Projeto "Sífilis Não": o apoio a estados na integração das ações de vigilância em saúde e atenção primária à saúde
Introduction: One of the biggest challenges for the Brazilian Public Health System (in Portuguese, Sistema Único de Saúde – SUS), until today, is the integration of Health Surveillance (HS) and Primary Health Care (PHC) actions within all the scope of management. The inclusion of institutional re...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/55292 |
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| Resumo: | Introduction: One of the biggest challenges for the Brazilian Public Health System (in
Portuguese, Sistema Único de Saúde – SUS), until today, is the integration of Health
Surveillance (HS) and Primary Health Care (PHC) actions within all the scope of management.
The inclusion of institutional researchers with the national and interfederative project for rapid
response and confrontation of syphilis, called “Sífilis Não” Project (in Portuguese Projeto
“Sífilis Não”), during the years 2020 and 2021, in the state health secretaries, brought up the
theme of integration of PHC and HS as an institutional support strategy for implementing this
theme in Brazilian states. The supporters developed activities in the 26 states and Federal
District from syphilis, urban arboviruses, immunization and covid-19 discussions, that were
selected by Health Surveillance Department (in Portuguese Secretaria de Vigilância em Saúde),
with National Council of State Health Secretaries (CONASS) and National Council of
Municipal Health Secretaries (CONASEMS). Objective: the objective of this study is to present
the results of the institutional support carried out in the 26 states and Federal District during the
“Sífilis Não” Project, describing the activities performed by the supporters, successful
experiences that occurred in the Brazilian states and presentation the monitoring of activities
carried out. Methodology: the present study was a kind of “action research” and part of the
actions that one decides to take to improve the practice. The “action research” process happened
in stages: the first one happened when planning actions when the supporters started the activities
in the territory; the second one during the implementation process of action, after the work plan
discussion with the local management, in this moment started the record of activities carried
out; the third phase, consisted of an analysis of the developed actions by the supporters; the last
phase was the construction of the monitoring panel that aims to present data of what was
produced by the supporters in the Brazilian states. Results: 8.648 activities performed by the
supporters in the 26 states and the Federal District was analyzed, with 4.500 activities carried
out by HS researchers and 4.148 from PHC researchers. In the state of Tocantins happened the
biggest number of activities carried out during the project, a total of 833 activities to support
the process of integrating surveillance and primary care actions occurred in this place. It was
selected 26 successful experiences, distributed in all support systems. The experiences
demonstrate the work carried out by the supporters in the Brazilian states. The monitoring panel
was built and updated during the period of activities carried out. Final considerations and
Conclusions: The supporters had been present in all the Brazilian states and the Federal District
and succeeded in initiating actions aimed at strengthening the integration of HS PHC in these
places. The process showed the need to clearly define an integration policy with the definition
of standardized indicators for this purpose. |
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