Cost Evaluation and Monitoring of the Tuberculosis Control Program in Pernambuco, Brazil: An Analysis of State Management
1
Departamento de Saúde Coletiva, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo/São Paulo, Brazil
Popul. Med. 2026;8(Supplement Supplement 1):A3841
ABSTRACT
INTRODUCTION:
Tuberculosis (TB) remains a critical challenge for health surveillance in Brazil, especially in Pernambuco, which presents high incidence and mortality rates. Systematic monitoring of costs and resource allocation is essential to evaluate the efficiency of public policies and the impact of control strategies. This study aimed to evaluate the costs of the Tuberculosis Control Program (TCP) from the perspective of the State Health Management of Pernambuco, identifying bottlenecks in the financing of surveillance and care actions.
METHODS:
A quantitative, descriptive, and documentary research was conducted at the State Health Department of Pernambuco. The sample comprised cost data related to TB prevention, treatment, and hospitalization from January to December 2013. Financial records from various sectors and cost centers were analyzed, including the Otávio de Freitas Hospital and the National Immunization Program (PNI/PE). Variables included expenditures on vaccines, municipal agreements, training, printing services, and Hospital Admission Authorizations (AIH). Resultados: The analysis revealed a significant disproportion in resource allocation: 42.8% of the state's total TCP expenditures were directed to hospitalization, while prevention actions represented only 9.8% (excluding vaccines provided by the Ministry of Health). Within prevention, municipal agreements accounted for 3.2%, printing services 2.5%, and training 1.5%. It was identified that surveillance and cost data were fragmented across individual sectors, hindering integrated and systemic monitoring of the program.
CONCLUSIONS:
The TCP monitoring system in Pernambuco showed weaknesses in data integration and a predominance of the hospital-centric care model over preventive surveillance. The fragmentation of financial and operational information compromises the impact assessment of health technologies and program efficiency. The institutionalization of cost monitoring practices integrated with epidemiological management is recommended to strengthen surveillance and optimize resource allocation in TB control.
Tuberculosis (TB) remains a critical challenge for health surveillance in Brazil, especially in Pernambuco, which presents high incidence and mortality rates. Systematic monitoring of costs and resource allocation is essential to evaluate the efficiency of public policies and the impact of control strategies. This study aimed to evaluate the costs of the Tuberculosis Control Program (TCP) from the perspective of the State Health Management of Pernambuco, identifying bottlenecks in the financing of surveillance and care actions.
METHODS:
A quantitative, descriptive, and documentary research was conducted at the State Health Department of Pernambuco. The sample comprised cost data related to TB prevention, treatment, and hospitalization from January to December 2013. Financial records from various sectors and cost centers were analyzed, including the Otávio de Freitas Hospital and the National Immunization Program (PNI/PE). Variables included expenditures on vaccines, municipal agreements, training, printing services, and Hospital Admission Authorizations (AIH). Resultados: The analysis revealed a significant disproportion in resource allocation: 42.8% of the state's total TCP expenditures were directed to hospitalization, while prevention actions represented only 9.8% (excluding vaccines provided by the Ministry of Health). Within prevention, municipal agreements accounted for 3.2%, printing services 2.5%, and training 1.5%. It was identified that surveillance and cost data were fragmented across individual sectors, hindering integrated and systemic monitoring of the program.
CONCLUSIONS:
The TCP monitoring system in Pernambuco showed weaknesses in data integration and a predominance of the hospital-centric care model over preventive surveillance. The fragmentation of financial and operational information compromises the impact assessment of health technologies and program efficiency. The institutionalization of cost monitoring practices integrated with epidemiological management is recommended to strengthen surveillance and optimize resource allocation in TB control.
| eISSN: | 2654-1459 |
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