Adherence to Tuberculosis Treatment: Programatic Vulnerability Elements

  • Fernanda Darliane Tavares Luna Universidade Estadual da Paraíba
  • Rayrla Cristina de Abreu Temóteo Universidade Estadual da Paraíba
  • Edwirde Luiz da Silva Universidade Estadual da Paraíba
  • Sheylla Nadjane Batista Lacerda Faculdade Santa Maria
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC
  • Fernando Luiz Affonso Fonseca Faculdade de Medicina do ABC
  • Maria Rita Bertolozzi Universidade de São Paulo
  • Tânia Maria Ribeiro Monteiro de Figueiredo Universidade Estadual da Paraíba


Introduction: Tuberculosis remains as a serious public health problem, and the current challenge is to find effective solutions that facilitate adherence to the treatment. Objective: Describe the distribution of the adhesion markers scores to treat tuberculosis, related to aspects of programmatic vulnerability.  Methods: This is a cross-sectional study with a quantitative approach, which included 39 patients with tuberculosis, developed in the city of Campina Grande, Paraíba, Brazil. Data were collected in March 2015, through a structured interview with an instrument containing 32 adherence markers, applied in the reference clinic for tuberculosis or in the patient’s residence. A descriptive analysis was performed using 12 markers expressing programmatic vulnerability elements, divided into two areas: structure and dynamic aspects of health services organization, and implementation of actions. Results: It was observed similar patterns of scores distribution in the two axes of analysis, with higher medians and larger variations to score 3. The markers that showed more score 1, implying in a low adherence potential, were ‘patient’s residence visit’, ‘time for diagnosis’ and ‘treatment difficulty relative to the public health system’. The more positive contribution on the potential accession was the bond markers. Conclusion: The distribution of scores pattern shows to be related to the centralized attention model to tuberculosis adopted by the municipality, and suggests the interconnection of the markers.

Aug 28, 2015
How to Cite
LUNA, Fernanda Darliane Tavares et al. Adherence to Tuberculosis Treatment: Programatic Vulnerability Elements. International Archives of Medicine, [S.l.], v. 8, aug. 2015. ISSN 1755-7682. Available at: <>. Date accessed: 21 july 2018. doi:
Global Health & Health Policy


Tuberculosis; Health Vulnerability; Therapy; Medication Adherence.