Surveillance of intradomiciliary contacts of leprosy cases: perspective of the client in a hyperendemic municipality

Objective: To characterize approach methods for intradomiciliary contacts (IdC) of leprosy cases resident in Northern Brazil, during 2001-2012. Method: A cross-sectional and descriptive study in the state of Rondônia. Included IdC of leprosy cases diagnosed/ reported in SINAN-Ministry of Health (MS), 2001-2012. A semi-structured instrument was applied to the IdCs, with six interventions: complete dermatological examination; complete neurological examination; BCG vaccination; instructions for return to the health unit; BCG guidance; and guidance to mobilize other contacts. Results: From a total of 459 IdCs included, failure to perform the dermatological examination was reported by 191 people (41.6%) and the neurological examination, by 252 (54.9%); 138 (30.1%) did not have BCG indicated and 122 (26.6%) did not receive guidelines; 257 (56.0%) were not advised to return for a new evaluation/follow-up and 186 (40.5%) were not asked to mobilize other contacts. Conclusion: Despite the favorable indicators of IdC examination coverage in the state, the evaluation process presents patterns that indicate operational quality failures

Women of the drought : struggle and visibility in face of a disaster situation

Annexe

Gênero e globalização no Vale do São Francisco

RESUMO Integrando uma pesquisa mais abrangente, intitulada Seca, Mulher e Globalização, analisa o papel das mulheres na agricultura do semi-árido irrigado, as mudanças nas relações de gênero, conseqüentes à sua entrada no mercado de trabalho em Petrolina, além da visão e da informação do empresariado local sobre a mão-de-obra feminina e a participação do município no mercado globalizado. Constata ainda que o empresariado prefere o trabalho feminino na produção de frutas e que as trabalhadoras contribuem para um Nordeste menos miserável e mais produtivo. ABSTRACT Gender and Globalization in São Francisco Valley v. 30, n. 1, p. 29-50, jan./jun. 2002. Part of a more inclusive research named Drought, Woman, and Globalization, the work analyses the role of women in the agriculture, in the irrigated Semi-Arid region the changes of relations between genders as a consequence of the presence of women in the work market in Petrolina. Analyses as well the vision and the level of information of the rural businessmen about the women workmanship and the participation of the county in a global market. Finds out that the rural businessmen would rather the women work in the production of fruits and the women have an important hand in the process of making Northeast less poor and more productive. RÉSUMÉ Genre et mondialisation dans la vallée du São Francisco. v. 30, n. 1, p. 29-50, jan./jun. 2002. Intégrant une recherche plus large, intitulée Sécheresse Femme et Mondialisation, les auteurs analysent le rôle des femmes dans l’agriculture du semi-aride irrigué, les changements dans les relations de genre, en conséquence de l’entrée des femmes dans le marché du travail à Petrolina, au-delà de la vision et de l’information des entrepreneurs locaux sur la main-d’oeuvre féminime et la participation de la municipalité dans le marché de la globalisation. Ils constatent encore que les entrepreneurs préfèrent le travail féminin pour la production de fruits et que les travailleuses contribuent à édifier un Nordeste moins misérable et plus productif

Trabalhadoras e agrotóxicos no submédio São Francisco

Este artigo objetiva evidenciar o dilema enfrentado pelas trabalhadoras rurais, em Petrolina, Pernambuco, entre a exposição aos agrotóxicos e a necessidade de sobrevivência. A maior parte delas confirmou trabalhar, durante a aplicação de agrotóxicos, e sentir uma variedade de sintomas em decorrência disso. Paradoxalmente, elas defendem o uso de agrotóxico nas plantações, afirmando que eles são imprescindíveis para a obtenção de boas colheitas, garantindo-lhes trabalho e renda. Logo, a questão que se apresenta, não é “ter ou não ter saúde”, mas “ter ou não ter trabalho”. Se a saúde e trabalho não caminham lado a lado, isto é um problema que diz respeito, apenas, às trabalhadoras. Portanto, para garantirem o pão-de-cada-dia, elas têm que defender a utilização do “veneno”, mesmo que ele lhes retire, pouco a pouco, a saúde ou, até, que, precocemente, possa finalizar suas vidas. The objective of this paper is to show the dilemma women agricultural workers face as they are exposed to pesticides and yet have to work to fulfill their survival needs. Strange as it can be, the majority of them was in favour of the use of pesticides. They claimed that chemical products are needed to assure good crops and, therefore, to guarantee their jobs and income. The issue is not “to be or not be healthy”, but “to be or not to be employed”. If health and work are not treated equally, this is a problem only of the workers. As a result, in order to guarantee their “bread”, the women agricultural workers have to defend the use of “poison” even though it affects their health or takes away their lives

Improving Access to Water Resources through Rainwater Harvesting as A Mitigation Measure: The Case of the Brazilian Semi-Arid Region

Brazil, grassroots participation, mitigation, rainwater harvest, sustainability,

Surveillance of intradomiciliary contacts of leprosy cases: perspective of the client in a hyperendemic municipality

ABSTRACT Objective: To characterize approach methods for intradomiciliary contacts (IdC) of leprosy cases resident in Northern Brazil, during 2001-2012. Method: A cross-sectional and descriptive study in the state of Rondônia. Included IdC of leprosy cases diagnosed/reported in SINAN-Ministry of Health (MS), 2001-2012. A semi-structured instrument was applied to the IdCs, with six interventions: complete dermatological examination; complete neurological examination; BCG vaccination; instructions for return to the health unit; BCG guidance; and guidance to mobilize other contacts. Results: From a total of 459 IdCs included, failure to perform the dermatological examination was reported by 191 people (41.6%) and the neurological examination, by 252 (54.9%); 138 (30.1%) did not have BCG indicated and 122 (26.6%) did not receive guidelines; 257 (56.0%) were not advised to return for a new evaluation/follow-up and 186 (40.5%) were not asked to mobilize other contacts. Conclusion: Despite the favorable indicators of IdC examination coverage in the state, the evaluation process presents patterns that indicate operational quality failures