Desafios da tuberculose no concelho da Praia-Cabo Verde: determinantes da tuberculose no período de 2006 a 2012.

Abstract

The current thesis aims to measure the magnitude of underreporting of tuberculosis (TB) and to identify the social determinants of the TB incidence in Praia Cape Verde from 2006 to 2012. We considered suspected cases and validated diagnosed cases of TB obtained in the health centers, the central hospital and the laboratories of the counties which originated two manuscripts. The first manuscript, a cross-sectional study was carried out in which the number of validated TB cases identified in the health units was compared with the number of cases registered in the National Program to Fight Tuberculosis and Leprosy (NPFTL). Underreporting was calculated by combining two approaches. In the first approach, the number of validated TB cases in primary care centers and central hospital was compared to the number of TB cases in NPFTL. In the second approach, all validated TB cases from all TB sources were compared to NPFTL cases. The result revealed a significant underreporting of TB and consistent with estimates of underreporting by the World Health Organization (WHO) for the country. The second manuscript had as objective to identify social determinants of TB. Exploratory analysis and regression analysis were performed to achieve this objective. In the exploratory analysis the normality evaluation and the identification of spatial autocorrelation were performed. In the regression analysis, it was used negative binomial model which results indicated association between social determinant and incidence of TB in Praia.