[Difficulties in implementing the guidelines of the Brazilian Visceral Leishmaniasis Control Program in large cities]. / Dificuldades na execução das diretrizes do Programa de Vigilância e Controle da Leishmaniose Visceral em grandes municípios brasileiros.
Cad Saude Publica
; 32(6)2016 Jun 20.
Article
em Pt
| MEDLINE
| ID: mdl-27333135
UNLABELLED: The expansion of visceral leishmaniasis (VL) transmission areas in Brazil raises questions concerning the country's control strategies. The guidelines of the Brazilian Visceral Leishmaniasis Control Program (PVCLC) focus on decreases in morbidity and case-fatality, reservoir and vector control, and health education. This article assesses difficulties in implementing the measures recommended by the PVCLC, according to the program's coordinators in large cities with canine and/or human transmission (Campinas, Bauru, Goiânia, Campo Grande, Fortaleza, and Belo Horizonte). Semi-structured interviews identified the following main problems: discontinuity of control activities, resistance to canine euthanasia by dog owners, and low coverage of chemical vector control. CONCLUSION: the interviews revealed numerous obstacles to implementation of the measures proposed by the PVCLC and a clear need to reassess Brazil's VL policy.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Controle de Doenças Transmissíveis
/
Leishmaniose Visceral
Tipo de estudo:
Guideline
/
Incidence_studies
/
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Animals
/
Humans
País/Região como assunto:
America do sul
/
Brasil
Idioma:
Pt
Revista:
Cad Saude Publica
Assunto da revista:
SAUDE PUBLICA
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil