Bulgarelli has his expertise in evaluation and assessment of Primary Health Services in development of Public Health Systems. Currently he is a Public Health Professor at Federal University of Rio Grande do Sul
Statement of the Problem: Statement of the Problem: The national awareness, and investments, with the control of tuberculosis involves issues that articulate health programs embracing prevention and treatment, public policies regarding health primary assistance and public control measures by means of the Unified Health System (Portuguese Acronym is SUS). Therefore, the Primary Health Care (PHC) contains the infrastructural and professional resources to carry out diagnosis and treatment of TB. Primary health care has good operational indicators regarding the control and management of tuberculosis in Brazil. Aim: The purpose of this paper was to analyze physical infrastructure of primary health care centers of the Unified Health System in Brazil for the tuberculosis control. Methodology & Theoretical Orientation: A cross-sectional study based on data from 38812 primary health care centers in all Brazilian territory was assessed. The dependent variable was described by the presence and for availability of the following infrastructure items: nursing consultation; vaccination; air circulation; privacy; refrigerator; individual protective equipment; Plastic jar to sputum examination; tuberculosis notification form of the primary care information system; BCG-ID vaccine. The covariables were related with characteristics of the primary health care centers. Poisson regression with robust variance was used to calculate prevalence ratio, with intervals of confidence of 95%. Results: Of 38.812 primary health care centers evaluated, only 1628 (4.18%) presented a positive result in 8 infrastructure items assessed, which drew up the study outcome. Among all types of centers, Primary Health Centers were associated with the highest quality in infrastructure for tuberculosis, in all Brazilian macro regions. The centers with larger workloads, as well as those that presented a list of offered services and welcomeness consulting room, also presented highest quality. Conclusions: The present study points that improvements should be done regarding infrastructure to reach a satisfactory tuberculosis control nationwide.
Muna Habib Dawood Al Lawati , working as a head of Quality and Safety for primary health care at Directorate general for Muscat Region, Ministry of Health. Currently pursuing her PHD in patient safety at the University of Sydney, Australia.
Background: Patient safety is a universal issue which can affect countries at each stage of health system development. Research regarding patients’ safety in primary care concluded that millions of patients globally suffer disabilities, injuries or death annually due to unsafe medical practice. This has led to the wider recognition of the issue, incorporating of strategic plans in health care organizations and more widespread research in this field. Little has been published about patients’ safety in primary care from the Gulf Cooperation Council Countries (GCC) including Oman Aims: The aim of this project is to assess the understanding of primary health care staff regarding safety culture and their awareness of safety measures that should be followed during encounters with the patients. Methods: The study is a cross-sectional survey which assessed the perceptions of patient safety culture among health care professionals working in primary health care in Muscat, Oman, using an existing questionnaire known as Hospital Survey of Patient Safety Culture tool (HSOPSC). The systematic review which was conducted at an earlier identified that this tool was used in many cross cultural samples such as Turkey, Iran and Kuwait to assess safety culture, the same tool has been used to assess the safety culture in the Omani hospitals and it had been used in Kuwait which is one of the GCC countries, with a similar primary health care setting as Oman. By using this tool we will also be able to compare the patient safety culture in Oman with other countries. The survey was conducted in primary health care centers in Muscat, the capital of Oman. The sample included 22 health centers out of 28 health centers because they had services which includes general practice, nursing care and pharmacy these services are functional 7 times a week in addition to services such as laboratory, X ray services and dentistry care provided 5 days a week excluding weekends. The target population were all full time frontline health care professionals working in primary care in Muscat region. (Doctors, nurses, pharmacist, radiologist, laboratory technicians). A simple random sampling scheme was used in each primary health care center to select 10% of the outlined staff in each category. Hence, the total number of 207 participated in the survey. Preliminary results one hundred and eighty one (91%) of the participants responded in the study which included 42 Doctors (95%), 56 nurses (89%), 19 pharmacists (86%), 22 radiographer (100%), 22 laboratory technicians (100%) and 20 dentist (90%). Conclusion The results of this survey will inform policies and process for improving patient safety in primary care in Oman. In addition the results will enable comparisons with in other Eastern Mediterranean Countries which have used the same tool such as Iran, Kuwait, and Turkey. The study will help to form a possible template for building of a safety culture in primary health care in the context of a rapid economic development.