“CONSULTÓRIO NA RUA” AND INTERSECTORAL NETWORK: MONITORING AND HEALING TUBERCULOSIS IN HOMELESS PEOPLE WITH A SHARED DIRECTLY OBSERVED TREATMENT.
INTRODUCTION: The CNAR 5.1 is constituted as an instrument of the Basic Attention on the 5.1Programmatic Area since December 2014 and adopted the WHO concept of tuberculosis as a global public health problem that requires practice control strategies that considers the humanitarian, economic and civil set in the specific propaedeutics to achieve cure. This way, the shared DOT proved to be an effective management tool and promoter of adhesion and healing, especially to homeless citizens and institutional sheltering. MATERIAL AND METHODS: Shared DOT implementation allied to the CNAR SMSDC-RJ-51 strategies, "PRACTICAL APPROACH TO LUNG HEALTH" (PAL / WHO) and intersectoral dialogue for the identification and treatment of symptomatic respiratory in homeless people in Rio de Janeiro 5.1Programmatic Area in 2015. For each patient, we seek to build a caring network that promotes the triad: access through treatment reference professionals in the various areas concerned in his itinerant trajectory of life, damage and vulnerabilities reduction, and CNAR Control matrix to the shared actions at the homeless local agglomeration. RESULTS: In 2015 the intersectoral network fostered by CNAR SMSDC-RJ-5.1 obtained two cases with a cure criteria in adults living on the streets, and now following eight other cases in the same population, one of MDR-TB, overcoming barriers and unique difficulties in favor of of citizenship, cure and contacts control.