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Publication

Decentralisation of leprosy control activities in the municipality of Betim, Minas Gerais State, Brazil.

Abstract

OBJECTIVES: The present study aims at evaluating the decentralisation of the leprosy control activities in the municipality of Betim, Minas Gerais, Brazil.

DESIGN: A quantitative study was undertaken using data from SINAN (Sistema Nacional de Agravos de Notificação) and patient records. The study included 435 new cases registered and living in Betim. The pre (1995-2000) and post (2001-2005) decentralisation periods were compared using the chi-square test. Besides this, units which already had leprosy control activities were compared to those which implemented them from 2001 on.

RESULTS: There was a decrease in the percentage of cases diagnosed with deformities after decentralisation, as well as an increase in the number of cases detected through self-reporting. More patients were notified closer to home after decentralisation. The selected indicators did not show any difference between the quality of assistance regarding prevention of disabilities when comparing health units which already had leprosy activities to those which implemented them from 2001 onwards.

CONCLUSIONS: Decentralisation, in Betim, did not lead to an increase in the number of cases, but led to earlier diagnosis and patients being treated closer to their homes. The study did not show evidence of decrease in the quality of care after decentralisation.

More information

Type
Journal Article
Author
Fuzikawa PL
De Acúrcio FA
Velema JP
Cherchiglia ML
Year of Publication
2010
Journal
Leprosy review
Volume
81
Issue
3
Number of Pages
184-95
Date Published
2010 Sep
Language
eng
ISSN Number
0305-7518
Alternate Journal
Lepr Rev
Publication Language
eng