02332nas a2200205   4500000000100000008004100001653002400042653001200066653002000078100002600098700003100124700003200155700003400187245010300221856006500324300001200389490000700401520170400408022001402112       2017                            d10aPrimary Health Care10aleprosy10aHealth Services1 aAndrade Girão Neta O1 aMaria Melo Soares Arruda G1 aMaria Barbosa de Carvalho M1 aRosilene Magalhães Gadelha R00a[Health professionals' and managers' perception of leprosy care within the family health strategy]  uhttp://periodicos.unifor.br/RBPS/article/viewFile/6155/pdf_1  a239-2480 v303 a<p><strong>Objective: </strong>To know health professionals’ and managers’ perception of leprosy care within the Family Health Strategy. <strong>Methods: </strong>Qualitative research conducted from July to August 2016 using semi-structured interviews with professionals with a higher education degree who work in reference Family Health teams and in the Family Health Support Center (<em>Núcleo de apoio à Saúde da Família - NASF</em>), as well as their respective coordinators in the city of Morada Nova, Ceará, Brazil. The data corpus was subjected to content analysis. <strong>Results: </strong>Leprosy care in the municipality is carried out in a centralized way under the responsibility of a single specialist and without the effective participation of the Family Health Strategy (FHS). Interprofessional collaboration does not occur and there are no formal spaces for dialogue and case discussion among the team members. The main challenges reported by the interviewees referred to the centralization of the service, the users’ adherence to the prevention and treatment activities carried out, and the lack of support from municipal management. <strong>Conclusion: </strong>This mode of organization of leprosy care impacts on several aspects of the work and care processes, negatively infl uencing the prevention, the surveillance and the monitoring of leprosy in the municipality, as well as favoring the hegemonic biomedical model and maintaining the critical epidemiological situation of the region. Further studies are required to correlate the mode of organization of leprosy care in the FHS with the epidemiological situation of the territories to foster care changes.</p>
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