@article{194,
  keywords = {Brazil, Health Services Accessibility, Humans, Incidence, leprosy, Population Surveillance, Primary Health Care, Regression Analysis},
  author = {Penna MLF and Oliveira MLWD and Carmo EH and Penna GO and Temporão JG},
  title = {The influence of increased access to basic healthcare on the trends in Hansen's disease detection rate in Brazil from 1980 to 2006.},
  abstract = {<p>Brazilian Hansen's disease detection rate rose during the 80s and 90s of the 20th century. The Brazilian health system reform happened during the same period. Detection rate is a function of the real incidence of cases and the diagnostic agility of the health system. Coverage of BCG immunization in infants was used as a proxy variable for primary healthcare coverage. A log-normal regression model of detection rate as a function of BCG coverage, time and time square was adjusted to data. The detection rate presents an upward trend throughout the period and with a downturn beginning in 2003. The model showed a statistically significant positive regression coefficient for BCG coverage, suggesting that detection rate behavior reflects the improvement of access to health care. The detection rate began a trend towards decline in 2003, indicating a new phase of Hansen's disease control.</p>},
  year = {2008},
  journal = {Revista da Sociedade Brasileira de Medicina Tropical},
  volume = {41 Suppl 2},
  pages = {6-10},
  month = {2008},
  issn = {1678-9849},
  doi = {10.1590/s0037-86822008000700003},
  language = {eng},
}