scholarly journals Exploratory analysis based on leprosy epidemiological and operational indicators in the city of Governador Valadares/MG/Brazil

2020 ◽  
Vol 6 (5) ◽  
pp. 62-68
Author(s):  
Katiuscia Cardoso Rodrigues ◽  
◽  
Pedro Henrique Ferreira Marçal ◽  
Rafael Silva Gama ◽  
Gilvan Ramalho Guedes ◽  
...  
Keyword(s):  
Health Management ◽  
Whole Numbers ◽  
Mode Of Entry ◽  
Control Actions ◽  
Operational Classification ◽  
Apparent Decrease ◽  
The City ◽  
High Disease Burden ◽  
Leprosy Control ◽  
Municipal Health

Governador Valadares (GV) is a municipality of recognized leprosy hyperendemicity. From 2001 to 2010, the municipal health management invested in a heterogeneous way in the decentralization of control actions to expand access to diagnosis, highlighting the years 2002 and 2004, when training-campaigns took place in the Family’s Health Program. It is an epidemiological study, of a descriptive nature, of a longitudinal type, developed in the city of GV/Minas Gerais/Brazil. The variables collected were: Age group, categorized as <15 years and> 15 years; Gender; Year of notification; Operational classification categorized as paucibacillary and multibacillary; Number of registered household and outside contacts, classified by whole numbers starting with zero (no communications), and mode of entry, as new or not. The estimates obtained from the analysis of municipal indicators reveal that the coefficients of general detection and children under 15 years old remained at hyperendemic levels during the ten years of study with an apparent decrease in general detection to the period studied. Furthermore, according to national parameters, it was observed maintenance of a consistent number of diagnoses in children under 15 and insufficient contact examination coverage. Our study points to the importance of continuing leprosy control actions over time. Observing the findings related to some epidemiological and operational leprosy indicators in GV from 2001 to 2010 makes us aware of a high disease burden. Keywords: Epidemiological parameters, leprosy, operational indicators

scholarly journals Primary health care in leprosy, assessed by users and professionals

10.3823/2563 ◽  
2018 ◽  
Vol 11 ◽  
Author(s):  
Nayla Andrade Barboza ◽  
Viriato Campleo ◽  
Anselmo Alves Lustosa ◽  
Bruno Santos Sampaio ◽  
Gabriela Meireles Linhares de Araújo
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Urban Area ◽  
User Satisfaction ◽  
Control Actions ◽  
Primary Health ◽  
Care Assessment ◽  
Leprosy Control ◽  
Municipal Health

Objective: Evaluate the performance of primary health care in control of leprosy in Teresina, Brazil from the perspective of users and professionals. Methods: This cross-sectional, descriptive study involved 25 healthcare users with leprosy and 34 professionals (physicians and nurses) working in 13 municipal health units within the urban area of Teresina. The data were collected from January to June, 2017, using the Instrument for Assessing the Performance of Primary Care in Leprosy Control Actions, a document based on the Primary Care Assessment Tool/PCATool Brasil which measures the presence and extension of essential and derived attributes from primary health care. Results: The mean scores obtained for the essential, derived and global attributes, through the perception of the users, were lower than 6.6, indicating that the primary health services in Teresina are not sufficiently oriented to carry out leprosy control actions, mainly in terms of access, integrality of services provided, family orientation and community orientation. The professionals showed a contrasting view, with averages exceeding 6.6 for all attributes and scores. The difference in perception between the groups was significant for all attributes except for coordination (Mann-Whitney U test, p = 0.479).The overall evaluation of quality was not influenced by the user’s clinical or socioeconomic variables, but  rather by the organization/provision of services. Conclusions: The municipal health units within the urban area of Teresina must be strongly guided by primary health care attributes in order to reach higher levels of user satisfaction.  

scholarly journals Avaliação do programa de controle da hanseníase: estudo por triangulação de métodos

2016 ◽  
Vol 15 ◽  
pp. 583
Author(s):  
Gutembergue Santos De Sousa ◽  
Rodrigo Luis Silva Ferreira ◽  
Marília Brasil Xavier
Keyword(s):  
Primary Care ◽  
Time Series ◽  
Health Services ◽  
Quality Indicators ◽  
Quantitative Study ◽  
General Aspect ◽  
Control Actions ◽  
The City ◽  
Good Rating ◽  
Leprosy Control

Aim:  To  evaluate  the  municipal  program  of  hanseniasis  control  in Canaã dos Carajás, PA. Method: This is a quantitative study, for the evaluation of health services, whose evaluative proposal is the triangulation of methods, through the study of the  structure,  processes  and  results.  Results:  several  weaknesses  were  found  in  the program  structure.  Although  some  attributes  have  not  been  positively  evaluated  in  a general aspect, the scores found allowed a good rating of the municipality's performance in terms of leprosy control actions. The appraised indicators showed fluctuations over the time series. Conclusion: the city has poor structure, high guidance for the development of  leprosy  actions  in  primary  care  and  regular  quality  indicators  according  to  the established parameters.

scholarly journals Project BHTRM: new strategy of monitoring and acting in spinal cord injuries in the city of Belo Horizonte

2014 ◽  
Vol 13 (4) ◽  
pp. 322-324
Author(s):  
Diogo Guilherme de Vasconcelos Gonçalves ◽  
Guilherme Zanini Rocha ◽  
José Augusto Malheiros ◽  
Paula Martins ◽  
Aluízio Augusto Arantes Junior ◽  
...  
Keyword(s):  
Public Health ◽  
Spinal Cord Injuries ◽  
Health Management ◽  
Active Monitoring ◽  
Rehabilitation Care ◽  
New Strategy ◽  
Group 2 ◽  
Belo Horizonte ◽  
The City ◽  
Group 1

Objective: The BHTRM Project aims at studying the epidemiology of TRM in the city of Belo Horizonte and providing the means to monitor these patients. Method: To assess the efficacy and solvability of the project, two groups of patients treated at the Jo&#227;o XXIII Hospital were compared in two distinct periods. Group 1 - from May 1, 2011 to July 31, 2011, months of project initiation and Group 2 - from December 1, 2012 to February 28, 2013. Results: Despite the 34% increase in the number of assisted patients, there is a 30% drop in the average number of days of hospitalization, as well as a decrease in the average days waiting for surgery of patients requiring surgical treatment, from 10.9 to 4.84, a drop of 56%. Conclusion: BHTRM Project is a useful tool in public health management. It optimizes the treatment of patients with spinal trauma by decreasing the time between admission and surgery. Also provides active monitoring of patient care and ensures better integration of rehabilitation care.

scholarly journals Deforestation governance in the Amazon from a Strategic Action Fields perspective

2020 ◽  
Vol 23 ◽  
Author(s):  
Marcelo Sampaio Carneiro ◽  
William Santos Assis ◽  
Ulisses Denache Vieira Souza ◽  
Lidielze Dourado
Keyword(s):  
Case Studies ◽  
Satellite Images ◽  
Strategic Action ◽  
Social Actors ◽  
Control Actions ◽  
Black List ◽  
Governance Processes ◽  
The City

Abstract The article seeks to analyze the development of deforestation governance actions in the Amazon, based on the analysis of two case studies using the Strategic Action Fields theory (FLIGSTEIN; MCADAM, 2012). It analyzes the experience of mobilization for the removal of the city of Paragominas/PA from the deforestation Black List and the development of deforestation control actions in the São Jorge settlement, in the city of Cidelândia / Maranhão. Interviews with main actors and satellite images were used to analyze the two cases. The results indicate the relevance of using the Strategic Action Fields theory to gain an understanding of deforestation governance processes in the Amazon, highlighting the importance of central concepts to this theory, such as the performance of skilled social actors and the construction of internal units of governance.

scholarly journals Criar en colores, nuevas experiencias: una intervención de agua y color con madres jóvenes de etnia gitana en Servicios Sociales de Fuentidueña, Villa de Vallecas

2019 ◽  
pp. 95
Author(s):  
Adelaida Larraín ◽  
Noemí Ávila ◽  
Fátima Cortés
Keyword(s):  
Social Services ◽  
Well Being ◽  
Health Centers ◽  
Art Program ◽  
Palabras Clave ◽  
The Social ◽  
Health Project ◽  
Las Mujeres ◽  
The City ◽  
Municipal Health

Resumen: Criar en colores, nuevas experiencias es un proyecto de arte y salud llevado a cabo en el distrito Villa de Vallecas, Madrid. La intervención, perteneciente al Programa de salud sexual y reproductiva, se encuadra en los programas de promoción y prevención de la salud de los Centros Municipales de Salud Comunitaria del Ayuntamiento de Madrid, en conjunto con el Centro de Servicios Sociales de la Comunidad de Madrid. Se trata de un programa desarrollado semanalmente entre los meses de enero a abril de 2018, en el Centro de Servicios Sociales de Fuentidueña de Villa de Vallecas. La intervención fue llevada a cabo por una profesional del arte y la salud, profesionales de la medicina de Madrid Salud, y los educadores sociales de familia del centro de servicios sociales . El taller se desarrolló con un grupo de mujeres, madres jóvenes de población gitana, beneficiarias de la prestación de renta mínima de inserción, RMI. El grupo denominado Aprendiendo a ser madres, se había formado hace dos años en el centro. Uno de los principales objetivos planteados fue continuar en la línea de formación de este grupo, y para ello se presentó un programa de arte (acuarela y técnicas al agua), a través del cual las mujeres desarrollarían con un lenguaje plástico y artístico, experiencias de bienestar, disfrute, encuentro con sus hijos/as y descubrimiento de nuevos espacios de salud.  Palabras clave: acuarela, bienestar, empoderamiento, gitanas, madres, mujeres  Abstract: Raising in colors, new experiences is an art and health project carried out in the Villa de Vallecas district, Madrid. The intervention is part of the Sexual and Reproductive Health Program and constitutes one of the health promotion and prevention programs implemented by Municipal Health Centers of the City of Madrid in conjunction with Madrid’s Community Social Services Center. The intervention was developed on a weekly basis between January and April 2018 in the Social Services Center of Fuentidueña, Villa de Vallecas, and was carried out by an artist and educator, medical professionals from Madrid Salud and social family educators from the social services center. The workshop was oriented to a group of young gypsy mothers, called Learning to be Mothers, who are beneficiaries of the minimum insertion income (RMI). The group was formed two years ago at the center. One of the main objectives was to continue the capacitation of this group. With this purpose, an art program (Watercolor and water techniques) was presented, and through it women would develop, with plastic and artistic languages, experiences of well-being, enjoyment, connecting with their children and discovering new health spaces.  Keywords: watercolor, wellness, empowerment, gypsy, mothers, women   DOI: http://dx.doi.org/10.7203/eari.10.12705   

scholarly journals A Comparative Study of Physiological and Physical Parameters Between Married Females Residing at The Qushtapa Refugee Camp and in The City of Erbil in Kurdistan-Iraq

2021 ◽  
Vol 9 (2) ◽  
pp. 97-101
Author(s):  
Sozan M. Qarani ◽  
Firas Kh. Qasim ◽  
Mahde S. Abdulrahman
Keyword(s):  
Health Management ◽  
High Stress ◽  
Hemoglobin Concentration ◽  
Blood Cholesterol ◽  
Physical Parameters ◽  
Blood Hemoglobin ◽  
Life Saving ◽  
High Risk Factor ◽  
High Stress Level ◽  
The City

Refugees are under a high-risk factor of being suffering from many different diseases due to the uncontrolled accommodations environment of the camps. This study aimed to test whether the camp's habitat affecting the physical activities of the married females as a biomarker of the adverse effects on the health management issues. 60 married females (30 refugees and 30 city residents) were recruited. Blood samples of all participants were analyzed for blood glucose, blood triglycerides, blood cholesterol, blood hemoglobin (HGb), blood heamatocrite percentage (HCT %) and other physical parameters estimated like body mass index (BMI), mean arterial pressure (MAP). Additionally, participants were screened for bacterial UTIs. Refugees married females showed a significant decrease in the blood hemoglobin concentration (gm/dl) compared with the city females (P= 0.014) and blood heamatocrite percentage (HCT %) (P= 0.0074). Also, no significant differences were observed for the other parameters between refugees married females and city married females. The UTI bacterial infection in refugees married females (21, 65.6%) was significantly higher than the infection among city resident married females (11, 34.4%) (P=0.0096). The higher incidence percentage of UTIs were caused by Gram-negative bacteria (87.5%). The most dominant pathogen which established UTIs was Escherichia coli (57%). A high-stress level of camp environment and nutritional malformation may affect the refugees married females more than the city females. Therefore, it is the international community responsibility to protect and provide life-saving assistance to all refugee women and to those that have been subjected to such situations.

scholarly journals Job satisfaction and dissatisfaction among family health strategy professionals in a small city of Southern Brazil

Revista CEFAC ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 69-78
Author(s):  
Jacks Soratto ◽  
Silvana Cunha Fernandes ◽  
Cyntia Fontanella Martins ◽  
Cristiane Damiani Tomasi ◽  
Maria Teresa Brasil Zanini ◽  
...  
Keyword(s):  
Health Management ◽  
Family Health ◽  
Work Conditions ◽  
Work Relationships ◽  
Structural Work ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Relationship ◽  
The City

ABSTRACT Objective: to identify aspects that generate satisfaction and dissatisfaction among Family Health Strategy professionals working in the city of Cocal do Sul, SC. Methods: a qualitative study, conducted with 15 health professionals of three Family Health Strategy agencies. Data analysis was performed based on content analysis, supported by Atlas.ti software. Results: the results were structured from two macro categories, composed of five subcategories, which added 194 excerpts from 23 codes. The aspects related to satisfaction of the Family Health Strategy professionals were grouped into three subcategories, namely: satisfaction in the identification with the staff and work; satisfaction based on relationships with patients; and, structural work conditions and satisfaction. Within health professional dissatisfaction, two subcategories were created: dissatisfaction related to aspects of health management and the relationship between staff and patients, as promoters of dissatisfaction. Conclusion: the factors contributing to satisfaction and dissatisfaction are associated with working conditions and the work relationships established in professional practice.

Challenges in leprosy control actions in brazilian basic care / Desafios nas ações de controle da hanseníase na atenção básica brasileira

2021 ◽  
Vol 13 ◽  
Author(s):  
Larissa Genuíno Carneiro Martini ◽  
Aisha Sthefany Silva de Meneses ◽  
João Mário Pessoa Júnior ◽  
Emanuella de Castro Marcolino ◽  
Ana Elisa Pereira Chaves ◽  
...  
Keyword(s):  
Basic Care ◽  
Control Actions ◽  
Leprosy Control

Objetivo: analisar as ações de controle da hanseníase na Atenção Básica no Brasil, a partir da avaliação externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB). Método: estudo transversal de abordagem quantitativa realizado a partir de dados secundários coletados junto as equipes de profissionais do PMAQ-AB, 2º ciclo. Resultados: a região Centro-Oeste com maior percentual de equipes com casos registrados de hanseníase(71,20%), sendo a que mais realiza diagnóstico de casos novos(90,2%); grande parte das equipes refere a existência da ficha de notificação(85,9%) e segue acompanhamento do tratamento dos usuários(95,2%); o Sudeste aparece como a região que menos faz busca ativa de faltosos do tratamento(83%); quanto a vigilância intradomiciliar, a maioria dos profissionais entrevistados afirma realizá-la(94,8%). Conclusão: reforça-se a necessidade de melhorias do trabalho das equipes para o atendimento integral às pessoas com hanseníase.  

scholarly journals (Dis) connections between health councils and audit: advancements and challenges in the democratization of public health management

2019 ◽  
Vol 27 (1) ◽  
pp. 39-44
Author(s):  
José Reginaldo Pinto ◽  
Kamyla de Arruda Pedrosa ◽  
Pollyanna Martins ◽  
Antonio Rodrigues Ferreira Júnior ◽  
Bruna Dayane Rocha Maranhão
Keyword(s):  
Public Health ◽  
Health Management ◽  
Analysis Data ◽  
Qualitative Approach ◽  
Technical Cooperation ◽  
Thematic Content Analysis ◽  
Unified Health System ◽  
Health Council ◽  
Self Administered Questionnaire ◽  
Municipal Health

Abstract Background Aware of the importance of consolidating social control in the qualification of the Brazilian government’s Unified Health System (SUS) management, it is important to highlight that the audit must implement technical cooperation actions with the municipal, state and national health councils and with the three management spheres. Objective Analyze the interaction between the Municipal Health Councils and the SUS audit service. Method The research, with a qualitative approach, had the participation of 20 municipal health counselors, who worked in the largest health region of Ceará, Brazil, composed of 24 municipalities. The thematic content analysis data were collected using self-administered questionnaire. Results We observed a weak interaction between the Municipal Health Council and the SUS audit sector in the municipalities. Conclusion Counselors are unaware of their competencies and the functions of the municipal audit sector.

scholarly journals AVALIAÇÃO DE DIFERENTES TÉCNICAS ESPACIAIS PARA ANÁLISE DA OCORRÊNCIA DE DENGUE EM RIO CLARO-SP

2019 ◽  
Vol 37 (1) ◽  
pp. 1
Author(s):  
Jacqueline DOMINGUES ◽  
José Sílvio GOVONE
Keyword(s):  
Socioeconomic Factors ◽  
Dengue Fever ◽  
Spatial Models ◽  
Census Tracts ◽  
Sar Model ◽  
Relationship Of ◽  
The Relationship ◽  
The City ◽  
Simultaneous Autoregressive ◽  
Municipal Health

In this paper we have developed a study of dengue fever in Rio Claro, São Paulo - Brazil. The Municipal Health Foundation of Rio Claro provided data about reported cases of dengue fever in 2011. The main objective was to analyze both the spatial distribution of the disease in the city, by Census tracts, and the relationship of the disease with socioeconomic factors. Two types of spatial models were applied to the data: the SAR model ``- Simultaneous Autoregressive Models and SEM - Simultaneous Error Models. We also fitted the classic linear model, just for comparison to the two spatial models. The results showed that dengue is related to socioeconomic factors and, through the models it was possible to identify which one was statistically significant. Thematic maps have identified the areas that have the highest concentration of the disease.

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