The concepts of bonding and the relation with tuberculosis control

Abstract

This study analyzed the concepts of bonding that guide the practice of Family Health Program (FHP) teams in terms of tuberculosis (TB) control measures in the public health setting, in the city of Bayeux, Paraíba, Brazil. Using a qualitative approach, the study involved 37 health care professionals. Data collection took place using the focal group technique, in April 2007. Data analysis was performed based on discourse analysis. It was observed that FHP team concepts about attachment were in agreement with the studied theoretical concepts, with evidences of trust, commitment, intimacy, and responsibility in the team/patient relationship. The following aspects strengthen the bond: the time that FHP teams work in the community; the number of home visits and consultations and the involvement with TB control. Bond weaknesses: insufficient intersectorial measures, the patient's socioeconomic situation, and family abandonment. It is emphasized that there is a need for changes that would strengthen the relationship between the FHP team/patient. This way there would be a concrete care founded on the integrality of health care service routine.