Objective: to describe the challenges in implementing the chikungunya surveillance and prevention system in Brazil. Methods: this was a descriptive study of suspected cases of the disease based on records held on the Notifiable Diseases Information System (Sinan) for the period 2014-2016. Results: more than 100,000 probable chikungunya cases were notified in Brazil in this period, with the largest concentration in the Northeast states (83.3% between 2014 and 2015; 91.0% in 2016); Sinan provided an excellent opportunity for closing records of cases occurring between 2014 and 2015 (85%) and high completeness of obligatory variables. Conclusion: given the imminence of the introduction of chikungunya in Brazil in 2014, advance public health preparation took place in order to minimize its effects on society; implementation of the surveillance system improved collection of information regarding the disease, however many challenges can be seen in practice, in view of increasing case incidence. This requires greater handling capacity in this sector.
RESUMO Objetivo Compreender os sentidos atribuídos pelos gestores dos Serviços da Região Metropolitana de Goiânia sobre a oferta de Práticas Integrativas e Complementares (PIC) na Atenção Primária à Saúde (APS). Método Estudo descritivo e exploratório, de abordagem qualitativa, realizado entre agosto e dezembro de 2017, com 21 gestores, mediante utilização de entrevistas semiestruturadas que foram gravadas, transcritas e analisadas com a técnica de análise de conteúdo temática. Resultados Os entrevistados demonstraram compreender o contexto em que as PIC estão inseridas, embora tenham apresentado dificuldades e insegurança na sua conceituação. Dos resultados emergiram três categorias, quais sejam: PIC para gestores; aspectos positivos e negativos da oferta das PIC para a equipe de saúde; aspectos positivos e negativos da disponibilização das PIC para os usuários dos serviços. Conclusão e implicações para a prática Conclui-se que há forte influência do modelo biomédico em detrimento da integralidade na organização dos serviços de APS, o que implica com a baixa e descontínua oferta das PIC na Região Metropolitana de Goiânia. Esta conclusão convida para a ampliação dos espaços de reflexão sobre a pluralidade de racionalidades de cuidado no Sistema Único de Saúde.
EDITORIALQualitative research makes possible the development of health knowledge, because it works with complex phenomena whose totality, besides depth, depends on the intensity. For Minayo, the objective of the qualitative research is to make explicit data, indicators, verified trends and/or construct theoretical models applicable to practice. Therefore, its purpose is to study history, representations, relationships, beliefs, perceptions and opinions, representing the result of the interpretations that subjects construct about the production and reproduction of their lives (1) .Qualitative and quantitative research is diverse in nature, but complements. One treats of the magnitude of the phenomena, and the other of its intensity. One seeks what is repeated, being treated in its homogeneity, and the other, singularities and meanings (2) . In a reflexive approach, Taquette insists that qualitative research in health develops, but still shy of its potential. At the international level, qualitative research stands out as a producer of knowledge that subsidizes the clinical practice of nurses (3) . It is appropriate for the understanding of phenomena within their intervention context, establishing connections between concepts, representations, beliefs and behaviors, respecting intersubjectivity. It is also observed how contradictory is the low productivity of studies using the qualitative approach as a method.There is a challenge to develop qualitative research capable of placing this type of research at a level suitable to converge in parallel with quantitative research. Although they are hegemonic in health, it establishes for us, researchers, and expressively translates the potential of qualitative research to the possibilities of greater access to edicts to foster research and to an increase in publication in journals.Furthermore, this edition brings together articles from the Ibero-American Congress on Qualitative Research (CIAIQ -Congresso Ibero-Americano em Pesquisa Qualitativa) held in Fortaleza State, Brazil, in 2018, in search of greater visibility to qualitative research in health. It also presents studies that address the researchers' perception about the development of health research, from a qualitative perspective, using different approaches and techniques of approach and analysis, in different practice settings. Thus, they reveal the object, objectives, method's theoretical frameworks and approach forms with the object in the qualitative perspective.A recent book addresses data analysis in qualitative health research. It points out that data analysis techniques advocate that doing science is working simultaneously with theory, method and techniques, in a perspective where this tripod is mutually conditional. Also, they warn that the way of doing depends on what the object demands and the response to the object depends on the assertiveness of questions, instruments, and strategies used in collecting the data/findings (4) .This statement underlies that qualitative research is an inter and transdiscipl...
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