Tuberculose, iniquidades sociais e Saúde

Abstract

This research aimed to identify the relationship of the incidence of tuberculosis with indicators of offer health actions and social context. The type of study used was ecological lineation with descriptive and exploratory approach, having as units of observation 75 municipalities in the State of Minas Gerais that showed at least 10 new cases of tuberculosis in 2010. Data collection was conducted through secondary sources, from data collection were built indicators classified on offer health actions, social context and epidemiological. To assess the relationship of the incidence of TB with the offer of health actions and social context analysis were performed by descriptive techniques (mean, standard deviation and coefficient of variation) and cluster analysis (AC). The results showed that the cluster with the highest TB incidence rate and municipalities located in the mesoregion North of Minas and Jequitinhonha showed the least amount of medical professionals per 1000 population, a higher proportion of the population living in permanent private households with inadequate sanitation, a higher proportion people 10 years or older with nominal monthly income up 1 salary, lower municipal human development index (IDHM), higher Gini index, the higher illiteracy rate and higher proportion of population covered by Community Health Agents (ACS) and Family Health Teams (ESF). Municipalities distributed mainly in mesoregion Triangulo Mineiro and Alto Paranaiba and South / Southwest of Minas with smaller TB incidents were associated with greater amount of medical professionals per 1000 population, higher IDHM, lowest illiteracy rate and lower coverage of ACS and second lowest coverage of ESF. Thus, the biggest offer of ACS and ESF were not enough to obtain the lowest occurrence of tuberculosis. The joint analysis of the indicators identified priority municipalities for intervention on offer health actions and social context. These interventions may result in the reduction of social inequalities and the consequent fall of the occurrence of tuberculosis.