geographic location and prevalence coefficients. The study was approved by the Ethics Committee n masculine 514/05 and instruments were administered by means of interviews to 59 professionals, 17 interlocutors and 9 managers. Data were analyzed using the program SPSS (Statistical Package for Social Scientists). It was verified that prevalence is on the decline and detection remains stable. The physical incapacity prevention actions, health education and active search have not been satisfactorily developed. The most qualified professionals are in the reference units and teamwork is fragile.