Quality of healthcare services to reduce leprosy in Brazil: a trend analysis from 2001 to 2020.

ABSTRACT

OBJECTIVE: To analyze the temporal trend of healthcare services quality indicators to reduce leprosy in Brazil, over a 20-year period. METHODS: This is an epidemiological study with a temporal trend, whose data were extracted from the Notifiable Diseases Information System. Indicators were constructed from the Ministry of Health Technical-Operational Manual that presents the Guidelines for Surveillance, Care and Elimination of Leprosy as a Public Health Problem. For trend analysis of the selected indicators, the Prais-Winsten model was used and the Average Annual Growth Rate (AAGR) was also calculated. RESULTS: In the 20-year time series investigated here, 732,959 cases of leprosy were reported in Brazil. The trend was stationary for new leprosy cases cure rate (ß=-0.000; p=0.196; AAGR=-0.2), new leprosy cases drop out rate (ß=-0.001; p=0.147; AAGR=-0.4), new leprosy cases contact tracing rate (ß=-0.001; p=0.112; AAGR=1.6), new cases of leprosy with degree physical disability assessment rate among new cases (ß=-0.000; p=0.196; AAGR=-0.2) and cases cured in the year with the degree of physical disability assessed (ß=0.002; p=0.265; AAGR=0.5); while the indicator of recurrence rate among cases reported in the year (ß=0.019; p<0.001; AAGR=0.5) showed an increasing trend. CONCLUSION: Based on the evaluation of indicators to assess the quality of healthcare services to reduce leprosy, it was evident that Brazil has major challenges for its full implementation, with improvements being necessary in the quality of care service offered to the population.