Avaliação das ações assistenciais e de vigilância em saúde para detecção de HIV e tuberculose em pessoas privadas de liberdade nas cadeias da província de Gaza, Moçambique.

Abstract

Manuscript I. Objective: to verify the knowledge, attitudes and practices of correctional officers (AP) and health professionals (OS) related to the detection of Tuberculosis (TB) and HIV. Methods: Descriptive observational analytical cross-sectional study, with a quantitative approach using the Knowledge-Attitude-and-Practice (KAP) method in Mozambique, Gaza province, in the districts of Chongoene, Mabalane and Xai-xai. Descriptive and univariate analyzes were performed and values were expressed as absolute numbers and percentages. Comparisons of qualitative variables were performed using the chi-square test. P values <0.05 were considered significant. Results: A total of 81 participants classified as AP (29) and PS (52) were included in the study. About 39.7% of the PA and 55.7% of the PS know the TB signs and symptoms. With regard to the type of test required for the diagnosis of TB, 30.9% of correctional officers recognize the appropriate tests (p<0.001). Regarding HIV, 41.4% reported that there is a cure (p<0.001). Conclusion: The results of this study demonstrate low knowledge of the AP exams necessary for the diagnosis of TB (BK, Gnexpert/MTB/RIF and culture) and that they believe that HIV is curable. In relation to the PS, the AP demonstrate less knowledge regarding TB and HIV. The continuing education of these professionals is essential to contribute effectively to protection, prevention, health promotion and the implementation of public health policies, reducing morbidity and mortality from TB and HIV in the prison system in Mozambique. Manuscrit II. Justification: People Deprived of Liberty (PDL) is classified as a group at high risk of contracting and transmitting infectious diseases, such as the human immunodeficiency virus, tuberculosis, viral hepatitis, syphilis, COVID-19, among others. Objective: to identify health care and surveillance actions for the detection of TB and HIV in People Deprived of Liberty in prisons in Mozambique. Methods: Descriptive cross-sectional quantitative study carried in the province of Gaza, Mozambique in the districts of Xai-xai, Chongoene and Mabalane with health professionals (HP) and penitentiary agents (PA) using a questionnaire for interview in which descriptive and univariate analyzes were carried out regarding the infrastructure and flow network. Results: 100 health and safety professionals were invited to participate in the study, of which 81 answered the survey form, 52 (64.2%) HP and 29 (35.8%) PA. As for access to the specialized service for the treatment of TB and HIV, 72.42% of the PA do not know, all the PA and HS understand that there is no transfer flowchart for PDL in treatment for TB and HIV, and the testing is not carried out entry point for TB and HIV upon admission to the penal institution. Conclusion: The study demonstrated the need to qualify PDL transfer flows in treatment for TB and HIV and the implementation of screening for infectious and contagious diseases at the prison gates. In this way, the study contributes with subsidies for managers linked to penitentiaries to make efforts to reduce, monitor and control TB and HIV in prisons.