Facility infrastructure of primary health services regarding tuberculosis control: a countrywide cross-sectional study: Cite this article: Baumgarten A, Hilgert JB, Pinto IC, Zacharias FCM, Bulgarelli AF. (2018) Facility infrastructure of primary health services regarding tuberculosis control: a countrywide cross-sectional study. Primary Health Care Research & Development page 1 of 8. doi: 10.1017/S1463423618000646

• Published in: Primary health care research & development 2018, Vol.20, Article e67
• Main Authors: Baumgarten, Alexandre, Hilgert, Juliana B., Pinto, Ione C., Zacharias, Fabiana C. M., Bulgarelli, Alexandre F.
• Format: Article
• Language: English
• Subjects: Censuses; Cross-sectional studies; Data collection; Health facilities; Health services; Infrastructure; Medical diagnosis; Mortality; Portable computers; Primary care; Public health; Tuberculosis
• ISSN: 1463-4236; 1477-1128
• DOI: 10.1017/S1463423618000646

BackgroundTuberculosis (TB) is still a major public health problem in many countries, including Brazil. Primary health care (PHC) services are a set of important services with infrastructure and resources to diagnose, treat, and cure several diseases, including the TB.AimThe aim of this study is to analyse aspects of the facility infrastructure of Brazilian PHC, regarding the control and treatment of TB from a countrywide perspective.MethodsThis is a cross-sectional study based on PHC services. Data were collected from 38,812 health centres and were assessed by means of the National Program for Improving Access and Quality Primary Care. The outcome was obtained by the presence and availability of the following infrastructure items: air circulation in the consultation room, refrigerator, individual protective equipment, plastic jar for sputum examination, and TB notification form of the primary care information system. Poisson regression was used to calculate the prevalence ratio.FindingsOf the 38,812 evaluated centres, only 1628 (4.2%) presented a positive result regarding the outcome. Primary health centres, among all types of centres, presented the highest quality of facility infrastructure for TB control. Centres with large workloads, as well as those that presented a list of offered services and a welcoming consulting room, also presented the highest quality infrastructure. The present study shows that major improvements should be made to the infrastructure to reach a satisfactory TB control in Brazil.