Objective:to investigate the planning pathways in the transfer of Directly Observed
Treatment of tuberculosis. Method:a qualitative study conducted using interviews and a semi-structured guide,
administered to five subjects who were among the coordinators and managers
of the tuberculosis control programs, and the secretary of health of a
municipality in the south of Brazil. Situational Strategic Planning and
Discourse Analysis of the French matrix were the theoretical and analytical
references used, respectively. Results:three reflexive axes were identified: weaknesses in the process of planning
the Directly Observed Treatment transfer, antagonism between planning and
daily requirements and formulation of planning and execution. Lack of
systematization regarding the planning and execution for transfer the
Directly Observed Treatment policy, demonstrates the fragility and
incipience of this activity, and the possibility of its non-existence. Conclusion:the urgent need for managers and coordinators to better appropriate the
theoretical framework for changing public policies, and the related planning
mechanisms, includes a proposal for reorganization and qualification of the
diffusion process, both practical-operative and political-organization.