Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2019
Evaluation of the Program to Combat Neglected Diseases in controlling schistosomiasis mansoni in three hyperendemic municipalities, Pernambuco, Brazil, 2014.
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Dubeux Luciana Santos, Jesus Renata Patrícia Freitas Soares de, Samico Isabella, Mendes Marina Ferreira de Medeiros, Wanderley Flávia Silvestre Outtes, Tomasi Elaine, Nunes Bruno Pereira, Facchini Luiz Augusto
Аннотация
OBJECTIVE: to evaluate the implementation of schistosomiasis mansoni control actions under the Program to Combat Neglected Diseases in three municipalities in Pernambuco state, Brazil.
METHODS: implementation analysis was done in 2014, considering the following components - management, epidemiological surveillance, patient care, laboratorial support and health education -; direct observation and interviews were carried out with managers and technical personnel at the state, regional, and municipal levels.
RESULTS: partial implementation was found in municipalities A and B 69.7%; 62.2%, while there was full implementation in municipality C 79.5%; contextual weaknesses were found in communication between management levels, insufficient technical-management autonomy of decentralized levels, and professional staff job instability; potentialities identified were - continuing education, political articulation, knowledge about the program, and performance evaluation.
CONCLUSION: contextual categories related to development and implementation stood out for their positive influence on the degree of implementation in the municipalities; we recommend intervention in the weaknesses found, in order to ensure program sustainability and institutionalization.
METHODS: implementation analysis was done in 2014, considering the following components - management, epidemiological surveillance, patient care, laboratorial support and health education -; direct observation and interviews were carried out with managers and technical personnel at the state, regional, and municipal levels.
RESULTS: partial implementation was found in municipalities A and B 69.7%; 62.2%, while there was full implementation in municipality C 79.5%; contextual weaknesses were found in communication between management levels, insufficient technical-management autonomy of decentralized levels, and professional staff job instability; potentialities identified were - continuing education, political articulation, knowledge about the program, and performance evaluation.
CONCLUSION: contextual categories related to development and implementation stood out for their positive influence on the degree of implementation in the municipalities; we recommend intervention in the weaknesses found, in order to ensure program sustainability and institutionalization.