scholarly journals Impact of the Training of Professionals from São Paulo Public Health System in Phytotherapy Practice

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Linete Maria Menzenga Haraguchi ◽  
Adriana Sañudo ◽  
Eliana Rodrigues ◽  
Herbert Cervigni ◽  
Elisaldo Luiz de Araujo Carlini
Keyword(s):  
Public Health ◽  
Medicinal Plants ◽  
Health System ◽  
Health Professionals ◽  
Public Health System ◽  
Positive Impact ◽  
National Policy ◽  
Herbal Medicines ◽  
Sao Paulo ◽  
São Paulo

Abstract: Introduction: Following the introduction in 2006 of the National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, the Municipal Secretariat for the Environment of the City Hall of Sao Paulo initiated the Medicinal Plants Course, later expanded to The Medicinal Plants and Herbal Medicines Course for the training of health professionals. This study aimed to evaluate the impact of the 2014 and 2015 edition of the course “Medicinal Plants and Herbal Medicines” on health professional practices. Methods: An exploratory and descriptive study was conducted with a qualitative-quantitative approach. The quantitative process (Phase I) consisted of a questionnaire being emailed to health professionals who were involved in the course, divided into seven categories: biomedical professional, dental surgeon, nurse, pharmacist, physiotherapist, physician and nutritionist; and, out of 165 questionnaires, 114 responses were received (69.1%). The Qualitative and Quantitative process (Phase II), comprised semi-structured, in-person individual interviews to obtain detailed information on Phytotherapy practices, with 73 health professionals being interviewed, before and after the training, comparing their practices afterwards. Results: The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea “meetings”, medicinal herb gardens and capacity training), regarding the use of herbal products, such as Matricaria chamomilla (chamomile), Maytenus ilicifolia (espinheira-santa), Valeriana officinalis (valeriana). An increase in the knowledge of Phytotherapy risks was also observed, although there was no increase in the reporting of adverse reactions. The study confirmed the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate school, as well as the technical training and continuing education for SUS health professionals. Conclusion: The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses. The results suggest the training promoted a positive impact on the Phytotherapy practice of the Public Health System professionals in São Paulo.

scholarly journals Impacto da Capacitação de Profissionais da Rede Pública de Saúde de São Paulo na Prática da Fitoterapia

2020 ◽  
Vol 44 (1) ◽  
Author(s):  
Linete Maria Menzenga Haraguchi ◽  
Adriana Sañudo ◽  
Eliana Rodrigues ◽  
Herbert Cervigni ◽  
Elisaldo Luiz de Araujo Carlini
Keyword(s):  
Medicinal Plants ◽  
Health Professionals ◽  
Positive Impact ◽  
National Policy ◽  
Herbal Medicines ◽  
Sao Paulo ◽  
São Paulo ◽  
Herbal Products ◽  
Before And After ◽  
The Impact

Abstract: Introduction: Following the introduction in 2006 of the National Policy on Integrative and Complementary Practices, and The National Policy on Medicinal Plants and Herbal Medicines, the Municipal Secretariat for the Environment of the City Hall of Sao Paulo initiated the Medicinal Plants Course, later expanded to The Medicinal Plants and Herbal Medicines Course for the training of health professionals. This study aimed to evaluate the impact of the 2014 and 2015 edition of the course “Medicinal Plants and Herbal Medicines” on health professional practices. Methods: An exploratory and descriptive study was conducted with a qualitative-quantitative approach. The quantitative process (Phase I) consisted of a questionnaire being emailed to health professionals who were involved in the course, divided into seven categories: biomedical professional, dental surgeon, nurse, pharmacist, physiotherapist, physician and nutritionist; and, out of 165 questionnaires, 114 responses were received (69.1%). The Qualitative and Quantitative process (Phase II), comprised semi-structured, in-person individual interviews to obtain detailed information on Phytotherapy practices, with 73 health professionals being interviewed, before and after the training, comparing their practices afterwards. Results: The course had a positive impact on the acceptance and application of Phytotherapy by health professionals with a significant increase (p<0.001) in the expansion of activities related to Phytotherapy (herbal tea “meetings”, medicinal herb gardens and capacity training), regarding the use of herbal products, such as Matricaria chamomilla (chamomile), Maytenus ilicifolia (espinheira-santa), Valeriana officinalis (valeriana). An increase in the knowledge of Phytotherapy risks was also observed, although there was no increase in the reporting of adverse reactions. The study confirmed the importance of the inclusion of Medicinal Plants and Herbal Medicines Courses as part of undergraduate and postgraduate school, as well as the technical training and continuing education for SUS health professionals. Conclusion: The positive impact found out in almost all evaluated aspects, such as the increase in the knowledge and in the prescription of herbal medicines, confirms the importance of such courses. The results suggest the training promoted a positive impact on the Phytotherapy practice of the Public Health System professionals in São Paulo.

scholarly journals MEDICINAL PLANTS AND HERBAL MEDICINES USAGE IN THE SOCIOECONOMIC REALITY OF NORTHEAST BRAZILIAN COCOA REGION

2014 ◽  
Vol 2 (3) ◽  
Author(s):  
Leonardo Galvão Cardoso ◽  
Rafael S. Silva ◽  
Gesael P. F. Júnior ◽  
Luiz A. M. Cardoso ◽  
Alexandre J. de Oliveira ◽  
...  
Keyword(s):  
Public Health ◽  
Medicinal Plants ◽  
Health System ◽  
Low Income ◽  
Health Professionals ◽  
Family Income ◽  
Public Health System ◽  
Herbal Medicines ◽  
Important Conclusion ◽  
Toxicity Potential

Objective: This work describes the medicinal plants and/or herbal medicines usage by the population assisted by Brazilian Public Health System (SUS), and their prescription by health professionals in the Brazilian Northeast. Methods: Questionnaires were applied for public health system users; pharmacists who work at compounding pharmacies; physicians and nurses. Data were submitted to descriptive statistical analysis. Results: The sociodemographic profile was individuals between 40 and 59 yearsold, majority of females, low family income, and low schooling levels. A great number of individuals (89.3%) used plant products, without prescription and based on traditional knowledge. There was a common trend regarding a lack of knowledge of plant toxicity potential. Regarding health professionals, 90% stated having knowledge about medicinal plants and/or herbal medicines, and 80% believe that its effect is important. Conclusion: The study reveals the major usage of herbal medicines and/or medicinal plants by familiar low income and low schooling level without prescription from a physician. These factors may cause a risk/benefit imbalance where could have a reduction in therapy efficacy and high toxicity potential of the drugs. This reinforces the need of pharmacosurveillance toward usage of medicinal plants and herbal medicines in the public health system.

scholarly journals O TRABALHO DA EQUIPE MULTIPROFISSIONAL COM CRIANÇAS E ADOLESCENTES VÍTIMAS DE VIOLÊNCIA SEXUAL ATENDIDAS NA UNIDADE HOSPITALAR

Revista LEVS ◽  
2017 ◽  
Vol 20 (20) ◽  
Author(s):  
Patrícia Andrade GARCIA ◽  
Anna Paula MACIEIRA ◽  
Daniela Emilena Santiago Dias OLIVEIRA
Keyword(s):  
Public Health ◽  
Health System ◽  
Sexual Violence ◽  
Children And Adolescents ◽  
Health Professionals ◽  
Public Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Hospital Unit

Resumo: O presente estudo analisou a atuação e o entendimento dos profissionais de saúde inseridos em um programa de atendimento a crianças e adolescentes vítimas de violência sexual, implantado em uma unidade hospitalar do interior de São Paulo, conveniada ao Sistema Único de Saúde (SUS). A pesquisa procedeu-se a fim de verificar quais as dificuldades desses trabalhadores no atendimento a crianças e adolescentes vítimas de violência sexual, sua compreensão como membro inserido nesse contexto e levantar possíveis soluções e melhorias no tocante ao programa pesquisado. O referencial teórico contempla um breve resgate histórico da concepção na sociedade da criança e do adolescente até a contemporaneidade, posteriormente, traz a análise da pesquisa com base nos questionários estruturados que foram utilizados como instrumentos. Foi possível obter, por meio deste estudo, alguns apontamentos no que diz respeito à preparação desses profissionais no atendimento desse público-alvo. Os dados analisados e comparados revelaram a falta de capacitações para esses profissionais, bem como de um espaço adequado para que eles sejam cuidados e ouvidos sobre a temática.Palavras-chave: Violência Sexual. Equipe Multiprofissional. Unidade Hospitalar. Abstract: In this study we analyzed the performance and understanding of health professionals involved in a program that takes care of children and teenagers victims of sexual violence. The program takes place in a hospital unit in São Paulo, in agreement with Brazil’s Unified Public Health System (SUS). The research verifies the difficulties of these workers in the treatment of these children and adolescents victims of sexual violence, their understanding as a member inserted in this context and the attempt to raise possible solutions and improvements regarding the researched program. The theoretical reference contains a brief historical rescue of the conception in the society of the child and the adolescent until the contemporaneity. Also, it brings the analysis of the research based on the structured questionnaires that were used as instruments. Therefore it was possible to obtain, through this study, some notes regarding the preparation of these professionals when dealing with this public. The data analyzed and compared revealed the lack of training for these professionals, as well as an adequate space for them to be cared and heard.Keywords: Sexual violence. Multi professional team. Hospital Unit.

scholarly journals Access to medication in the Public Health System and equity: populational health surveys in São Paulo, Brazil

2016 ◽  
Vol 19 (1) ◽  
pp. 26-37 ◽  
Author(s):  
Camila Nascimento Monteiro ◽  
Reinaldo José Gianini ◽  
Marilisa Berti de Azevedo Barros ◽  
Chester Luiz Galvão Cesar ◽  
Moisés Goldbaum
Keyword(s):  
Public Health ◽  
Public Sector ◽  
Health System ◽  
Socioeconomic Position ◽  
Concentration Index ◽  
Public Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
The Public

ABSTRACT: Introduction: Since 2003, the access to medication has been increasing in Brazil and particularly in São Paulo. The present study aimed to analyze the access to medication obtained in the public sector and the socioeconomic differences in this access in 2003 and 2008. Also, we explored the difference in access to medication from 2003 to 2008. Method: Data were obtained from two cross-sectional population-based household surveys from São Paulo, Brazil (ISA-Capital 2003 and ISA-Capital 2008). Concentration curve and concentration index were calculated to analyze the associations between socioeconomic factors and access to medication in the public sector. Additionally, the differences between 2003 and 2008 regarding socioeconomic characteristics and access to medication were studied. Results: Access to medication was 89.55% in 2003 and 92.99% in 2008, and the proportion of access to medication did not change in the period. Access in the public sector increased from 26.40% in 2003 to 48.55% in 2008 and there was a decrease in the concentration index between 2003 and 2008 in access to medication in the public sector. Conclusions: The findings indicate an expansion of Brazilian Unified Health System (Sistema Único de Saúde ) users, with the inclusion of people of higher socioeconomic position in the public sector. As the SUS gives more support to people of lower socioeconomic position in terms of medication provision, the SUS tends to equity. Nevertheless, universal coverage for medication and equity in access to medication in the public sector are still challenges for the Brazilian public health system.

scholarly journals Investigation Route of the Coronary Patient in the Public Health System in Curitiba, São Paulo and in Incor - IMPACT Study

2014 ◽  
Author(s):  
Juliano J. Cerci ◽  
Evelinda Trindade ◽  
Rodrigo Julio Cerci ◽  
Daniel Preto ◽  
Pedro A. Lemos ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Sao Paulo ◽  
São Paulo ◽  
Impact Study ◽  
The Public ◽  
Coronary Patient

scholarly journals Access to colposcopy in the State of São Paulo, Brazil: probabilistic linkage study of administrative data

2022 ◽  
Vol 38 (1) ◽  
Author(s):  
Lewis Fletcher Buss ◽  
Lise Cury ◽  
Caroline Madalena Ribeiro ◽  
Gulnar Azevedo e Silva ◽  
José Eluf Neto
Keyword(s):  
Public Health ◽  
Cervical Cancer ◽  
Health System ◽  
Public Health System ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
The Public ◽  
Reference Cohort

Cervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpatient Information System of the Brazilian Unified National Health System (SIA/SUS) that records colposcopies. A reference cohort consisted of women, aged 25 years or older, with an abnormal smear result between May 1, 2014, and June 30, 2014. We excluded prevalent cases. We linked the reference cohort and records in the SIA/SUS extending to December 31, 2014. After excluding prevalent cases, 1,761 women with abnormal cytology results were left. A total of 700 (39.8%) women were linked to a colposcopy record within the follow-up period; this dropped to 671 (38.1%) women when follow-up was censored at six months. We could notice a slightly higher attendance in women living in the metropolitan region of São Paulo compared with residents of the rest of the state. We found no association between colposcopy attendance and age or cytology class. These results emphasize that access to colposcopy in the public health system in São Paulo is limited. This compromises the quality of screening, and the issue needs to be prioritized in service planning.

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