Public health policies: HIV virus treatment and prevention in the state of Rio de Janeiro – Brazil

Author(s):  
Mauricio Ferreira Chaves ◽  
Alice Nascimento Rocha Moura
2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Vilarinho ◽  
A Amorim ◽  
C Fé ◽  
O Cardoso

Abstract Aim Report of the ascending, collective and participative process of construction of the Strategic Action Plan of the State Secretariat of Health of Piauí for the period from 2020 to 2023 and its compatibility with the Planning and Management Instrument of the State of Piauí - PPA (Plano Pluri Yearly). Action developed for the Institutional Development Program of SUS. We sought consistency and compatibility for health needs and Government priorities, implementing public health policies, technical, operational and financial feasibility and feasibility, impact and improvement in living conditions and health of the population, reducing inequalities, expanding the access to inclusive health policies, increase in citizen's life expectancy and life expectancy at birth. Methods Workshops, with technical staff from the Health Secretariat and the State Planning Secretariat, using the Situational Strategic Planning-PES, in addition to the Balanced Scorecard, and the SWOT Matrix. The SESAPI Strategic Map was previously built, with priorities for the identification of plans and results oriented to the goals. Results The SWOT Matrix focused on analyzing the environment or scenarios, internal and external, with strategies to maintain strengths, reduce the intensity of weaknesses, use opportunities and protect against threats. The technical health priorities were legitimized and made compatible with the State Planning Secretariat, in Workshops with Social Representations of the 12 Regional Development Territories of the State. Conclusions The prioritized strategic actions embodied the definition of Budgetary Actions for the health area that conform to the LOA- Annual Budget Law, linking the estimated amounts to a set of indicators and desired and possible results to be achieved in the established period. The entire process was technically monitored and submitted to analysis and approval by the Social Control bodies in compliance with the provisions of the legislation in force. Key messages The prioritized strategic actions embodied the definition of Budgetary Actions for the health area and linked the estimated amounts to a set of indicators. All production has generated the formation of a government staff with managerial capacity to strategic planning and evaluation as part of training teams trained by the government.


2020 ◽  
Vol 54 (4) ◽  
pp. 578-594
Author(s):  
Giuliano Alves Borges e Silva ◽  
Ernani Viana Saraiva ◽  
Guilherme José Santos Nunes Ferreira ◽  
Rogério de Mesquita Peixoto Junior ◽  
Luiz Felipe Ferreira

Abstract Considering the growing number of cases requiring emergency care as a result of SARS-CoV-2 in the Brazilian State of Rio de Janeiro, this study focuses on mapping the health infrastructure of the municipalities of the state, comparing the Structure Efficiency Index (IEE) before (2016) and after the COVID-19 pandemic. The article fills a gap in the academic literature, informing public health policies specialists and technicians, as well as policy and decision-makers, about the capacity of municipalities to face the problem. We calculated the Structure Efficiency Index (IEE) of the states’ 92 municipalities and positioned them on the pandemic curve. It was possible to verify that the government of the State of Rio de Janeiro needs to start acting to suppress COVID-19, maintaining the policy of providing more hospital beds, and purchasing equipment. However, it is also necessary to consider the particularities and deficiencies of each region, as the policy to transfer patients to places with available beds can contribute to the spread of the disease.


2010 ◽  
Vol 30 (4) ◽  
pp. E40-E56 ◽  
Author(s):  
Ryan Bosworth ◽  
Trudy Ann Cameron ◽  
J.R. DeShazo

Background. Public policy can affect the allocation of resources between programs designed to prevent illnesses or injuries and programs designed to treat those who are already sick or injured. Information about preferences for treatment and prevention policies can help policy makers more effectively allocate public health resources among alternative uses. Our objective is to assess preferences for publicly funded health policies designed to prevent or treat major health threats. We use national surveys that employ discrete choice experiment formats. The surveys allow respondents to make trade-offs between policies designed to prevent or treat most major health threats. The surveys were administered to a nationally representative sample of over 3000 respondents. Methods. We estimate a random utility model of preferences for treatment and prevention policies and explore sources of systematic heterogeneity in preferences. Results. We estimate marginal utility associated with avoided deaths to be about twice as high for prevention policies as for treatment policies and find statistically significant heterogeneity with respect to disease type, the group targeted by the policy, and respondent characteristics. Conclusions. Preferences for public health policies vary markedly with policy attributes and with individual characteristics. Benefits measurements for welfare assessments of public health policies should be tailored to the type of health threat and the characteristics of the affected population.


2020 ◽  
Vol 54 (4) ◽  
pp. 578-594
Author(s):  
Giuliano Alves Borges e Silva ◽  
Ernani Viana Saraiva ◽  
Guilherme José Santos Nunes Ferreira ◽  
Rogério de Mesquita Peixoto Junior ◽  
Luiz Felipe Ferreira

Abstract Considering the growing number of cases requiring emergency care as a result of SARS-CoV-2 in the Brazilian State of Rio de Janeiro, this study focuses on mapping the health infrastructure of the municipalities of the state, comparing the Structure Efficiency Index (IEE) before (2016) and after the COVID-19 pandemic. The article fills a gap in the academic literature, informing public health policies specialists and technicians, as well as policy and decision-makers, about the capacity of municipalities to face the problem. We calculated the Structure Efficiency Index (IEE) of the states’ 92 municipalities and positioned them on the pandemic curve. It was possible to verify that the government of the State of Rio de Janeiro needs to start acting to suppress COVID-19, maintaining the policy of providing more hospital beds, and purchasing equipment. However, it is also necessary to consider the particularities and deficiencies of each region, as the policy to transfer patients to places with available beds can contribute to the spread of the disease.


2020 ◽  
Vol 12 (10) ◽  
pp. e4597
Author(s):  
Heverton Valentim Colaço Da Silva ◽  
Almerinda Agrelli ◽  
Ana Sofia Lima Estevão De Oliveira ◽  
Ronald Rodrigues De Moura ◽  
Sergio Crovella ◽  
...  

Objective: The purpose of this review was to discuss the effectiveness of public health policies in controlling Zika virus (ZIKV) in Brazil from 2015 to 2019 with an emphasis in the state of Pernambuco. Literature Review: Zika virus is an arbovirus primarily transmitted to humans by Aedes aegypti mosquitoes. Since 2015, the control of Aedes aegypti proliferation and diffusion has been a global subject of discussion due to its role in ZIKV transmission and the emergence of serious clinical symptoms resulting from this infection. In Brazil, the public policies established to control ZIKV outbreak were mostly based on vector control. Final Considerations: The coping model to manage the transmission vector of ZIKV is not showing to be effective.  Furthermore, until the social factors that favor the development and maintenance of mosquito breeding sites are eradicated, Brazil will continue to be susceptible to new outbreaks of mosquito-driven arboviruses. Here, we discussed the effectiveness of public health policies for the control of ZIKV in Brazil from 2015 to 2019, with a primary focus on the state of Pernambuco (PE).


2017 ◽  
Vol 2 (3) ◽  
pp. 19
Author(s):  
Carolina Rocha Silva ◽  
Lyanne Polyanne Fernandes Araújo Chaves ◽  
Elba Pereira Chaves

Data on births are important, both for demographic and health aspects since they allow the construction of several indicators, such as birth and fecundity rates, and the analysis of the health situation (IBGE, 2009). This way aimed to characterize the live birth numbers in the 217 municipalities in the state of Maranhão through search of secondary data in the public domain, available in Live Births Information System - SINASC, the Ministry of Health for the number of live births in the 217 municipalities of Maranhão state, in the years 2000, 2010 and 2014. From the analysis of the data can be observed that a number of live births in Maranhão is more pronounced in the central Maranhão mesoregion and in some points of the western, eastern and northern mesoregions of the State of Maranhão, with a mean between 101 and 600 births per year. There was a significant variation between the years 2010 and 2000 when comparing births by a period. The data on live births are needed for directing public health policies that come to contribute to social improvement.Key words: birth, Maranhense, population.


2010 ◽  
Vol 133-134 ◽  
pp. 1039-1044
Author(s):  
Benedito Tadeu De Oliveira

The article seeks to analyze the importance of the former headquarters of the Board of Public Health – DGSP (Diretoria Geral de Saúde Pública), in implementing and institutionalizing Brazilian public health policies, and the importance for Brazil of its restoration and reuse as the Centro de Difusão Científica [Scientific Education and Research Centre]. Constructed (1905-1914) at the initiative of Oswaldo Cruz and designed by the Portuguese architect Luiz Moraes Júnior, the following aspects of the old headquarters of the DGSP are examined: the original site; economic and technical means used in construction; the reasoning, programmes and purpose behind its use; economic, physical and conceptual limits and conditions of space; the creators, their ideas and programmes; the architects, their training, works and methods; the buildings and their environmental surroundings throughout the 20th century; with the City of Rio de Janeiro. The article also analyses the various proposed interventions: structural reinforcement, modernization of the installations, recovery of the construction materials and systems, as well as historic and architectural values; the original forms, volumes and spaces of the buildings. The current initiative taken by the Instituto Nacional do Câncer - Inca- of the Health Ministry, current owner of the property, recovers and preserves a reference point for the origin, evolution and institutionalization of Brazilian public health policies. A modern scientific education and research centre for researchers, health professionals, doctors and residents, as well as the general public, is to be installed in the buildings.


Psico-USF ◽  
2016 ◽  
Vol 21 (1) ◽  
pp. 189-196
Author(s):  
Carla Oliveira Fernandes ◽  
Cláudio Melo ◽  
Vera Lopes Besset ◽  
Pedro Paulo Bicalho

Abstract The technological and scientific advances have brought, in the context of public health policies, a relentless pursuit of the notion of well-being and the elimination of pain, a feeling which was not always conceived as an evil to be eradicated. Foucault, through the concept of biopolitics, indicated that actions from the medical domain were incorporated by the State in order to control the bodies, with the support of medicalization. Starting from a psychoanalytic approach - in which it is assumed that pain can fulfill a role for man as a speaking animal - we conclude that in cases of chronic pain, it is critical, before curing it, to understand its purpose and to seek singular solutions.


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