Abstract

GARCIA A, Carlos A  and  MUNOZ S, Alba I. Indicators of programmatic evaluation: the need for a social approach of tuberculosis. Rev. Fac. Nac. Salud Pública [online]. 2014, vol.32, n.2, pp.76-84. ISSN 0120-386X.

The tuberculosis remains as a public health issue in the epidemiologic field worldwide. Partials results of the project "Evaluación de indicadores del programa de tuberculosis del municipio de Tumaco"; paper call 525 - 2011, Program "Jóvenes Investigadores e Innovadores: Virginia Gutiérrez de Pineda" funded by Colciencias and the Universidad Nacional de Colombia. OBJECTIVE: to evaluate the indicators of the tuberculosis control program of the Tumaco municipality in Nariño, Colombia during the period from 2010 to 2012. METHODOLOGY: a quantitative, retrospective, cross-sectional descriptive study complying with the related processes of research ethics. RESULTS :the cure rate decreased from 86% to 81.5%, while failures showeda progressive increase (2.7% to 3.7%) as did transferred patients (8.3% to 11.2%). Similarly, incidence increased from 21.4 (2010) to 26.2 (2012 June cohort) as well as the coverage of hiv counseling and the offer of voluntary HIV testing (85% to 90%). CONCLUSSION: the results point to programmatic weaknesses which can increase the risk of MDR and thusthe control in the transmission chain. Additionally, the authors emphasize the need to strengthen programmatic aspects which take into account the social vulnerability conditions of the individuals affected as well as theimplementation of actions from acomprehensiveand social approach.

Keywords : assessment of health programs and projects; tuberculosis; social determination of health.

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