Simone Terezinha Protti

Atraso no diagnóstico da tuberculose em sistema prisional: a experiência do doente apenado

This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects.This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects. DESCRIPTORS: Tuberculosis. Prisons. Diagnosis.

DELAY IN THE DIAGNOSIS OF TUBERCULOSIS IN PRISONS: THE EXPERIENCE OF INCARCERATED PATIENTS

This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects.This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects. DESCRIPTORS: Tuberculosis. Prisons. Diagnosis.

Discursos sobre a terapia de curta duração para o controle da tuberculose

Objetivo: analisar os sentidos produzidos por meio das experiencias e percepcoes dos profissionais de saude sobre a implementacao da estrategia do tratamento diretamente observado de curta duracao para o controle da tuberculose. Metodo: estudo qualitativo realizado em Mocambique com 15 profissionais de saude. Criterios de inclusao: atuacao no Programa de Controle da Tuberculose ha mais de um ano e estar em atividade profissional no periodo da entrevista. Para a coleta de dados foi usado um roteiro semiestruturado e as entrevistas realizadas individualmente foram gravadas. Resultados: emergiram tres unidades discursivas: os procedimentos no tratamento do doente; o papel de Agente Comunitario da Saude e da familia; as dificuldades na aplicacao do tratamento diretamente observado de curta duracao. Conclusao: o tratamento da tuberculose requer um envolvimento constante da familia, da comunidade e principalmente do Estado na criacao e aplicacao de politicas de formacao dos recursos humanos e melhoria de infraestruturas.Objective: to analyze the meanings produced through the experiences and perceptions of healthcare professionals on the implementation of the strategy of directly observed treatment short course for tuberculosis control. Method: qualitative study carried out in Mozambique with 15 healthcare professionals. Inclusion criteriawerehaving acted in the Tuberculosis Control Program for more than one year, and exercising professional activity at the time of interview. A semi-structured script was used for data collection, and individual interviews were recorded. Results: three discursive units emerged: patient treatment procedures; community health agent and family roles; difficulties in the application of directly observed treatment short course. Conclusion: treatment of tuberculosis requires constant involvement of the family, community, and especially the State in the creation and implementation of personnel training policies and infrastructure improvement.

Discursos sobre la terapia de corta duración para el control de la tuberculosis

Objetivo: analisar os sentidos produzidos por meio das experiencias e percepcoes dos profissionais de saude sobre a implementacao da estrategia do tratamento diretamente observado de curta duracao para o controle da tuberculose. Metodo: estudo qualitativo realizado em Mocambique com 15 profissionais de saude. Criterios de inclusao: atuacao no Programa de Controle da Tuberculose ha mais de um ano e estar em atividade profissional no periodo da entrevista. Para a coleta de dados foi usado um roteiro semiestruturado e as entrevistas realizadas individualmente foram gravadas. Resultados: emergiram tres unidades discursivas: os procedimentos no tratamento do doente; o papel de Agente Comunitario da Saude e da familia; as dificuldades na aplicacao do tratamento diretamente observado de curta duracao. Conclusao: o tratamento da tuberculose requer um envolvimento constante da familia, da comunidade e principalmente do Estado na criacao e aplicacao de politicas de formacao dos recursos humanos e melhoria de infraestruturas.Objective: to analyze the meanings produced through the experiences and perceptions of healthcare professionals on the implementation of the strategy of directly observed treatment short course for tuberculosis control. Method: qualitative study carried out in Mozambique with 15 healthcare professionals. Inclusion criteriawerehaving acted in the Tuberculosis Control Program for more than one year, and exercising professional activity at the time of interview. A semi-structured script was used for data collection, and individual interviews were recorded. Results: three discursive units emerged: patient treatment procedures; community health agent and family roles; difficulties in the application of directly observed treatment short course. Conclusion: treatment of tuberculosis requires constant involvement of the family, community, and especially the State in the creation and implementation of personnel training policies and infrastructure improvement.

Discourses on short-coursetherapy for tuberculosis control

Objetivo: analisar os sentidos produzidos por meio das experiencias e percepcoes dos profissionais de saude sobre a implementacao da estrategia do tratamento diretamente observado de curta duracao para o controle da tuberculose. Metodo: estudo qualitativo realizado em Mocambique com 15 profissionais de saude. Criterios de inclusao: atuacao no Programa de Controle da Tuberculose ha mais de um ano e estar em atividade profissional no periodo da entrevista. Para a coleta de dados foi usado um roteiro semiestruturado e as entrevistas realizadas individualmente foram gravadas. Resultados: emergiram tres unidades discursivas: os procedimentos no tratamento do doente; o papel de Agente Comunitario da Saude e da familia; as dificuldades na aplicacao do tratamento diretamente observado de curta duracao. Conclusao: o tratamento da tuberculose requer um envolvimento constante da familia, da comunidade e principalmente do Estado na criacao e aplicacao de politicas de formacao dos recursos humanos e melhoria de infraestruturas.Objective: to analyze the meanings produced through the experiences and perceptions of healthcare professionals on the implementation of the strategy of directly observed treatment short course for tuberculosis control. Method: qualitative study carried out in Mozambique with 15 healthcare professionals. Inclusion criteriawerehaving acted in the Tuberculosis Control Program for more than one year, and exercising professional activity at the time of interview. A semi-structured script was used for data collection, and individual interviews were recorded. Results: three discursive units emerged: patient treatment procedures; community health agent and family roles; difficulties in the application of directly observed treatment short course. Conclusion: treatment of tuberculosis requires constant involvement of the family, community, and especially the State in the creation and implementation of personnel training policies and infrastructure improvement.

Retraso en el diagnóstico de la tuberculosis en la cárcel: la experiencia de los enfermos reclusos

This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects.This study analyzed the causes of delay in the diagnosis of tuberculosis in the prison system, according to the experience of incarcerated patients. The theoretical and methodological framework of the French school of discourse analysis was used, which seeks to comprehend the processes of meaning production, in the relationship of language with ideology and the development of subjects in their positions. Semi-directed interviews were conducted with seven incarcerated tuberculosis patients in a hospital of Joao Pessoa, Paraiba, Brazil, between August and October 2009. The delay in the diagnosis of tuberculosis was related to the naturalization of the lack of care for the prisoner, to the interpretation of the prison as a place of death and suffering and to the deprivation of the right to health for the detainees as a result of their position in the asymmetric power relationships and ideological effects. DESCRIPTORS: Tuberculosis. Prisons. Diagnosis.