The quality of municipal management in primary health care can be evaluated with a composite indicator, constructed through linear programming techniques, which simultaneously considers the criteria of relevance, effectiveness, efficacy and efficiency and expresses them as measures of value, merit and quality.
O presente estudo teve por objetivo avaliar a eficiência da gestão dos serviços municipais de abastecimento de água e esgotamento sanitário utilizando-se da abordagem Data Envelopment Analysis. Foram avaliados 53 municípios prestadores de serviços de abastecimento de água potável e esgotamento sanitário, conforme definições da Lei 11.445/2007, com população residente entre 50 mil e 100 mil habitantes e constantes da amostra do Sistema Nacional de Informações sobre Saneamento. Utilizaram-se na avaliação 33 indicadores de desempenho cujos resultados foram transformados em medidas adimensionais de intervalo [0, 1]. Da amostra total, nove serviços de abastecimento de água potável e três de esgotamento sanitário obtiveram avaliação com índice igual a 1 e classificação eficiente, sendo que os demais obtiveram avaliação inferior, ou seja, menores que 1 e classificação ineficiente. Na avaliação agregada da gestão do saneamento básico (abastecimento de água potável e esgotamento sanitário), somente um município obteve classificação eficiente.
OBJECTIVE:To develop a composite indicator to evaluate the quality of municipal management of primary health care.
METHODS:The evaluation model focuses on aspects of health system management. Fifty-fi ve performance indicators were used and classifi ed according to the criteria of relevance, effectiveness, effi cacy and effi ciency. The measures were aggregated through an additive data envelopment analysis model for measures of value, merit and quality. Data was utilized from 36 municipalities in Santa Catarina State (Southern Brazil), with populations between 10 thousand and 50 thousand residents in 2006.
RESULTS:The results are presented as monotonic measures over the interval [0, 1] (score = 1: effi cient; other values: ineffi cient). Five municipalities had a score of 1 in the quality of management for actions promoting access, while eight municipalities received a score of 1 in the quality of management of actions for service provision; the other municipalities were classifi ed as ineffi cient (score < 1) for both dimensions.
CONCLUSIONS:The quality of municipal management in primary health care can be evaluated with a composite indicator, constructed through linear programming techniques, which simultaneously considers the criteria of relevance, effectiveness, effi cacy and effi ciency and expresses them as measures of value, merit and quality.
This study aimed at evaluating the levels of moisture, protein, water to protein ratio, and water absorption during chilling of chicken giblets (heart, liver, and gizzard) to set legal limits of water absorption during this process. The survey was conducted in the southern Brazil, the largest broiler-producing region of this country. Giblets (heart, liver, and gizzard) were collected fresh from the processing line after evisceration and at the exit of the chiller after the immersion process from two processing plants. One of the plants (PP1) processes small chickens (1,100g live weight) and PP2 processes chickens with 2,800g live weight. In total, 448 samples were collected. Laboratory tests were performed in duplicate for each parameter measured. The results show that moisture levels of fresh giblets were higher in the gizzard, followed by the liver and the heart, whereas in chilled giblets, the gizzard still maintained the highest moisture level, but was followed by the heart and then the liver. Both in fresh and chilled samples, the liver presented the highest protein content, followed by the gizzard and the heart. Water to protein ratios were higher in chilled than in fresh samples, and was highest in the heart, followed by the gizzard and the liver. After immersion in the chiller, the heart presented the highest water absorption rate (6.59%), which was significantly higher compared with those of the liver (4.16%) and the gizzard (4.51%). Considering that the water absorption rates obtained both in fresh and chilled chicken giblets were below 8.00%, the following upper limits of water absorption are suggested for chicken giblet processing in Brazil: 7.0% for the heart, and 5.0% for the gizzard and the liver.
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