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Table 5 Distribution of tuberculosis actions by comparison between the classification of municipalities, according to the teams that carry out consultations in primary health care. Brazil. 2017–2018

From: Leprosy and tuberculosis control scenario of the national program for the improvement of access and quality of primary care in Brazil

Teams that carry out consultations at the Unit

Brazil

30,847

RRa

970

ARb

9,458

RIc

278

IAd

3,103

Urban

17,038

p-value

X2

n (%)

n (%)

n (%)

n (%)

n (%)

n (%)

Is the 1st Sputum smear microscopy for the diagnosis of tuberculosis collected at the first approach/consultation?

21,830 (70.8)

567 (58.5)

6,363 (67.3)

153 (55.0)

2.041 (65.8)

12,706 (74.6)

 

p-value

 

 < 0.0001

 < 0.0001

0.6787

 < 0.0001

 < 0.0001

Does the team notify people with tuberculosis diagnosed in the unit?

30,055 (97.4)

925 (95.4)

9,151 (96.8)

272 (97.8)

3,017 (97.2)

16,690 (98.0)

 

p-value

 

0.009

0.2054

0.0759

 < 0.0001

 < 0.0001

Does the team monitor the treatment directly observed by the person?

29,885 (96.9)

910 (93.8)

9,212 (97.4)

262 (94.2)

3,019 (97.3)

16,482 (96.7)

 

p-value

 

 < 0.0001

0.0076

0.3963

0.1044

 < 0.0001

The team performs an active search for the following cases:

 respiratory symptoms

29,827 (96.7)

915 (94.3)

9,195 (97.2)

261 (93.9)

3,017 (97.2)

16,439 (96.5)

 

  p-value

 

 < 0.0001

0.0048

0.3267

0.0226

 < 0.0001

 contact person

30,277 (98.2)

932 (96.1)

9,271 (98)

265 (95.3)

3,049 (98.3)

16,760 (98.4)

 

  p-value

 

 < 0.0001

0.0021

0.0787

0.0017

 < 0.0001

 person lost to follow-up (after the 30-day period)

29,574 (95.9)

900 (92.8)

8,993 (95.1)

264 (95)

2,963 (95.5)

16,454 (96.6)

 

  p-value

 

0.0006

0.9377

0.1286

 < 0.0001

 < 0.0001

  1. Source: prepared by the authors. based on data from Program for the Improvement of Access and Quality of Primary Care (2019) and IBGE (2017)
  2. aRR Rural Remote
  3. bAR Adjacent Rural
  4. cRI Remote Intermediary
  5. dIA Intermediate Adjacent