Avaliação do impacto da gestão de uma organização da sociedade civil de interesse público nas ações desenvolvidas no programa de controle de tuberculose em unidades de saúde em Duque de Caxias.

Abstract

Between the years 2009 to 2012, the municipality of Duque de Caxias made a partnership with a civil social organization of public interest (OSCIP) to manage mixed six health units. Tuberculosis (TB) is a serious public health problem in Brazil. Duque de Caxias in the Tuberculosis Control Program needed expansion and decentralization for greater access to population. Objective: This study aimed at evaluating the impact of managing an OSCIP in six health units in the city of Duque de Caxias, State of Rio de Janeiro, based on the results reached in the Tuberculosis Control Program (PCT). Methodology: We performed a quantitative research, descriptive, temporal evolution of the PCT indicators, based on secondary data generated by SINAN database / DC, as well as documentary analysis of Records Book of bacilloscopy and PCT Cultures. Survey the literature on the subject also through electronic search the Internet held a survey in the literature on the subject. Results and Discussion: Collaborating with OSCIP possible decentralization of the Tuberculosis Control Program for the four municipal districts. In the analysis of indicators, there was a better performance of health facilities under the management of OSCIP in some process indicators, such as the achievement of HIV tests and the percentage of bacilloscopies. As for the outcome indicators in both types of management, low activity observed in achieving national goals. Conclusion: Despite methodological limitations, the short time analysis of indicators, and because the use of secondary data (SINAN), this study allowed an initial look at the advantages, disadvantage and limitations of partnership with an OSCIP in public service. Further needed studies with longer period as well as inclusion of other indicators