title: Tuberculosis control: decentralization, local planning and management specificities.
abstract: The goal was to analyze, according to the perception of health managers, the practices that guide tuberculosis control actions in cities in the metropolitan region of João Pessoa - PB, Brazil. This qualitative study involved eight professionals in management functions. Testimonies were collected through semi-structured interviews between May and June 2009 and organized through content analysis. Despite the acknowledged benefits of tuberculosis control action decentralization, local planning indicates the predominance of a bureaucratic model that is restricted to negotiation and supplies. Local programming is centered on the coordinator, which shows a command line and vertical management that lead to the fragmentation of the work process. Management action should follow an innovative and transformative route that surpasses bureaucratic barriers and faces the biggest challenge it is proposed: to balance professional interrelations with a view to improving health work performance.
authors.affiliation: Centro de Educação e Saúde, Universidade Federal de Campina Grande, Cuité, PB, Brazil. janavs_23@hotmail.com
authors.forename: Janaína Von Söhsten
authors.initials: JV
authors.lastname: Trigueiro
authors.forename: Jordana de Almeida
authors.initials: Jde A
authors.lastname: Nogueira
authors.forename: Lenilde Duarte
authors.initials: LD
authors.lastname: de Sá
authors.forename: Pedro Fredemir
authors.initials: PF
authors.lastname: Palha
authors.forename: Tereza Cristina Scatena
authors.initials: TC
authors.lastname: Villa
authors.forename: Débora Raquel Soares Guedes
authors.initials: DR
authors.lastname: Trigueiro
mesh_terms: D001938:Brazil; D006285:Health Planning; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration*; D014376:Tuberculosis / Q000517:prevention & control*