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Salud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance

dc.contributor.advisorCasallas Murillo, Ana Lucía
dc.creatorMaya Fajardo, Sonia Daniela
dc.creator.degreeMagíster en Salud Pública
dc.creator.degreeLevelMaestría
dc.creator.degreetypeFull time
dc.date.accessioned2024-08-26T19:53:37Z
dc.date.available2024-08-26T19:53:37Z
dc.date.created2024-08-20
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2027-02-06
dc.descriptionLa tuberculosis (TB) es una enfermedad infecciosa que causa alta mortalidad en adultos, con una incidencia significativamente mayor en países de bajos y medianos ingresos. Mycobacterium tuberculosis es el agente causal, afectando a 1,7 billones de personas globalmente. La resistencia antibiótica ha aumentado, limitando las opciones de tratamiento. La OMS ha implementado la estrategia "Fin de la TB" (2016-2035), enfocándose en prevención, cuidado centrado en el paciente, y empoderamiento comunitario. Metodología y Resultados: Se realizó una revisión de alcance sobre la salud comunitaria y TB en Latinoamérica. Se incluyeron ensayos clínicos, estudios de cohortes y casos y controles publicados en los últimos 10 años en inglés, español o portugués. Se buscaron estudios en PubMed, Cochrane, Scopus y BVS. Se seleccionaron 14 estudios para análisis detallado. Los estudios provinieron mayormente de Brasil, República Dominicana y Perú. La mayoría tenían un diseño cualitativo, abordando la identificación de problemas (57.4%), implementación de intervenciones (21.4%), y evaluación de resultados (14.1%). Se destacó la participación comunitaria en la mejora de la detección y tratamiento de TB y aunque persisten barreras económicas y sociales, las estrategias de Salud Familiar mostraron eficacia en la reducción de la incidencia de TB. Conclusiones: La revisión resalta la necesidad de intervenciones comunitarias para el control de TB en Latinoamérica. Aunque existen limitaciones en la calidad de algunos estudios, los hallazgos subrayan la importancia de políticas de salud integradoras y bien financiadas. Es crucial continuar investigando para evaluar y mejorar las estrategias de control de TB en la región, involucrando a las comunidades en el proceso.
dc.description.abstractTuberculosis (TB) is an infectious disease that causes high mortality in adults, with a significantly higher incidence in low- and middle-income countries. Mycobacterium tuberculosis is the causative agent, affecting 1.7 billion people globally. Antibiotic resistance has increased, limiting treatment options. WHO has implemented the “End TB” strategy (2016-2035), focusing on prevention, patient-centered care, and community empowerment. Methodology and Results: A scoping review on community health and TB in Latin America was conducted. Clinical trials, cohort and case-control studies published in the last 10 years in English, Spanish or Portuguese were included. We searched for studies in PubMed, Cochrane, Scopus and BVS. Fourteen studies were selected for detailed analysis. The studies were mostly from Brazil, Dominican Republic and Peru. Most were qualitative in design, addressing problem identification (57.4%), intervention implementation (21.4%), and outcome evaluation (14.1%). Community participation in improving TB detection and treatment was highlighted and although economic and social barriers persist, Family Health strategies showed efficacy in reducing TB incidence. Conclusions: The review highlights the need for community-based interventions for TB control in Latin America. Although there are limitations in the quality of some studies, the findings underline the importance of inclusive and well-funded health policies. Further research is crucial to evaluate and improve TB control strategies in the region, involving communities in the process.
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dc.geoLocationBogotá
dc.identifier.doihttps://doi.org/10.48713/10336_43334
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/43334
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programMaestría en Salud Pública
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectTuberculosis
dc.subjectSalud comunitaria
dc.subjectprocesos comunitarios
dc.subjectEmpoderamiento comunitario
dc.subjectAtención en salud
dc.subject.keywordTuberculosis
dc.subject.keywordCommunity Intervention
dc.subject.keywordHealth Planning
dc.subject.keywordHealth care
dc.subject.keywordCommunity health
dc.subject.keywordEmpowerment
dc.titleSalud comunitaria y eficacia de intervenciones con impacto en indicadores de tuberculosis para Latinoamérica: una revisión de alcance
dc.typebachelorThesis
dc.type.documentTrabajo de grado
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de grado
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
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