Public social protection policies for people affected by tuberculosis: a documentary analysis.

IF 1.3 4区 医学 Q3 NURSING Revista Latino-Americana De Enfermagem Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7526.4503
Melisane Regina Lima Ferreira, Jaqueline Garcia de Almeida Ballestero, Rubia Laine de Paula Andrade, Tiemi Arakawa, Inês Fronteira, Aline Aparecida Monroe
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Abstract

Background: (1) The right to health care includes public policies in the scope of SUS to address TB. (2) The right to social care emphasized access to services, programs, and benefits. (3) The right to social security covered retirements and benefits for people with TB. (4) Interministerial responsibility, intersectoral responsibility, and responsibility shared between SUS and SUAS. (5) Challenges in accessing rights to social care and health care persist for people with TB.

to analyze the normative documents that seek to guarantee the right to social protection for people affected by tuberculosis in force in Brazil in 2023.

qualitative documentary research carried out in September 2023, based on the survey of documents at the national, state and municipal levels, from government agencies and social control bodies after the promulgation of the Federal Constitution, on four electronic platforms, exported and organized in the Atlas.ti software, and interpreted based on content analysis, thematic mode.

the analytical corpus consisted of 30 normative documents - nine laws, seven technical-institutional materials, five ordinances, four resolutions, two decrees, a technical cooperation agreement, a normative instruction, and an operational instruction - from which four thematic categories emerged: the right to health care, the right to social care, the right to social security, and the sharing of responsibilities.

policies to protect people with tuberculosis in Brazil are recent and there is still much room for improvement toward a comprehensive approach through intersectoral and interministerial coordination, aiming to address social vulnerability and reaffirming the State's duty to guarantee social protection by means of public policies that promote life, citizenship, human rights, and social justice.

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结核病患者的公共社会保护政策:文献分析。
背景:(1)卫生保健权包括单一卫生系统范围内解决结核病的公共政策。(2)社会关怀权强调获得服务、项目和福利的机会。(3)社会保障权利包括结核病患者的退休和福利。(4)部际责任、部门间责任、统一科学系统与统一科学系统共同责任。(5)结核病患者在获得社会护理和保健权利方面仍然面临挑战。分析2023年巴西有效的旨在保障结核病患者获得社会保护权利的规范性文件。定性文献研究于2023年9月进行,基于对联邦宪法颁布后政府机构和社会控制机构在四个电子平台上的国家、州和市各级文件的调查,并在地图集中输出和组织。Ti软件,并基于内容解析、主题解析模式。分析语料库包括30个规范性文件——9项法律、7项技术机构材料、5项条例、4项决议、2项法令、1项技术合作协定、1项规范性指示和1项业务指示——从中产生了4个专题类别:保健权、社会照顾权、社会保障权和责任分担权。巴西保护结核病患者的政策是最近才出台的,但仍有很大的改进空间,可以通过跨部门和部际协调采取综合办法,旨在解决社会脆弱性问题,并重申国家有责任通过促进生命、公民身份、人权和社会正义的公共政策来保障社会保护。
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期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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