Barreras para la detección de tuberculosis infantil en el departamento del Cauca, Colombia.
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| Title: | Barreras para la detección de tuberculosis infantil en el departamento del Cauca, Colombia. |
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| Alternate Title: | Barriers for the detection of childhood tuberculosis in the department of Cauca, Colombia. Barreiras para a detecção da tuberculose infantil no departamento de Cauca, Colômbia. |
| Authors: | Edwin Polanco-Pasaje, Jhon1 jepolanco@unicauca.edu.co, Cristina Bolaños, María2 cristina.diaz22@hotmail.com, Yoana Tello-Hoyos, Kelly3 kelly.tello@saludcauca.gov.co, Hernán Sierra-Torres, Carlos4 hsierraphd@gmail.com |
| Source: | Revista Facultad Nacional de Salud Pública. 2024, Vol. 42, p1-10. 10p. |
| Subjects: | MEDICAL personnel, HEALTH planning, EARLY diagnosis, CAREGIVERS, TUBERCULOSIS |
| Abstract (English): | Objective: Identify barriers to the diagnosis of childhood tuberculosis in the department of Cauca, during the year 2022. Methodology: Research with a qualitative approach developed in 11 municipalities of the department of Cauca, during the year 2022. Semi-structured interviews were conducted with key actors for the detection and control of tuberculosis in children, including clinical, administrative and primary caregiver staff. Results: The identified barriers were classified into three groups: first, those related to health personnel, such as lack of knowledge of guides, limitation in operational capabilities, poor study of contacts, low active search for cases, persistence of archetypes of person with tuberculosis and imaginaries around the disease and its diagnostic methods. The second group of barriers were those related to health management, where ineffective information and education strategies, lack of administrative management, centralization of services, lack of support and consulting, and high staff turnover were identified. Finally, barriers related to health system structure included out-ofpocket costs and market dynamics. Conclusion: Barriers were identified mostly related to health personnel, followed by those related to health management and the structure of the health system. These must be addressed from comprehensive health planning by the different actors of the system, to seek to overcome them in a way that improves early detection of the disease. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Identificar barreras para el diagnóstico de tuberculosis infantil en el departamento del Cauca, durante el año 2022. Métodos: Investigación con enfoque cualitativo desarrollado en 11 municipios del departamento del Cauca, durante el año 2022. Se realizaron entrevistas semiestructuradas a actores clave para la detección y el control de la tuberculosis en niños, incluyendo personal clínico, administrativo y cuidador primario. Resultados: Las barreras identificadas se clasificaron en tres grupos: primero, las relacionadas con el personal de salud, como el desconocimiento de guías, limitación en capacidades de operativas, deficiente estudio de contactos, baja búsqueda activa de casos, persistencia de arquetipos de persona con tuberculosis e imaginarios alrededor de la enfermedad y sus métodos de diagnóstico. El segundo grupo de barreras fueron las relacionadas con la gestión en salud, donde se identificaron estrategias de información y educación poco efectivas, falta de gestión administrativa, centralización de servicios, falta de acompañamiento y consultoría, y alta rotación de personal. Finalmente, las barreras relacionadas con la estructura del sistema de salud incluyeron los costos de bolsillo y la dinámica del mercado. Conclusión: Se identificaron barreras relacionadas en su mayoría con el personal de salud, seguidas de las relacionadas con la gestión en salud y la estructura del sistema de salud. Estas deben ser abordadas desde la planeación integral en salud por los diferentes actores del sistema, para buscar superarlas de manera que se logre mejorar la detección temprana de la enfermedad. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo: Identificar barreiras ao diagnóstico da tuberculose infantil no departamento de Cauca, durante o ano de 2022. Metodologia: Pesquisa com abordagem qualitativa desenvolvida em 11 municípios do departamento de Cauca, durante o ano de 2022. Foram realizadas entrevistas semiestruturadas com intervenientes-chave para a detecção e controlo da tuberculose em crianças, incluindo pessoal clínico, administrativo e cuidador principal. Resultados: As barreiras identificadas foram classificadas em três grupos: primeiro, aquelas relacionadas ao pessoal de saúde, como falta de conhecimento dos guias, limitação nas capacidades operacionais, mau estudo dos contatos, baixa busca ativa de casos, persistência de arquétipos de pessoa com tuberculose e imaginários em torno da doença e seus métodos diagnósticos. O segundo grupo de barreiras foram as relacionadas com a gestão da saúde, onde foram identificadas estratégias de informação e educação ineficazes, falta de gestão administrativa, centralização dos serviços, falta de apoio e consultoria e elevada rotatividade de pessoal. Finalmente, as barreiras relacionadas com a estrutura do sistema de saúde incluíam os custos diretos e a dinâmica do mercado. Conclusão: Foram identificadas barreiras principalmente relacionadas ao pessoal de saúde, seguidas daquelas relacionadas à gestão em saúde e à estrutura do sistema de saúde. Estas devem ser abordadas a partir de um planejamento integral em saúde pelos diferentes atores do sistema, para buscar superá-las de forma a melhorar a detecção precoce da doença. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective: Identify barriers to the diagnosis of childhood tuberculosis in the department of Cauca, during the year 2022. Methodology: Research with a qualitative approach developed in 11 municipalities of the department of Cauca, during the year 2022. Semi-structured interviews were conducted with key actors for the detection and control of tuberculosis in children, including clinical, administrative and primary caregiver staff. Results: The identified barriers were classified into three groups: first, those related to health personnel, such as lack of knowledge of guides, limitation in operational capabilities, poor study of contacts, low active search for cases, persistence of archetypes of person with tuberculosis and imaginaries around the disease and its diagnostic methods. The second group of barriers were those related to health management, where ineffective information and education strategies, lack of administrative management, centralization of services, lack of support and consulting, and high staff turnover were identified. Finally, barriers related to health system structure included out-ofpocket costs and market dynamics. Conclusion: Barriers were identified mostly related to health personnel, followed by those related to health management and the structure of the health system. These must be addressed from comprehensive health planning by the different actors of the system, to seek to overcome them in a way that improves early detection of the disease. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 0120386X |
| DOI: | 10.17533/udea.rfnsp.e354827 |
