Evaluation of implementation of the protocol for managing tuberculosis/ HIV co-infection in specialized care services in the state of Ceará, Brasil

Translated English title: Evaluation of implementation of the protocol for managing tuberculosis/ HIV co-infection in specialized care services in the state of Ceará, Brasil Tuberculosis (TB) is related to poor living conditions and is an aggravating factor for people with human immuno¬deficiency virus (HIV) infection––one that has repercussions on mortality from AIDS in Brazil and is a reality throughout Latin America. This study aims to identify barriers and strategies for implementation of the protocol for managing tuberculosis/human immunodeficiency virus (TB/HIV) co-infection in specialized care services in Ceará state, through implementation research. This study found that direct dialogue between administrators, implementers, users, and researchers gen¬erated knowledge about the services and led to joint preparation of modifications in workflow aimed at acceptance and use of the protocol; however, users continue to resist adherence to treatment.

Bastos de Paula SH, Martins TA, Borges SMS, de Oliveira Nogueira CM, Freire VR. Evaluación de la implementación del protocolo de manejo de coinfección de tuberculosis y VIH en los servicios de asistencia especializada del estado de Ceará, Brasil. Rev Panam Salud Publica. 2017;41(e48)