Programa de controle do tabagismo em Mato Grosso do Sul: oferta, adesão e efetividade

Abstract

Smoking is recognized as an epidemic disease resulting from nicotine dependence and is included in the 10th International Classification of Diseases (ICD10) in the group of mental and behavioral disorders due to the use of psychoactive substances, in addition to being considered by the World Health Organization as the leading cause of preventable death in the world. The study aimed to evaluate the National Tobacco Control Program in Mato Grosso do Sul, coverage rates, abandonment, cessation, medication use, network of health services and the reasons why the Campo Grande Family Health Strategy teams joined the program. This is a descriptive research, with a quantitative approach, based on primary and secondary data on the PNCT in Mato Grosso do Sul. The primary data were obtained through a questionnaire applied to professionals from the Family Health Strategy (ESF) of Campo Grande, without offering the program, and evaluated for the frequency and presence of correlation between the variables analyzed using Cramer's V and Qui- test. square. Secondary data were obtained from the Institute's consolidated National Cancer Service with the records produced by the services and comparing the situation in the capital and interior. Population coverage with the first clinical assessment was 12.45% in Campo Grande and 34.80% in the countryside. The demand was met by 100 health units, primarily in primary care. The effectiveness of treatment in the state was 34.91% and the interior had the highest dropout rate (40.21%). The main correlations between the responses of the 86 respondents were: interest in being trained versus interest in implementing the program; between entry training on the program versus its offer at the health facility. We conclude that the PNCT in the state has low coverage and restricted supply in the health network, in addition to the median performance of assistance to smokers. The need to invest in the training of health professionals is evident, including the FHS teams, enabling them to respond to health promotion needs, recognizing the program as being more cost-effective.