{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T21:04:51Z","timestamp":1767474291651},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Multidrug-resistant tuberculosis (MDR-TB) is a serious phenomenon on a global scale that can worsen with the COVID-19 pandemic. The study aimed to understand the perceptions of health professionals about MDR-TB, their strategies to ensure adherence to treatment and their challenges in the context of the COVID-19 pandemic in a priority municipality for disease control.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a qualitative study and recruited 14 health providers (four doctors, three nurses, three nursing technicians, three nursing assistants and a social worker) working in a city in the state of S\u00e3o Paulo, Brazil. Remote semi-structured interviews were conducted with the participants. For data analysis, the thematic content analysis technique was applied according to the study\u2019s theoretical framework.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The study revealed the causes of MDR-TB are associated with poverty, vulnerability, and social risk. A pre-judgement from the providers was observed, namely, all patients do not adhere due their resistance and association with drug abuse or alcoholism. The study also observed difficulty among health providers in helping patients reconstruct and reframe their life projects under a care perspective, which would strengthen adherence. Other issues that weakened adherence were the cuts in social protection and the benefits really necessary to the patients and a challenge for the providers manage that. The participants revealed that their actions were impacted by the pandemic and insecurity and fear manifested by patients after acquiring COVID-19. For alleviating this, medical appointments by telephone, delivery of medicine in the homes of patients and visits by health professionals once per week were provided.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The study advances knowledge by highlighting the challenges faced by the health system with the adherence of patients with MDR-TB in a context aggravated by the pandemic. An improvement in DOT is really necessary to help the patients reframe their lives without prejudices, face their fears and insecurity, recover their self-esteem and motivate in concluding their treatment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12913-021-07057-0","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T01:14:11Z","timestamp":1633050851000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Causes of multidrug-resistant tuberculosis from the perspectives of health providers: challenges and strategies for adherence to treatment during the COVID-19 pandemic in Brazil"],"prefix":"10.1186","volume":"21","author":[{"given":"Ludmilla Leidianne Limirio","family":"Souza","sequence":"first","affiliation":[]},{"given":"Felipe Lima dos","family":"Santos","sequence":"additional","affiliation":[]},{"given":"Juliane de Almeida","family":"Crispim","sequence":"additional","affiliation":[]},{"given":"Regina C\u00e9lia","family":"Fiorati","sequence":"additional","affiliation":[]},{"given":"S\u00f3nia","family":"Dias","sequence":"additional","affiliation":[]},{"given":"Alexandre Tadashi Inomata","family":"Bruce","sequence":"additional","affiliation":[]},{"given":"Yan Mathias","family":"Alves","sequence":"additional","affiliation":[]},{"given":"Ant\u00f4nio Carlos Vieira","family":"Ramos","sequence":"additional","affiliation":[]},{"given":"Tha\u00eds Zamboni","family":"Berra","sequence":"additional","affiliation":[]},{"given":"Fernanda Bruzadelli Paulino","family":"da Costa","sequence":"additional","affiliation":[]},{"given":"Luana Seles","family":"Alves","sequence":"additional","affiliation":[]},{"given":"Aline Aparecida","family":"Monroe","sequence":"additional","affiliation":[]},{"given":"In\u00eas","family":"Fronteira","sequence":"additional","affiliation":[]},{"given":"Ricardo Alexandre","family":"Arc\u00eancio","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"issue":"0","key":"7057_CR1","doi-asserted-by":"publisher","first-page":"e03275","DOI":"10.1590\/s1980-220x2016050703275","volume":"51","author":"BV Shuhama","year":"2017","unstructured":"Shuhama BV, da Silva LMC, de Paula Andrade RL, Palha PF, Hino P, de Souza KMJ. Avalia\u00e7\u00e3o do tratamento diretamente observado da tuberculose segundo dimens\u00f5es da transfer\u00eancia de pol\u00edticas. Rev Esc Enferm USP. 2017;51(0):e03275. https:\/\/doi.org\/10.1590\/s1980-220x2016050703275.","journal-title":"Rev Esc Enferm USP"},{"key":"7057_CR2","unstructured":"World Health Organization. Global tuberculosis report. Geneva; 2020. Available from: https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/336069\/9789240013131-eng.pdf"},{"key":"7057_CR3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jgar.2015.11.006","volume":"4","author":"P Baghaei","year":"2016","unstructured":"Baghaei P, Tabarsi P, Javanmard P, Farnia P, Marjani M, Moniri A, et al. Impact of diabetes mellitus on tuberculosis drug resistance in new cases of tuberculosis. J Glob Antimicrob Resist. 2016;4:1\u20134. https:\/\/doi.org\/10.1016\/j.jgar.2015.11.006.","journal-title":"J Glob Antimicrob Resist"},{"issue":"3","key":"7057_CR4","doi-asserted-by":"publisher","first-page":"e0152507","DOI":"10.1371\/journal.pone.0152507","volume":"11","author":"Q Song","year":"2016","unstructured":"Song Q, Zhang G, Jiang H, Ren Y, Lu X. Imaging features of pulmonary CT in type 2 diabetic patients with multidrug-resistant tuberculosis. PLoS One. 2016;11(3):e0152507. https:\/\/doi.org\/10.1371\/journal.pone.0152507.","journal-title":"PLoS One"},{"issue":"5","key":"7057_CR5","doi-asserted-by":"publisher","first-page":"1986","DOI":"10.4269\/ajtmh.20-0851","volume":"103","author":"SC Vilbrun","year":"2020","unstructured":"Vilbrun SC, Mathurin L, Pape JW, Fitzgerald D, Walsh KF. Case report: multidrug-resistant tuberculosis and COVID-19 coinfection in Port-Au-Prince. Haiti Am J Trop Med Hyg. 2020;103(5):1986\u20138. https:\/\/doi.org\/10.4269\/ajtmh.20-0851.","journal-title":"Haiti Am J Trop Med Hyg"},{"key":"7057_CR6","doi-asserted-by":"publisher","first-page":"e20190290","DOI":"10.36416\/1806-3756\/e20190290","volume":"46","author":"JG de Almeida Ballestero","year":"2020","unstructured":"de Almeida Ballestero JG, Garcia JM, Bollela VR, Ruffino-Netto A, Dalcolmo MMP, Moncaio ACS, et al. Manejo da tuberculose multirresistente: elementos centrais das recomenda\u00e7\u00f5es brasileiras. J Bras Pneumol. 2020;46:e20190290.","journal-title":"J Bras Pneumol"},{"issue":"12","key":"7057_CR7","doi-asserted-by":"publisher","first-page":"1513","DOI":"10.5588\/ijtld.15.0341","volume":"19","author":"L Ramma","year":"2015","unstructured":"Ramma L, Cox H, Wilkinson L, Foster N, Cunnama L, Vassall A, et al. Patients\u2019 costs associated with seeking and accessing treatment for drug-resistant tuberculosis in South Africa. Int J Tuberc Lung Dis. 2015;19(12):1513\u20139. https:\/\/doi.org\/10.5588\/ijtld.15.0341.","journal-title":"Int J Tuberc Lung Dis"},{"key":"7057_CR8","volume-title":"Social determinants social protection for TB - from evidence to policy","author":"K L\u00f6nnroth","year":"2016","unstructured":"L\u00f6nnroth K. Social determinants social protection for TB - from evidence to policy; 2016. https:\/\/ecdc.europa.eu\/en\/news-events\/combating-hiv-and-tb-through- joint-regional-action-northern-dimension-partnership>"},{"issue":"4","key":"7057_CR9","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1161\/01.cir.95.4.1085","volume":"95","author":"NH Miller","year":"1997","unstructured":"Miller NH, Hill M, Kottke T, Ockene IS. The multilevel compliance challenge: recommendations for a call to action. A statement for healthcare professionals. Circulation. 1997;95(4):1085\u201390. https:\/\/doi.org\/10.1161\/01.cir.95.4.1085.","journal-title":"Circulation"},{"issue":"7","key":"7057_CR10","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1111\/tmi.13409","volume":"25","author":"LH Arroyo","year":"2020","unstructured":"Arroyo LH, Yamamura M, Ramos ACV, Campoy LT, Crispim JA, Berra TZ, et al. Determinants of multidrug-resistant tuberculosis in S\u00e3o Paulo-Brazil: a multilevel Bayesian analysis of factors associated with individual, community and access to health services. Tropical Med Int Health. 2020;25(7):839\u201349. https:\/\/doi.org\/10.1111\/tmi.13409.","journal-title":"Tropical Med Int Health"},{"key":"7057_CR11","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secret\u00e1ria de Vigil\u00e2ncia em Sa\u00fade. Boletim epidemiol\u00f3gico da Tuberculose. Brasilia, mar\u00e7o de 2021. Dispon\u00edvel em: https:\/\/www.gov.br\/saude\/pt-br\/media\/pdf\/2021\/marco\/24\/boletim-tuberculose-2021_24.03."},{"issue":"2","key":"7057_CR12","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/j.ijtb.2016.11.007","volume":"64","author":"PS Rakesh","year":"2017","unstructured":"Rakesh PS, Balakrishnan S, Krishnaveni V, Narayanan V, Pillai S, Thomas SM. Patients\u2019 perception towards directly observed treatment\u2013a qualitative study from Kollam district, Kerala, southern India. Indian J Tuberc. 2017;64(2):93\u20138. https:\/\/doi.org\/10.1016\/j.ijtb.2016.11.007.","journal-title":"Indian J Tuberc"},{"key":"7057_CR13","volume-title":"Sujeito e subjetividade: uma aproxima\u00e7\u00e3o hist\u00f3rico-cultural. Pioneira Thomson learning","author":"FL Gonzalez Rey","year":"2003","unstructured":"Gonzalez Rey FL, Guzzo RSL. Sujeito e subjetividade: uma aproxima\u00e7\u00e3o hist\u00f3rico-cultural. Pioneira Thomson learning; 2003."},{"issue":"6","key":"7057_CR14","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1093\/heapol\/czp030","volume":"24","author":"MM Mesfin","year":"2009","unstructured":"Mesfin MM, Newell JN, Walley JD, Gessessew A, Tesfaye T, Lemma F, et al. Quality of tuberculosis care and its association with patient adherence to treatment in eight Ethiopian districts. Health Policy Plan. 2009;24(6):457\u201366. https:\/\/doi.org\/10.1093\/heapol\/czp030.","journal-title":"Health Policy Plan"},{"issue":"1","key":"7057_CR15","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/1472-6963-13-110","volume":"13","author":"ZS Nezenega","year":"2013","unstructured":"Nezenega ZS, Tafere TE. Patient satisfaction on tuberculosis treatment service and adherence to treatment in public health facilities of Sidama zone, South Ethiopia. BMC Health Serv Res. 2013;13(1):110. https:\/\/doi.org\/10.1186\/1472-6963-13-110.","journal-title":"BMC Health Serv Res"},{"issue":"9","key":"7057_CR16","doi-asserted-by":"publisher","first-page":"e1132","DOI":"10.1016\/S2214-109X(20)30288-6","volume":"8","author":"AB Hogan","year":"2020","unstructured":"Hogan AB, Jewell BL, Sherrard-Smith E, Vesga JF, Watson OJ, Whittaker C, et al. Potential impact of the COVID-19 pandemic on HIV, tuberculosis, and malaria in low-income and middle-income countries: a modelling study. Lancet Glob Health. 2020;8(9):e1132\u201341. https:\/\/doi.org\/10.1016\/S2214-109X(20)30288-6.","journal-title":"Lancet Glob Health"},{"key":"7057_CR17","unstructured":"Bardin L. An\u00e1lise de conte\u00fado. 6th ed. S\u00e3o Paulo: Edi\u00e7\u00e3o 70; 2011."},{"issue":"6","key":"7057_CR18","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349\u201357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","journal-title":"Int J Qual Health Care"},{"key":"7057_CR19","unstructured":"World Health Organization (WHO). A conceptual framework for action on the social determinants of health. (discussion paper series on social determinants of health, 2). Geneva; 2010. Available from: https:\/\/www.who.int\/sdhconference\/resources\/ConceptualframeworkforactiononSDH_eng.pdf"},{"key":"7057_CR20","volume-title":"A conceptual framework for action on the social determinants of health. Social determinants of health. Discussion paper 2 (policy and practice) 2010","author":"O Solar","year":"2010","unstructured":"Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Social determinants of health. Discussion paper 2 (policy and practice) 2010. Geneva: WHO; 2010."},{"issue":"3","key":"7057_CR21","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1590\/S0104-12902017170304","volume":"26","author":"P Carrapato","year":"2017","unstructured":"Carrapato P, Correia P, Garcia B. Determinante da sa\u00fade no Brasil: a procura da equidade na sa\u00fade. Sa\u00fade e Sociedade. 2017;26(3):676\u201389. https:\/\/doi.org\/10.1590\/S0104-12902017170304.","journal-title":"Sa\u00fade e Sociedade"},{"issue":"spe2","key":"7057_CR22","doi-asserted-by":"publisher","first-page":"1326","DOI":"10.1590\/S0080-62342009000600031","volume":"43","author":"MR Bertolozzi","year":"2009","unstructured":"Bertolozzi MR, Nichiata LYI, Takahashi RF, Ciosak SI, Hino P, Val LFD, et al. Os conceitos de vulnerabilidade e ades\u00e3o na Sa\u00fade Coletiva. Rev Esc Enferm USP. 2009;43(spe2):1326\u201330. https:\/\/doi.org\/10.1590\/S0080-62342009000600031.","journal-title":"Rev Esc Enferm USP"},{"issue":"4","key":"7057_CR23","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1136\/jech.57.4.254","volume":"57","author":"P Braveman","year":"2003","unstructured":"Braveman P, Gruskin S. Defining equity in health. J Epidemiol Community Health. 2003;57(4):254\u20138. https:\/\/doi.org\/10.1136\/jech.57.4.254.","journal-title":"J Epidemiol Community Health"},{"key":"7057_CR24","doi-asserted-by":"publisher","first-page":"e70","DOI":"10.26633\/RPSP.2020.70","volume":"44","author":"GC Benjamin","year":"2020","unstructured":"Benjamin GC. Ensuring health equity during the COVID-19 pandemic: the role of public health infrastructure. Rev Panam Salud Publica. 2020;44:e70. https:\/\/doi.org\/10.26633\/RPSP.2020.70.","journal-title":"Rev Panam Salud Publica"},{"issue":"2","key":"7057_CR25","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1590\/S0102-311X2011000200020","volume":"27","author":"BJB Fontanella","year":"2011","unstructured":"Fontanella BJB, Luchesi BM, Saidel MGB, Ricas J, Turato ER, Melo DG. Amostragem em pesquisas qualitativas: proposta de procedimentos Para constatar satura\u00e7\u00e3o te\u00f3rica. Cadernos de Sa\u00fade P\u00fablica. 2011;27(2):388\u201394. https:\/\/doi.org\/10.1590\/S0102-311X2011000200020.","journal-title":"Cadernos de Sa\u00fade P\u00fablica"},{"key":"7057_CR26","doi-asserted-by":"publisher","first-page":"43","DOI":"10.12660\/rgplp.v17n2.2018.78224","volume":"17","author":"A Rego","year":"2018","unstructured":"Rego A, Pina M, Meyer V Jr. Quantos participantes s\u00e3o necess\u00e1rios Para um estudo qualitativo? Linhas pr\u00e1ticas de orienta\u00e7\u00e3o. Revista de Gest\u00e3o dos Pa\u00edses de L\u00edngua Portuguesa. 2018;17:43\u201357. https:\/\/doi.org\/10.12660\/rgplp.v17n2.2018.78224.","journal-title":"Revista de Gest\u00e3o dos Pa\u00edses de L\u00edngua Portuguesa"},{"key":"7057_CR27","volume-title":"O desafio do conhecimento: pesquisa qualitativa em sa\u00fade","author":"MCDS Minayo","year":"2009","unstructured":"Minayo MCDS. O desafio do conhecimento: pesquisa qualitativa em sa\u00fade. 11th ed. S\u00e3o Paulo: Hucitec-Abrasco; 2009.","edition":"11"},{"issue":"1 Suppl","key":"7057_CR28","first-page":"130","volume":"20","author":"M Lima","year":"1999","unstructured":"Lima M, Almeida MC, Lima CC. A utiliza\u00e7\u00e3o da observa\u00e7\u00e3o participante e da entrevista semi-estruturada na pesquisa de enfermagem. Revista Ga\u00facha de Enfermagem. 1999;20(1 Suppl):130\u201342.","journal-title":"Revista Ga\u00facha de Enfermagem"},{"issue":"1","key":"7057_CR29","doi-asserted-by":"publisher","first-page":"e00153116","DOI":"10.1590\/0102-311x00153116","volume":"34","author":"KVF de Andrade","year":"2018","unstructured":"de Andrade KVF, Nery JS, de Souza RA, Pereira SM. Efeitos da prote\u00e7\u00e3o social sobre os desfechos do tratamento da tuberculose em pa\u00edses de renda baixa e m\u00e9dia ou de carga Alta da doen\u00e7a: uma revis\u00e3o sistem\u00e1tica e meta-an\u00e1lise. Cad Sa\u00fade P\u00fablica. 2018;34(1):e00153116. https:\/\/doi.org\/10.1590\/0102-311x00153116.","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"7057_CR30","doi-asserted-by":"publisher","first-page":"e20200015","DOI":"10.36416\/1806-3756\/e20200015","volume":"46","author":"ADSR Moreira","year":"2020","unstructured":"Moreira ADSR, Kritski AL, Carvalho ACC. Determinantes sociais da sa\u00fade e custos catastr\u00f3ficos associados ao diagn\u00f3stico e tratamento da tuberculose. J Bras Pneumol. 2020;46:e20200015. https:\/\/doi.org\/10.36416\/1806-3756\/e20200015.","journal-title":"J Bras Pneumol"},{"key":"7057_CR31","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Gest\u00e3o Estrat\u00e9gica e Participativa, Departamento de Apoio \u00e0 Gest\u00e3o Participativa. Sa\u00fade da Popula\u00e7\u00e3o em Situa\u00e7\u00e3o de Rua: um direito humano, Bras\u00edlia, DF, 2014. Dispon\u00edvel em: http:\/\/bvsms.saude.gov.br\/bvs\/publicacoes\/saude_populacao_situacao_rua.pdf"},{"issue":"5","key":"7057_CR32","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1590\/S0080-623420160000600014","volume":"50","author":"TFDA Alecrim","year":"2016","unstructured":"Alecrim TFDA, Mitano F, Reis AAD, Roos CM, Palha PF, et al. Experience of health professionals in care of the homeless population with tuberculosis. Rev Esc Enferm USP. 2016;50(5):808\u201315. https:\/\/doi.org\/10.1590\/S0080-623420160000600014.","journal-title":"Rev Esc Enferm USP"},{"key":"7057_CR33","doi-asserted-by":"publisher","unstructured":"Ribeiro \u00cdAP, da Silva ALB, dos Santos Assis LR, dos Santos Mendes MRR, Amaral IN. Situa\u00e7\u00e3o de rua: condi\u00e7\u00e3o que vulnerabiliza ao consumo de subst\u00e2ncias psicoativas. Revista Enfermagem Atual In Derme. 2020;91. https:\/\/doi.org\/10.31011\/reaid-2020-v.91-n.29-art.661.","DOI":"10.31011\/reaid-2020-v.91-n.29-art.661"},{"issue":"2","key":"7057_CR34","doi-asserted-by":"publisher","first-page":"e20190209","DOI":"10.1590\/2177-9465-ean-2019-0209","volume":"24","author":"SRDS Linhares","year":"2020","unstructured":"Linhares SRDS, Paz EPA. A viv\u00eancia do tratamento de tuberculose em unidades de Sa\u00fade da Fam\u00edlia. Escola Anna Nery. 2020;24(2):e20190209. https:\/\/doi.org\/10.1590\/2177-9465-ean-2019-0209.","journal-title":"Escola Anna Nery"},{"issue":"4","key":"7057_CR35","doi-asserted-by":"publisher","first-page":"e0249822","DOI":"10.1371\/journal.pone.0249822","volume":"16","author":"FL Santos","year":"2021","unstructured":"Santos FL, Souza LLL, Bruce ATI, Crispim JDA, Arroyo LH, Ramos ACV, et al. Patients\u2019 perceptions regarding multidrug-resistant tuberculosis and barriers to seeking care in a priority city in Brazil during COVID-19 pandemic: a qualitative study. PLoS One. 2021;16(4):e0249822. https:\/\/doi.org\/10.1371\/journal.pone.0249822.","journal-title":"PLoS One"},{"issue":"4","key":"7057_CR36","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1590\/S0080-62342008000400003","volume":"42","author":"RIC Gonzales","year":"2008","unstructured":"Gonzales RIC, Monroe AA, Assis EGD, Palha PF, Villa TCS, Ruffino-Netto A, et al. Desempenho de servi\u00e7os de sa\u00fade no tratamento diretamente observado no domic\u00edlio Para controle da tuberculose. Rev Esc Enferm USP. 2008;42(4):628\u201334. https:\/\/doi.org\/10.1590\/S0080-62342008000400003.","journal-title":"Rev Esc Enferm USP"},{"key":"7057_CR37","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.procs.2019.12.224","volume":"16","author":"NY Crepaldi","year":"2019","unstructured":"Crepaldi NY, Lima VC, Bernardi FA, Santos LRA, Yamaguti VH, Pellison FC, et al. SISTB: an ecosystem for monitoring TB. Procedia Computer Science. 2019;16:587\u201394. https:\/\/doi.org\/10.1016\/j.procs.2019.12.224.","journal-title":"Procedia Computer Science"},{"key":"7057_CR38","doi-asserted-by":"publisher","first-page":"100228","DOI":"10.1016\/j.onehlt.2021.100228","volume":"12","author":"I Fronteira","year":"2021","unstructured":"Fronteira I, Sidat M, Magalh\u00e3es JP, de Barros FPC, Delgado AP, Correia T, et al. The SARS-CoV-2 pandemic: a syndemic perspective. One Health. 2021;12:100228. https:\/\/doi.org\/10.1016\/j.onehlt.2021.100228.","journal-title":"One Health"},{"issue":"1","key":"7057_CR39","doi-asserted-by":"publisher","first-page":"e0227293","DOI":"10.1371\/journal.pone.0227293","volume":"15","author":"SB Marahatta","year":"2020","unstructured":"Marahatta SB, Yadav RK, Giri D, Lama S, Rijal KR, Mishra SR, et al. Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: a qualitative study among patients, community members and health care workers. PLoS One. 2020;15(1):e0227293. https:\/\/doi.org\/10.1371\/journal.pone.0227293.","journal-title":"PLoS One"},{"issue":"2","key":"7057_CR40","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1590\/S0104-11692011000200022","volume":"19","author":"LDD S\u00e1","year":"2011","unstructured":"S\u00e1 LDD, Gomes ALC, Nogueira JDA, Villa TCS, de Souza KMJ, Palha PF, et al. Intersetorialidade e v\u00ednculo no controle da tuberculose na Sa\u00fade da Fam\u00edlia. Revista Latino-Americana de Enfermagem. 2011;19(2):387\u201395. https:\/\/doi.org\/10.1590\/S0104-11692011000200022.","journal-title":"Revista Latino-Americana de Enfermagem"},{"issue":"2","key":"7057_CR41","doi-asserted-by":"publisher","first-page":"41","DOI":"10.5123\/S0103-460X2003000200006","volume":"11","author":"AMA Mazzei","year":"2003","unstructured":"Mazzei AMA, Monroe AP, Sassaki CM, Gonzales RIC, Villa TCS. Suporte social Para portador de tuberculose no servi\u00e7o de sa\u00fade e na comunidade. Bol Pneumol Sanit. 2003;11(2):41\u20136. https:\/\/doi.org\/10.5123\/S0103-460X2003000200006.","journal-title":"Bol Pneumol Sanit"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-021-07057-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-021-07057-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-021-07057-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T01:49:23Z","timestamp":1633052963000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-021-07057-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,1]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["7057"],"URL":"https:\/\/doi.org\/10.1186\/s12913-021-07057-0","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,1]]},"assertion":[{"value":"15 April 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 October 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Research Ethics Committee at the University of S\u00e3o Paulo at Ribeir\u00e3o Preto College of Nursing under Certificate of Presentation for Ethical Consideration number 19520819.0.0000.5393 and Report number 3.654.833, issued on October 22nd 2019 in accordance with the Guidelines and Regulatory Standards for Research with Human Subjects, Resolution number 466 of December 12th, 2012 of the National Health Council of Brazilian Ministry of Health.An informed consent form was required for each participant. All participants were informed about the study objective, and how their confidentiality would be protected, as well as their rights to withdraw from the study at any time. Those who agreed to participate verbally consented and a copy of the informed consent form (ICF) was sent via email.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All participants who agreed to participate verbally consented and a copy of the informed consent form (ICF) was sent via email.The participants included in this research gave their consent to use only anonymized quotes in this study and in this publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1033"}}