Health Systems and Policy Research

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Quality Perspectives in Tuberculosis Control Programs Evaluation

Maria Lúcia Magalhães Bosi and Kátia Yumi Uchimura

This paper consists of a theoretical analysis on program evaluation, focusing on the Brazilian National Tuberculosis Control Program, which has been implemented in 1998. It is a conceptual construction that discusses the need, during the evaluative process, to take into consideration the distinct dimensions relating to quality of care, which are central to the Brazilian proposal. Comprehensiveness and humanization of care and their distinct dimensions should be covered, due some symbolic aspects involved in tuberculosis care, in dialogue with professional training. Finally, some theoretical contributions towards the design of evaluative studies are presented, thus showing the qualitative approach as a methodological resource that is inherent to analysis of the multiple dimensions present in this program.