Evaluation of pulmonary tuberculosis case detection in Huejutla, Hidalgo according to the synthetic case location indicator (ISILOC)
Introduction: Pulmonary tuberculosis (PTB) is a health emergency. The low detection of cases of PTB has caused its spread; there fore, finding cases is essential to neutralize transmission. The Synthetic Case Location Indicator (ISILOC) contributes to effective and efficient detection. Methods: From February to November 2018, participatory action research (PAR) was carried out. A baseline measure of the ISILOC was made and demographic data were collected: age, gender, years in the program and profession. Three focus groups were orga nized with personnel from the Mycobacteriosis program. Qualitative information was obtained following three sequential stages. Results: A total of 40 physicians and nurses were included. The largest age group was 31 to 40 years (50%), 75% were women, 43% had more than 5 years in the program and 30% were doctors. The baseline measure of the ISILOC, 0.33, was deficient. In the group, 48% thought the program performance was poor. More than two-thirds of the participants considered that the low performance was due to deficiencies in detection. An action plan of three categories was made: Improvement of case detection, health personnel train ing and health education and dissemination in medical units. A second measurement of the indicator was a result of 0.70, very good. Conclusion: The ISILOC methodology was effective, improving performance in the Mycobacteriosis program; its application has continued to date with a very good performance assessment.
| Main Authors: | , , , |
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| Format: | Texto biblioteca |
| Language: | eng |
| Subjects: | Tuberculosis pulmonar, Micobacteriosis, Diagnóstico de la situación de salud, Control de enfermedades, |
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