Vulnerable populations face greater difficulties in accessing the health system, decent housing, education, communication, stable work, healthy food, etc.5. Persons deprived of their liberty are often in conditions of overcrowding, malnutrition, lack of adequate medical care, addictions, co-morbidities, etc.
National Tuberculosis Control Programme the National Tuberculosis Control Programme, supported by provincial and regional referents throughout the country, the CONI Institute and other national institutions, is committed to supporting the WHO-led STOP TB (stop Tuberculosis) strategy, which includes directly observed or supervised treatment (ODT) among its lines of action and, in addition, the community participation strategy as a priority support tool for tackling and controlling tuberculosis in our country, through strengthening the early detection of cases and, fundamentally, the continuity of treatments.
National training plan for the health team
The Stop TB initiative is preparing a political and social movement against TB worldwide, promoting the use of the cost-effective, direct observation short treatment (DOTS). Stop TB, based in who, is an association of countries with serious TB problems, the United Nations and other international organizations, bilateral donors, scientific and public health institutions and NGOs.
The association seeks to end social apathy towards TB, broadening the global consensus in the fight against TB by increasing investment in treatments. For this purpose, there is a national training plan for the health team, a course on social and community health standards and national reference guides that provide technical knowledge of tuberculosis and guide-in turn – on the activities to be carried out by each level of responsibility (central, provincial, intermediate and local) and health workers.
A reading tool on community participation from tuberculosis, based on local experiences on the topic, is currently being built. It is important to emphasize that any member of the health team can: suspect tuberculosis, request bacilloscopies and supervise treatments. Tuberculosis: prejudice, discrimination and stigmatization we will address here some problems that health teams may encounter in the local communities with which they work, particularly during initial approaches to the same. A classic problem with Tuberculosis is that the person suffering from the disease can be prejudiced, discriminated against and stigmatized.
Especially, in precarious work spaces
Basically, a tosedor chronic shy away from a clinical examination, for fear of such a diagnosis because: a) it may be pointed out as a poor person, living in conditions of overcrowding and poor hygiene and that, for these conditions, it requires to be kept at a distance and could be rejected, in direct connection with this there is also the fear of contagion by the other, a factor not less important is constituted by the consequences of labour and hence economic the declaration of the disease may entail.
Especially, in precarious work spaces, in Black, where the remoteness of your job will result in the loss of economic income. For these reasons, the person with Tuberculosis in many cases hides their situation and is reluctant to be examined by health personnel. This makes it extremely difficult to detect cases.
- To reverse this situation, the first thing to establish is trust relationships between health teams and communities. In particular with groups at risk of contracting or suffering from Tuberculosis. 40 5. NATIONAL TUBERCULOSIS CONTROL PROGRAMME ARGENTINA. Preliminary version.
- Community participation from tuberculosis. Year 2011. Some complex health problems multiple experiences show that when such trust is established, resistance arising from fear of prejudice, discrimination and stigmatization decreases markedly.
To do this, it is good to bear in mind that the community should be reached not with Tuberculosis, but from Tuberculosis, with an awareness-raising strategy. And, consider the role of the health team as one more actor in the community, which in turn, contributes to facilitate the health processes of the same. Generally, the most common concern of the health team is related to the unmet basic needs (NBI) of that community.
And, the first thing that is suggested is to generate-through minimal external aid-living conditions that include access to basic material goods and services. It is good to keep in mind that there is not a single poverty or a single wealth.
Thus, one may be poor in terms of subsistence and protection, but be rich in creativity, affection, participation, identity or understanding. In fact, there are many experiences of professionals who, reaching a certain community and listening to the freely expressed priorities of the community, find that these often differ greatly from those that the technician would have considered priority.
Often communities with food, health, housing and other problems
Often communities with food, health, housing and other problems choose to begin to develop through their creativity, participation or identity (e.g., start by having their multipurpose room, as a meeting place from which the various synergies can arise, or strengthen their cultural identity or other projects). Therefore, the approach of the health team must be open and disregarded.
Put aside the ideas you come up with, and listen carefully to what the local community has to say, and finally, put yourself at the service of the priorities expressed. We must link ourselves to the processes prioritized by the community itself. Activity to conclude, we propose that you consider your role within the team and as part of the community. We invite you to consider, together with the community team, how they can strengthen actions to improve the health situation, not only in early detection and timely treatment, but in prevention through health education activities, especially those related to the environment.
COURSE IN SOCIAL AND COMMUNITY HEALTH J. F.: compendium of Primary Care. Elsevier, Spain, 3rd edition, 2010. By way of closing … The PHC strategy asks us to work on health promotion when it speaks – among its eight components-of new ways of organizing the community, of appropriate human resources for the task to be performed at the first level of care, of total coverage and fundamentally of community participation as an axis that sustains it.
The diseases we saw in this unit represent a public health problem in our country and in the world. To be able to work on them and reduce their presence and impact, people need to be trained, committed and informed, to work as a team, to know who to turn to in the face of different problems and to be able to communicate with the population in an appropriate way. In this way, together with the community, we can carry out effective control actions on these diseases, while promoting the care of the environment and health.