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

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dc.contributor.authorDurovni, Betina
dc.contributor.authorSaraceni, Valeria
dc.contributor.authorPuppin, Mariana Soares
dc.contributor.authorTassinari, Wagner
dc.contributor.authorCruz, Oswaldo G.
dc.contributor.authorCavalcante, Solange
dc.contributor.authorCoeli, Claudia Medina
dc.contributor.authorTrajman, Anete
dc.date.accessioned2024-12-12T16:05:19Z
dc.date.available2024-12-12T16:05:19Z
dc.date.issued2018
dc.description.abstractBackground 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.
dc.identifier.citationDurovni 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.
dc.identifier.otherDOI: 10.1093/pubmed/fdx132
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/705
dc.language.isoen
dc.publisherJournal of Public Health
dc.subjectconditional cash transferen
dc.subjectneglected diseasesen
dc.subjectprimary healthcareen
dc.subjectsecondary dataen
dc.subjecttuberculosis.en
dc.titleThe 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
dc.typeArticle
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