Do registro das ações em tuberculose à produção de informação na atenção primária à saúde no município de Pelotas/RS

Abstract

Introduction: The information produced by the health information systems are essential tools for planning tuberculosis control actions in the territories. In this way, the objective was to describe the elements necessary for the production of information related to the detection of cases of tuberculosis (accessibility to records, responsibility for filling out, organization of filling, flow of records, control of data quality in records, and continuing education). Method: Exploratory descriptive study carried out in the city of Pelotas / RS. Data were collected through a self-administered structured form for health professionals working in basic health units. The data collection instrument contained variables related to the elements of information production in tuberculosis (availability, organization of completion, flow and use of records, permanent education). Data were analyzed in Statsoft® Statistc software. An exploratory analysis of the data was made by means of distribution of relative and absolute frequencies. Results: Regarding the availability of records, most of the participants reported having a Record Book of Tuberculosis in the service (50%), availability of access to this instrument by all professionals (66%), and Its storage site was predominantly common use room (38%). As for the organizational element of completion, the majority of respondents stated that the filling of the data in the Record Book of Tuberculosis is not performed by all the professionals of the unit (64%), there is no professional responsible for completing (76%), Is performed by the same professional who requests sputum smear microscopy (57%), filling in the Record Book of Tuberculosis occurs immediately after the request for smear microscopy (47%), filling the smear result in the Record Book of Tuberculosis occurs immediately after receiving it in the unit (43 %), And lastly, most reported not forgetting to add data in the Record Book of Tuberculosis due to lack of time. In the flow records element, 57% of the participants reported not knowing the frequency of sending the tuberculosis reports to the coordination, and 55% reported not knowing the frequency of reporting returns. Regarding the use of registries in tuberculosis, 58% of the professionals said that the verification and analysis of the data in the unit occurred. Regarding lifelong education, 63% of the professionals mentioned that there is no promotion of training on data analysis in primary care by the Municipal Health Department. Conclusions: The study showed difficulties in all elements of the production of case detection information. It is urgent to raise awareness of the commitment of actions to detect cases of tuberculosis in the municipality.