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      Experiência no gerenciamento de pesquisa-ação sobre inquérito de hepatite C junto à comunidade carcerária Translated title: Experience in managing action research on hepatitis C survey in the prison community

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      Ciência & Saúde Coletiva
      ABRASCO - Associação Brasileira de Saúde Coletiva
      Hepatite C, Cirrose hepática, Prisioneiros, Promoção da saúde, Avaliação de processos e resultados em cuidados de saúde, Liver cirrhosis, Prisoners, Health promotion, Outcome and process assessment in health care

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          Abstract

          Resumo Objetivou-se relatar a experiência no gerenciamento de pesquisa-ação sobre inquérito de hepatite C junto à comunidade carcerária no Triângulo Mineiro, Minas Gerais. A proposta foi desenvolvida entre março de 2019 e março de 2020, alcançando 240 pessoas, com o intuito de conter a disseminação do agravo por meio de inquérito, testagem e acompanhamento dos casos positivos. Adotou-se ação intersetorial, com articulação entre universidades, sociedade médica, hospital de ensino e Secretaria de Estado de Justiça e Segurança Pública. As estratégias para o gerenciamento da pesquisa-ação foram: cenários e atores do estudo, registro e formalização da atividade, aplicação dos testes e manejo dos internos reagentes. Dificuldades foram identificadas quanto à acomodação de rotinas entre equipe de pesquisadores e funcionamento próprio da penitenciária, o que exigiu treinamento ostensivo entre as partes e articulações gerenciais. Considera-se que o relato, quando destaca as estratégias adotadas para a condução da pesquisa, colabora para a organização de investigações futuras que visem acessar essa população ainda invisibilizada.

          Translated abstract

          Abstract We aimed to report the experience in managing action research on hepatitis C investigation in the prison community in the Triângulo Mineiro region, Minas Gerais, Brazil. The proposal was developed from March 2019 to March 2020, reaching 240 people to contain the spread of the disease through a survey, testing, and monitoring of positive cases. We adopted intersectoral action with articulation between Universities, Medical Society, Teaching Hospital, and State Secretariat for Justice and Public Security. Strategies for the management of action research are described: study settings and stakeholders, registration and formalization of the activity, application of tests, and management of reagent inmates. We identified difficulties regarding the accommodation of routines among the research team and the proper functioning of the penitentiary, which required extensive training between the parties and managerial articulations. We consider that the report collaborates with the organization of future research aimed at accessing this still invisible population, the prison community when it highlights the strategies adopted to conduct the research.

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          Most cited references12

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          Prevalence and Incidence of HCV Infection among Prisoners in Central Brazil

          The aim of this multicenter, cross sectional study was to assess the prevalence, incidence and associated risk factors among incarcerated populations from twelve Brazilian prisons. The total of 3,368 individuals from twelve prisons was randomly recruited between March 2013 and March 2014. Participants were interviewed, and provided blood samples which were tested for antibodies to Hepatitis C (HCV ab). One year after the first investigation, a cohort study was conducted with 1,656 inmates who participated the cross sectional study. Positive samples were tested for the presence of HCV RNA. Out of 3,368 inmates, 520 (15.4%) were females, and 2,848 (84.6%) were males. The overall prevalence of HCV was 2.4% (95% CI: 1.9 to 2.9), with 0.6% (95% CI: 0.4 to 0.8) in females, and 2.7% (95% CI: 2.1 to 3.3) in males (p<0.01). HCV RNA was detected in 51/80 (63.7%) samples. Among men prisoners, multivariate analysis of associated factors showed independent associations between HCV exposure and increasing age, inject drug use, length of incarceration, smoking hashish, sharing needle and syringe and HIV positivity. During the cohort study, 7/1,656 new cases of HCV infection were detected, and the incidence rate was 0.4/100 person-year. Once high frequency rates of specific HCV risk behaviors and new HCV infections have been identified inside prisons, effective interventions strategies such as screening, clinical evaluation and treatment to reduce the spread of HCV infection are essential.
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            Hepatitis C elimination among people incarcerated in prisons: challenges and recommendations for action within a health systems framework

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              Direct antiviral therapy for treatment of hepatitis C: A real-world study from Brazil

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                Author and article information

                Journal
                csc
                Ciência & Saúde Coletiva
                Ciênc. saúde coletiva
                ABRASCO - Associação Brasileira de Saúde Coletiva (Rio de Janeiro, RJ, Brazil )
                1413-8123
                1678-4561
                December 2022
                : 27
                : 12
                : 4389-4396
                Affiliations
                [1] Uberaba Minas Gerais orgnameUniversidade Federal do Triângulo Mineiro Brazil geisa.gomide@ 123456uftm.edu.br
                [5] Uberaba MG orgnamePenitenciária Professor Aluízio Ignácio de Oliveira Brasil
                [3] Uberaba Minas Gerais orgnameFaculdade de Talentos Humanos Brazil
                [2] Uberaba Minas Gerais orgnameUniversidade de Uberaba Brazil
                [4] São Paulo SP orgnameInstituto Brasileiro do Fígado orgdiv1Sociedade Brasileira de Hepatologia Brasil
                Article
                S1413-81232022001204389 S1413-8123(22)02701204389
                10.1590/1413-812320222712.08742022
                9682e31c-211f-4c75-b1a4-44987ac4a8a7

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 20 November 2021
                : 06 June 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 12, Pages: 8
                Product

                SciELO Brazil

                Categories
                Artigo

                Hepatite C,Cirrose hepática,Prisioneiros,Promoção da saúde,Avaliação de processos e resultados em cuidados de saúde,Liver cirrhosis,Prisoners,Health promotion,Outcome and process assessment in health care

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