Longitudinality and tuberculosis control: Interventions by Street Clinic teams in the city of São Paulo

Abstract

The current literature highlights global efforts to reduce the incidence rate and deaths related to tuberculosis. However, these
indicators are still high in Brazilian capitals, with emphasis on the homeless population. This article presents the results of
the dissertation of the Professional Master's Degree in Collective Health by “Instituto de Saúde de São Paulo” (the São Paulo Health
Institute), entitled "Longitudinality and tuberculosis control: interventions of Street Clinic teams (eCnaR) in the city of São
Paulo". It aimed to identify the Healthcare practices performed by four eCnaR. Two data collection tools were used, aimed at health
professionals and patients followed by the teams, correlating the attributes of longitudinality with the analysis of the content
obtained. The role of the Health Agents as powerful links in building the bond between patients and eCnaR was evidenced, as
well as the strategies used in negotiations and construction of agreements with patients. The importance of the interface with
professionals in the Centers of Welcoming for the homeless population, other eCnaR and other partner services for the completion
of tuberculosis treatment was also pointed out, effectively constituting the care network, given the itinerancy and difficulties
faced by the homeless population.