Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance

La tuberculosis (TB) es una enfermedad infecciosa que causa alta mortalidad en adultos, con una incidencia significativamente mayor en países de bajos y medianos ingresos. Mycobacterium tuberculosis es el agente causal, afectando a 1,7 billones de personas globalmente. La resistencia antibiótica ha...

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2024
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Universidad del Rosario
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Palabra clave:
Tuberculosis
Salud comunitaria
procesos comunitarios
Empoderamiento comunitario
Atención en salud
Tuberculosis
Community Intervention
Health Planning
Health care
Community health
Empowerment
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dc.title.none.fl_str_mv Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
title Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
spellingShingle Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
Tuberculosis
Salud comunitaria
procesos comunitarios
Empoderamiento comunitario
Atención en salud
Tuberculosis
Community Intervention
Health Planning
Health care
Community health
Empowerment
title_short Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
title_full Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
title_fullStr Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
title_full_unstemmed Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
title_sort Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
dc.contributor.advisor.none.fl_str_mv Casallas Murillo, Ana Lucía
dc.subject.none.fl_str_mv Tuberculosis
Salud comunitaria
procesos comunitarios
Empoderamiento comunitario
Atención en salud
topic Tuberculosis
Salud comunitaria
procesos comunitarios
Empoderamiento comunitario
Atención en salud
Tuberculosis
Community Intervention
Health Planning
Health care
Community health
Empowerment
dc.subject.keyword.none.fl_str_mv Tuberculosis
Community Intervention
Health Planning
Health care
Community health
Empowerment
description La tuberculosis (TB) es una enfermedad infecciosa que causa alta mortalidad en adultos, con una incidencia significativamente mayor en países de bajos y medianos ingresos. Mycobacterium tuberculosis es el agente causal, afectando a 1,7 billones de personas globalmente. La resistencia antibiótica ha aumentado, limitando las opciones de tratamiento. La OMS ha implementado la estrategia "Fin de la TB" (2016-2035), enfocándose en prevención, cuidado centrado en el paciente, y empoderamiento comunitario. Metodología y Resultados: Se realizó una revisión de alcance sobre la salud comunitaria y TB en Latinoamérica. Se incluyeron ensayos clínicos, estudios de cohortes y casos y controles publicados en los últimos 10 años en inglés, español o portugués. Se buscaron estudios en PubMed, Cochrane, Scopus y BVS. Se seleccionaron 14 estudios para análisis detallado. Los estudios provinieron mayormente de Brasil, República Dominicana y Perú. La mayoría tenían un diseño cualitativo, abordando la identificación de problemas (57.4%), implementación de intervenciones (21.4%), y evaluación de resultados (14.1%). Se destacó la participación comunitaria en la mejora de la detección y tratamiento de TB y aunque persisten barreras económicas y sociales, las estrategias de Salud Familiar mostraron eficacia en la reducción de la incidencia de TB. Conclusiones: La revisión resalta la necesidad de intervenciones comunitarias para el control de TB en Latinoamérica. Aunque existen limitaciones en la calidad de algunos estudios, los hallazgos subrayan la importancia de políticas de salud integradoras y bien financiadas. Es crucial continuar investigando para evaluar y mejorar las estrategias de control de TB en la región, involucrando a las comunidades en el proceso.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-08-26T19:53:37Z
dc.date.available.none.fl_str_mv 2024-08-26T19:53:37Z
dc.date.created.none.fl_str_mv 2024-08-20
dc.type.none.fl_str_mv bachelorThesis
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.document.none.fl_str_mv Trabajo de grado
dc.type.spa.none.fl_str_mv Trabajo de grado
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/43334
url https://repository.urosario.edu.co/handle/10336/43334
dc.language.iso.none.fl_str_mv spa
language spa
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dc.rights.acceso.none.fl_str_mv Abierto (Texto Completo)
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rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
Abierto (Texto Completo)
http://creativecommons.org/licenses/by-nc-nd/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.extent.none.fl_str_mv 54 PP
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad del Rosario
dc.publisher.department.none.fl_str_mv Escuela de Medicina y Ciencias de la Salud
dc.publisher.program.none.fl_str_mv Maestría en Salud Pública
publisher.none.fl_str_mv Universidad del Rosario
institution Universidad del Rosario
dc.source.bibliographicCitation.none.fl_str_mv World Health Organization. What is the evidence on effectiveness of empowerment to improve health? 2006:1–37.
Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, Gülmezoglu AM. Facilitators and barriers to facility-based delivery in low- and middle-income countries: A qualitative evidence synthesis. Reprod Health 2014. https://doi.org/10.1186/1742-4755- 11-71.
Victora CG, Barros AJD, Axelson H, Bhutta ZA, Chopra M, França GVA, et al. How changes in coverage affect equity in maternal and child health interventions in 35 Countdown to 2015 countries: An analysis of national surveys. The Lancet 2012. https://doi.org/10.1016/S0140-6736(12)61427-5.
Rifkin SB. Examining the links between community participation and health outcomes: A review of the literature. Health Policy Plan 2014;29:ii98–106. https://doi.org/10.1093/heapol/czu076.
World Health Organization. What is the evidence on effectiveness of empowerment to improve health? 2006:1–37.
Morgan LM. Community participation in health: Perpetual allure, persistent challenge. Health Policy Plan 2001;16:221–30. https://doi.org/10.1093/heapol/16.3.221.
Declaration of Alma Ata International Conference of Primary Health Care. DECLARATION OF ALMA-ATA, International Conference of Primary Health Care. The Lancet 1978.
Wallerstein N. Powerlessness, empowerment, and health: Implications for health promotion programs. American Journal of Health Promotion 1992. https://doi.org/10.4278/0890-1171-6.3.197.
Lewin S, Munabi-Babigumira S, Glenton C, Daniels K, Bosch-Capblanch X, van Wyk BE, et al. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database of Systematic Reviews 2010. https://doi.org/10.1002/14651858.CD004015.pub3.
Perry HB, Zulliger R, Rogers MM. Community health workers in low-, middle-, and high- income countries: An overview of their history, recent evolution, and current effectiveness. Annu Rev Public Health, 2014. https://doi.org/10.1146/annurev- publhealth-032013-182354.
Neupane D, Kallestrup P, McLachlan CS, Perry H. Community health workers for non- communicable diseases. Lancet Glob Health 2014. https://doi.org/10.1016/S2214- 109X(14)70303-1.
George AS, Mehra V, Scott K, Sriram V. Community participation in health systems research: A systematic review assessing the state of research, the nature of interventions involved and the features of engagement with communities. PLoS One 2015;10:1–25. https://doi.org/10.1371/journal.pone.0141091.
Haldane V, Chuah FLH, Srivastava A, Singh SR, Koh GCH, Seng CK, et al. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One 2019;14:1–25. https://doi.org/10.1371/journal.pone.0216112.
McCoy DC, Hall JA, Ridge M. A systematic review of the literature for evidence on health facility committees in low- and middle-income countries. Health Policy Plan 2012. https://doi.org/10.1093/heapol/czr077.
Haldane V, Chuah FLH, Srivastava A, Singh SR, Koh GCH, Seng CK, et al. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One 2019;14:1–25. https://doi.org/10.1371/journal.pone.0216112.
Furin J, Cox H, Pai M. Tuberculosis. The Lancet 2019;393:1642–56. https://doi.org/10.1016/S0140-6736(19)30308-3.
Matteelli A, Rendon A, Tiberi S, Al-Abri S, Voniatis C, Carvalho ACC, et al. Tuberculosis elimination: Where are we now? European Respiratory Review 2018;27:1–15. https://doi.org/10.1183/16000617.0035-2018.
Ranzani OT, Pescarini JM, Martinez L, Garcia-Basteiro AL. Increasing tuberculosis burden in Latin America: An alarming trend for global control efforts. BMJ Glob Health 2021;6:6– 9. https://doi.org/10.1136/bmjgh-2021-005639.
Torres-Duque CA, Fuentes Alcalá ZM, Rendón A, Migliori GB. Hoja de ruta para la eliminación de la tuberculosis en Latinoamérica y el Caribe. Arch Bronconeumol 2018;54:7–9. https://doi.org/10.1016/j.arbres.2017.07.004.
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Rifkin SB. Lessons from community participation in health programmes: a review of the post Alma-Ata experience. Int Health 2009;1:31–6. https://doi.org/10.1016/j.inhe.2009.02.001.
Marston C, Hinton R, Kean S, Baral S, Ahuja A, Costello A, et al. Community participation for transformative action on women’s, children’s and adolescents’ health. Bull World Health Organ 2016;94:376–82. https://doi.org/10.2471/BLT.15.168492.
Rifkin SB. Lessons from community participation in health programmes: a review of the post Alma-Ata experience. Int Health 2009;1:31–6. https://doi.org/10.1016/j.inhe.2009.02.001.
Arshad A, Salam RA, Lassi ZS, Das JK, Naqvi I, Bhutta ZA. Community based interventions for the prevention and control of tuberculosis. Infect Dis Poverty 2014;3. https://doi.org/10.1186/2049-9957-3-27.
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Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. PRISMA-P ( Preferred Reporting Items for Systematic review and Meta-Analysis Protocols ) 2015 checklist : recommended items to address in a systematic review protocol *. Bmj 2015;349:g7647–g7647. https://doi.org/10.1136/bmj.g7647.
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Moscibrodzki P, Ahumuza E, Li J, Sun X, Tao Y, Van Niekerk L, et al. Social innovation in health, community engagement, financing and outcomes: qualitative analysis from the social innovation in health initiative. BMJ Innov 2022;8:216–23. https://doi.org/10.1136/bmjinnov-2021-000902.
Pinto ESG, Queiroz RF de, Carreiro GSP, Morais LJ, Medeiros ER de, Villa TCS. Coordination of health care with the community in the clinical management of tuberculosis. Rev Bras Enferm 2018;71:1122–7. https://doi.org/10.1590/0034-7167- 2017-0255.
Oliosi JGN, Reis-Santos B, Locatelli RL, Sales CMM, da Silva Filho WG, da Silva KC, et al. Effect of the Bolsa Familia Programme on the outcome of tuberculosis treatment: a prospective cohort study. Lancet Glob Health 2019;7:e219–26. https://doi.org/10.1016/S2214-109X(18)30478-9.
Lourenço LV, Coelho KSC, Merhy EE. Prácticas de educación permanente en atención primaria a la salud para el abordaje de personas usuarias con tuberculosis. Salud Colect 2023;19:e4542. https://doi.org/10.18294/sc.2023.4542.
Jesus GS, Pescarini JM, Silva AF, Torrens A, Carvalho WM, Junior EPP, et al. The effect of primary health care on tuberculosis in a nationwide cohort of 7·3 million Brazilian people: a quasi-experimental study. Lancet Glob Health 2022;10:e390–7. https://doi.org/10.1016/S2214-109X(21)00550-7.
Dotta RM, Ely KZ, Schultz ÁLV, Soares Filho MM, Nunes PS, Busatto C, et al. Primary Prison Care Teams and tuberculosis notification in Rio Grande do Sul/Brazil. Cien Saude Colet 2022;27:4415–22. https://doi.org/10.1590/1413-812320222712.11682022en.
de Castro DB, Sadahiro M, Pinto RC, de Albuquerque BC, Braga JU. Spatial distribution of tuberculosis in Manaus and its social determinants, 2008–2013. The International Journal of Tuberculosis and Lung Disease 2018;22:171–8. https://doi.org/10.5588/ijtld.17.0369.
Dalazoana SSV, Gabardo BMA, Cardoso RF. Challenges faced by health workers in the use of the directly observed treatment (DOT) for tuberculosis. Rev Inst Med Trop Sao Paulo 2021;63. https://doi.org/10.1590/s1678-9946202163025.
Chenciner L, Annerstedt KS, Pescarini JM, Wingfield T. Social and health factors associated with unfavourable treatment outcome in adolescents and young adults with tuberculosis in Brazil: a national retrospective cohort study. Lancet Glob Health 2021;9:e1380–90. https://doi.org/10.1016/S2214-109X(21)00300-4.
Cecilio HPM, Teston EF, Marcon SS. Acceso al diagnóstico de tuberculosis bajo la óptica de los profesionales de salud. Texto & Contexto - Enfermagem 2017;26. https://doi.org/10.1590/0104-07072017000230014.
Chapman HJ, Veras-Estévez BA, Pomeranz JL, Pérez-Then EN, Marcelino B, Lauzardo M. Health care workers’ recommendations for strengthening tuberculosis infection control in the Dominican Republic. Revista Panamericana de Salud Pública 2018;42:1–9. https://doi.org/10.26633/RPSP.2018.169.
Chapman HJ, Veras-Estévez BA, Pomeranz JL, Pérez-Then EN, Marcelino B, Lauzardo M. Perceived Barriers to Adherence to Tuberculosis Infection Control Measures among Health Care Workers in the Dominican Republic. MEDICC Rev 2017;19:16–22. https://doi.org/10.37757/MR2017.V19.N1.4.
Chapman HJ, Veras-Estévez BA, Pomeranz JL, Pérez-Then EN, Marcelino B, Lauzardo M. The Role of Powerlessness Among Health Care Workers in Tuberculosis Infection Control. Qual Health Res 2017;27:2116–27. https://doi.org/10.1177/1049732317731317.
Bonadonna LV, Saunders MJ, Zegarra R, Evans C, Alegria-Flores K, Guio H. Why wait? The social determinants underlying tuberculosis diagnostic delay. PLoS One 2017;12:e0185018. https://doi.org/10.1371/journal.pone.0185018.
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Bonadonna LV, Saunders MJ, Zegarra R, Evans C, Alegria-Flores K, Guio H. Why wait? The social determinants underlying tuberculosis diagnostic delay. PLoS One 2017;12:e0185018. https://doi.org/10.1371/journal.pone.0185018.
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spelling Casallas Murillo, Ana Lucía39533411600Maya Fajardo, Sonia DanielaMagíster en Salud PúblicaMaestríaFull time10190832236002024-08-26T19:53:37Z2024-08-26T19:53:37Z2024-08-20La tuberculosis (TB) es una enfermedad infecciosa que causa alta mortalidad en adultos, con una incidencia significativamente mayor en países de bajos y medianos ingresos. Mycobacterium tuberculosis es el agente causal, afectando a 1,7 billones de personas globalmente. La resistencia antibiótica ha aumentado, limitando las opciones de tratamiento. La OMS ha implementado la estrategia "Fin de la TB" (2016-2035), enfocándose en prevención, cuidado centrado en el paciente, y empoderamiento comunitario. Metodología y Resultados: Se realizó una revisión de alcance sobre la salud comunitaria y TB en Latinoamérica. Se incluyeron ensayos clínicos, estudios de cohortes y casos y controles publicados en los últimos 10 años en inglés, español o portugués. Se buscaron estudios en PubMed, Cochrane, Scopus y BVS. Se seleccionaron 14 estudios para análisis detallado. Los estudios provinieron mayormente de Brasil, República Dominicana y Perú. La mayoría tenían un diseño cualitativo, abordando la identificación de problemas (57.4%), implementación de intervenciones (21.4%), y evaluación de resultados (14.1%). Se destacó la participación comunitaria en la mejora de la detección y tratamiento de TB y aunque persisten barreras económicas y sociales, las estrategias de Salud Familiar mostraron eficacia en la reducción de la incidencia de TB. Conclusiones: La revisión resalta la necesidad de intervenciones comunitarias para el control de TB en Latinoamérica. Aunque existen limitaciones en la calidad de algunos estudios, los hallazgos subrayan la importancia de políticas de salud integradoras y bien financiadas. Es crucial continuar investigando para evaluar y mejorar las estrategias de control de TB en la región, involucrando a las comunidades en el proceso.Tuberculosis (TB) is an infectious disease that causes high mortality in adults, with a significantly higher incidence in low- and middle-income countries. Mycobacterium tuberculosis is the causative agent, affecting 1.7 billion people globally. Antibiotic resistance has increased, limiting treatment options. WHO has implemented the “End TB” strategy (2016-2035), focusing on prevention, patient-centered care, and community empowerment. Methodology and Results: A scoping review on community health and TB in Latin America was conducted. Clinical trials, cohort and case-control studies published in the last 10 years in English, Spanish or Portuguese were included. We searched for studies in PubMed, Cochrane, Scopus and BVS. Fourteen studies were selected for detailed analysis. The studies were mostly from Brazil, Dominican Republic and Peru. Most were qualitative in design, addressing problem identification (57.4%), intervention implementation (21.4%), and outcome evaluation (14.1%). Community participation in improving TB detection and treatment was highlighted and although economic and social barriers persist, Family Health strategies showed efficacy in reducing TB incidence. Conclusions: The review highlights the need for community-based interventions for TB control in Latin America. Although there are limitations in the quality of some studies, the findings underline the importance of inclusive and well-funded health policies. Further research is crucial to evaluate and improve TB control strategies in the region, involving communities in the process.54 PPapplication/pdfBogotáhttps://repository.urosario.edu.co/handle/10336/43334spaUniversidad del RosarioEscuela de Medicina y Ciencias de la SaludMaestría en Salud PúblicaAttribution-NonCommercial-NoDerivatives 4.0 InternationalAbierto (Texto Completo)EL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe. EL AUTOR, autoriza a LA UNIVERSIDAD DEL ROSARIO, para que en los términos establecidos en la Ley 23 de 1982, Ley 44 de 1993, Decisión andina 351 de 1993, Decreto 460 de 1995 y demás normas generales sobre la materia, utilice y use la obra objeto de la presente autorización. -------------------------------------- POLITICA DE TRATAMIENTO DE DATOS PERSONALES. Declaro que autorizo previa y de forma informada el tratamiento de mis datos personales por parte de LA UNIVERSIDAD DEL ROSARIO para fines académicos y en aplicación de convenios con terceros o servicios conexos con actividades propias de la academia, con estricto cumplimiento de los principios de ley. Para el correcto ejercicio de mi derecho de habeas data cuento con la cuenta de correo habeasdata@urosario.edu.co, donde previa identificación podré solicitar la consulta, corrección y supresión de mis datos.http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2World Health Organization. What is the evidence on effectiveness of empowerment to improve health? 2006:1–37.Bohren MA, Hunter EC, Munthe-Kaas HM, Souza JP, Vogel JP, Gülmezoglu AM. Facilitators and barriers to facility-based delivery in low- and middle-income countries: A qualitative evidence synthesis. Reprod Health 2014. https://doi.org/10.1186/1742-4755- 11-71.Victora CG, Barros AJD, Axelson H, Bhutta ZA, Chopra M, França GVA, et al. How changes in coverage affect equity in maternal and child health interventions in 35 Countdown to 2015 countries: An analysis of national surveys. The Lancet 2012. https://doi.org/10.1016/S0140-6736(12)61427-5.Rifkin SB. Examining the links between community participation and health outcomes: A review of the literature. Health Policy Plan 2014;29:ii98–106. https://doi.org/10.1093/heapol/czu076.World Health Organization. What is the evidence on effectiveness of empowerment to improve health? 2006:1–37.Morgan LM. Community participation in health: Perpetual allure, persistent challenge. Health Policy Plan 2001;16:221–30. https://doi.org/10.1093/heapol/16.3.221.Declaration of Alma Ata International Conference of Primary Health Care. DECLARATION OF ALMA-ATA, International Conference of Primary Health Care. The Lancet 1978.Wallerstein N. Powerlessness, empowerment, and health: Implications for health promotion programs. American Journal of Health Promotion 1992. https://doi.org/10.4278/0890-1171-6.3.197.Lewin S, Munabi-Babigumira S, Glenton C, Daniels K, Bosch-Capblanch X, van Wyk BE, et al. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database of Systematic Reviews 2010. https://doi.org/10.1002/14651858.CD004015.pub3.Perry HB, Zulliger R, Rogers MM. Community health workers in low-, middle-, and high- income countries: An overview of their history, recent evolution, and current effectiveness. Annu Rev Public Health, 2014. https://doi.org/10.1146/annurev- publhealth-032013-182354.Neupane D, Kallestrup P, McLachlan CS, Perry H. Community health workers for non- communicable diseases. Lancet Glob Health 2014. https://doi.org/10.1016/S2214- 109X(14)70303-1.George AS, Mehra V, Scott K, Sriram V. Community participation in health systems research: A systematic review assessing the state of research, the nature of interventions involved and the features of engagement with communities. PLoS One 2015;10:1–25. https://doi.org/10.1371/journal.pone.0141091.Haldane V, Chuah FLH, Srivastava A, Singh SR, Koh GCH, Seng CK, et al. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. PLoS One 2019;14:1–25. https://doi.org/10.1371/journal.pone.0216112.McCoy DC, Hall JA, Ridge M. 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