Health professionals’ and managers’ perception of leprosy care within the Family Health Strategy ; Percepción de los profesionales sanitarios y gestores sobre la atención de la lepra en la Estrategia Salud de la Familia ; Percepção dos profissionais de saúde e gestores sobre a atenção em hanseníase na Estratégia Saúde da Família

Objective: To know health professionals’ and managers’ perception of leprosy care within the Family Health Strategy. Methods: Qualitative research conducted from July to August 2016 using semi-structured interviews with professionals with a higher education degree who work in reference Family Health teams and in the Family Health Support Center (Núcleo de apoio à Saúde da Família – NASF), as well as their respective coordinators in the city of Morada Nova, Ceará, Brazil. The data corpus was subjected to content analysis. Results: Leprosy care in the municipality is carried out in a centralized way under the responsibility of a single specialist and without the effective participation of the Family Health Strategy (FHS). Interprofessional collaboration does not occur and there are no formal spaces for dialogue and case discussion among the team members. The main challenges reported by the interviewees referred to the centralization of the service, the users’ adherence to the prevention and treatment activities carried out, and the lack of support from municipal management. Conclusion: This mode of organization of leprosy care impacts on several aspects of the work and care processes, negatively influencing the prevention, the surveillance and the monitoring of leprosy in the municipality, as well as favoring the hegemonic biomedical model and maintaining the critical epidemiological situation of the region. Further studies are required to correlate the mode of organization of leprosy care in the FHS with the epidemiological situation of the territories to foster care changes. ; Objetivo: Conocer la percepción de los profesionales sanitarios y gestores sobre la atención de la lepra en la Estrategia Salud de la Familia. Métodos: Investigación de abordaje cualitativo realizada a partir de entrevistas semi-estructuradas en el período entre julio y agosto de 2016 con los profesionales de nivel superior que actúan en equipos de referencia en Salud de la Familia y Núcleo de Apoyo a la Salud de la Familia (NASF) así como ...