Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/31854
Title: The impact of the Brazilian family health strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data
Authors: Durovni, Betina
Saraceni, Valeria
Puppin, Mariana Soares
Tassinari, Wagner
Cruz, Oswaldo G.
Cavalcante, Solange
Coeli, Claudia Medina
Trajman, Anete
Affilliation: Secretaria Municipal de Saúde. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Centro de Estudos Estratégicos. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, Brasil.
Universidade Federal Rural do Rio de Janeiro. Departamento de Matemática. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Presidência. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.
Secretaria Municipal de Saúde. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Universidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Rio de Janeiro, RJ, Brasil.
McGill University. Global Health Department. Montreal, Canada / Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.
Abstract: Background: Unsuccessful tuberculosis outcomes are frequent; bold policies are needed to end the tuberculosis (TB) epidemic to attain the third Sustainable Development Goal (SDG) by 2030. We examined the effect of the Family Health Strategy (FHS) and its interactions with the conditional cash transfer programme (CTP) on TB outcomes in Rio de Janeiro, Brazil. Methods: We performed individual-based analyses of a database resulting from deterministic and probabilistic linkages of the TB information system, FHS registries and CTP payrolls. Patients ≥15 years old treated with the standard RHZE regimen were included. The rates of successful outcomes were analysed according to coverage by FHS. Effects from the CTP and its interactions with the FHS were examined among the poorest. Results: FHS coverage increased the likelihood for successful outcomes by 14% (12–17%) among 13 482 new cases, and by 35% (25–47%) among 1880 retreatment cases. The CTP had an independent effect but no interaction with the FHS among the poorest. Conclusions: This is the first individual-based study to show a relevant protection of poor urban communities regarding patient-important health outcomes by the Brazilian FHS and CTP. These findings support strategies of universal health coverage, primary care strengthening and social protection to achieve a major SDG.
Keywords: Conditional cash transfer
Neglected diseases
Primary healthcare
Secondary data
Tuberculosis
Issue Date: 2017
Publisher: Oxford University Press
Citation: DUROVNI, Betina et al. The impact of the Brazilian Family Health Strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data. Journal of Public Health, v. 40, n. 3, p. 359-366, 28 Sep. 2017.
DOI: 10.1093/pubmed/fdx132
ISSN: 1741-3842
Copyright: open access
Appears in Collections:Presidência Fiocruz - CEE - Artigos de Periódicos
Presidência Fiocruz – Artigos de Periódicos
INI - Artigos de Periódicos

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