The impact of the Brazilian Family Health Strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data
The impact of the Brazilian Family Health Strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data
Data
2018
Autores
Durovni, Betina
Saraceni, Valeria
Puppin, Mariana Soares
Tassinari, Wagner
Cruz, Oswaldo G.
Cavalcante, Solange
Coeli, Claudia Medina
Trajman, Anete
Journal Title
Journal ISSN
Volume Title
Publisher
Journal of Public Health
Resumo
Background Unsuccessful tuberculosis outcomes are frequent; bold policies are needed to end the tuberculosis (TB) epidemic to attain the
third Sustainable Development Goal (SDG) by 2030. We examined the effect of the Family Health Strategy (FHS) and its interactions with the
conditional cash transfer programme (CTP) on TB outcomes in Rio de Janeiro, Brazil.
Methods We performed individual-based analyses of a database resulting from deterministic and probabilistic linkages of the TB information
system, FHS registries and CTP payrolls. Patients ≥15 years old treated with the standard RHZE regimen were included. The rates of successful
outcomes were analysed according to coverage by FHS. Effects from the CTP and its interactions with the FHS were examined among the
poorest.
Results FHS coverage increased the likelihood for successful outcomes by 14% (12–17%) among 13 482 new cases, and by 35% (25–47%)
among 1880 retreatment cases. The CTP had an independent effect but no interaction with the FHS among the poorest.
Conclusions This is the first individual-based study to show a relevant protection of poor urban communities regarding patient-important
health outcomes by the Brazilian FHS and CTP. These findings support strategies of universal health coverage, primary care strengthening and
social protection to achieve a major SDG.
Description
Palavras-chave
conditional cash transfer, neglected diseases, primary healthcare, secondary data, tuberculosis.
Citação
Durovni B, Saraceni V, Puppin MS, Tassinari W, Cruz OG, Cavalcante S, Coeli CM, Trajman A. The impact of the Brazilian Family Health Strategy and the conditional cash transfer on tuberculosis treatment outcomes in Rio de Janeiro: an individual-level analysis of secondary data. J Public Health (Oxf). 2018 Sep 1;40(3):e359-e366. doi: 10.1093/pubmed/fdx132.