Low performance of operational indicators for leprosy control in the state of bahia: Spatiotemporal patterns, 2001–2014

de Souza, Eliana Amorim, Heukelbach, Jorg, Oliveira, Maria Leide Wand-Del-Rey, Ferreira, Anderson Fuentes, Neto, Sebastiao Alves de Sena, Raposo, Marcos Tulio, and Ramos, Alberto Novaes (2020) Low performance of operational indicators for leprosy control in the state of bahia: Spatiotemporal patterns, 2001–2014. Revista Brasileira de Epidemiologia, 23. E200019.

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Abstract

Objective

To characterize spatiotemporal patterns of operational indicators for leprosy control in the state of Bahia from 2001 to 2014.

Methods

This is a population-based ecological study, with spatial distribution and autocorrelation of operational indicators for leprosy control.

Results

From 2001 to 2007, 42.7% (n=178) of the municipalities presented a cure rate lower than 75%, increasing to 61.4% (n =291) from 2009 to 2014. Between 2001 and 2007, 32.5% (n=54) of the municipalities reported more than 10% of the total number of relapses in the state, increasing to 36.9% (n=75) between 2008 and 2014. From 2001 to 2014, 38% (n=159) of the municipalities presented an assessment index of disability grading at the time of diagnosis within the regular performance parameter. Between 2009 and 2014, the number of municipalities with a high incidence of grade 2 disability (G2D) at the time of diagnosis increased, reaching 55.3% (n=230) of the municipalities. Most municipalities in the state of Bahia showed poor performance in the implementation of planned actions for leprosy control, with little change or relative worsening in the patterns of operational indicators throughout the historical series.

Conclusion

The operational context in Bahia indicates significant institutional vulnerability, leading to the need for expansion and qualification of the surveillance and health care network in the different regions and conditions analyzed in the public health system (Sistema Único de Saúde – SUS).

Item ID: 67387
Item Type: Article (Research - C1)
ISSN: 1980-5497
Keywords: Brazil, Epidemiology, Leprosy, Surveillance
Copyright Information: © 2020 Associação Brasileira de Saúde Coletiva. This is an open access article distributed under the terms of the Creative Commons license.
Date Deposited: 19 May 2021 01:30
FoR Codes: 42 HEALTH SCIENCES > 4202 Epidemiology > 420299 Epidemiology not elsewhere classified @ 35%
42 HEALTH SCIENCES > 4203 Health services and systems > 420310 Health surveillance @ 35%
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 30%
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