Análise de alguns indicadores de avaliação do programa de controle da hanseníase no contexto da estratégia saúde da família no estado do Pará de 2000 a 2019

Abstract

Introduction: the Family Health Strategy (ESF) as the main gateway to the public health system has the challenge of welcoming, listening and offering resolute answers to the demands of a given population, in addition to what is possible through it access to health services in the most distant territories. In this context, the ESF plays an important role in the Leprosy Control Program (PCH), which requires the use of monitoring indicators that allow evaluating the effectiveness of the SHP in the ESF. Objective: to relate the trend of operational indicators of the leprosy control program in the state of Pará with the coverage of the Family Health strategy from January 2000 to December 2019. Methodology: type of descriptive study based on exploratory document analysis of new cases of leprosy from January 2000 to December 2019 existing in the Notifiable Diseases Information System. Results: from 82,523 records of new cases of leprosy in the state of Pará, from 2000 to 2019, 98.67% met the inclusion criteria (81,427). The analysis of the operational indicators of the SHP showed that there is a tendency for the indicator to increase the proportion of assessment of the degree of physical disability at diagnosis, as well as the proportion of contacts examined; stability in the indicators of assessment of the degree of disability at discharge due to cure and in the proportion of dropouts, with a reduction in the indicator proportion of discharge due to cure. There was a predominance of males and the age group greater than or equal to 15 years of age in all Regional Health Centers. The brown race/color predominated in the state in more than 50% of the cases, with the exception of the 12th Regional (46.4%). It can be observed that low education was predominant, with approximately 71.8%, consisting of illiterate people (11.6%) and people with elementary education (60.2%). There was a decline in the rate of detection of leprosy in the population under 15 years of age (60.9%). It was also observed that the 11th Regional Health Center has the record with the highest average annual detection rate (125.98/100 thousand inhab.) in the period studied. The most prevalent mode of detection in the state was spontaneous demand in 58.2% of new cases registered. The same occurred in all regions, with the exception of the first, where there was a predominance of referral with 62.2%. Conclusion: we emphasize the importance of the results obtained in view of the need, not only for the expansion of the Family Health Strategy, but also the implementation of the operationalization of more structured actions in the epidemiological surveillance of leprosy that are better suited to the realities of the municipalities and, in consequently, to the Regional Health Centers.