Estudo da efetividade de um programa de triagem auditiva neonatal universal

An intervention effect was found among the pregnant women who took the programme. In particular, it was statistically significant among primiparous without disaster experience, which suggests that the programme should be shaped to reflect this subject demographic.

Redemocratization in the 1970s brought about changes in the public health system in Brazil. The Unified National Health System (SUS) was implemented in

The authors describe an outbreak of American cutaneous leishmaniasis from February 1993 to September 1994 in the districts of Sousas and Joaquim Egídio, Campinas, São Paulo State. Out of a total of 25 cases, seven occurred in the countryside, nine in the periurban area, and nine in the urban area. The authors observed a shift in the occurrence of leishmaniasis cases from rural to urban areas. Cases in males predominated over females (60%/40%). Some 44% of the cases occurred in individuals ranging from 11 to 30 years of age. Some 48% of cases occurred in students, domestic workers, and housewives. In 90% of the cases, the disease presented as a single lesion, located predominantly on the upper and lower limbs. The appearance of cases in the region is probably related to the expansion of urban areas occurring in the 1970s and 1980s, a trend which intensified further more recently.

Although the participation rate was only 17.1%, this study was successful in uncovering aspects of awareness and behaviour of residents in the designated area. It also provided insight into what is needed for future disaster-preparedness, equipment and education.

This article is part of a study about performance evaluation in nursing and aims to identify and describe the measures adopted on the basis of the nursing staff performance evaluation that was carried out at municipal district hospitals in the Paraiba Valley Region - São Paulo, Brazil. Data were collected by means of a questionnaire, which was applied among the nurses in charge of the Nursing or Continuous Education Services. The obtained data allowed us to verify that, although 66.7% of the hospitals do not have a Continuous Education Service, 80.9% carry out performance evaluation and indicate the adoption of several measures according to the observed results. Educational measures prevailed, such as: orientation (97.0%), training (79.4%), updating/recycling (70.6%) and discussion of the result with the employee (88.2%). It was also verified that, in a significant percentage of the hospitals, the performance evaluation results do not only offer support for promotions (20.6%) and several incentives (58.8%), but also for employees' dismissal (58.8%).

Resumo:Este trabalho é parte integrante de um estudo realizado junto a um grupo de mulheres, clientes de um centro de saúde escola, que vivenciavam a experiência da primeira gravidez, com o objetivo de desenvolver e avaliar uma ação educativa participante. A ação educativa foi desenvolvida sob a perspectiva de uma relação pedagógica calcada no diálogo e na participação ativa das educandas no processo, assim, o referencial metodológico do estudo inspirou-se na concepção de educação libertadora e na metodologia participativa em pesquisa. Os dados apresentados e a análise realizada referem-se à discussão sobre o parto que apresentou-se como tema central durante todo o processo educativo. Pelo emprego da Análise de Discurso como instrumento de avaliação da ação realizada foi possível identificar o sentido predominantemente negativo de parto no discurso das gestantes, bem como discutir o processo de constituição desse discurso apontando estratégias que promovam a superação de tal significado visando subsidiar a prática educativa realizada por profissionais de saúde junto a esse grupo específico da clientela.Palavras-chave: Primeira gestação; ação educativa; análise de discurso; educação libertadora; metodologia participativa em pesquisa.

In order to clarify central aspects to be considered in undergraduate education both in health sciences and in nursing, regarding contemporary health policies, this article presents a historical approach with emphasis on municipal health management. The authors point out the characteristic of the Sanitary Reform movement and of the neoliberal project in health, followed by a presentation of the National Health System (SUS). Using as starting point the concept of decentralization (only one command at each level of government)--the authors discuss the elaboration and implementation of public social policies and services at the local level. Which depend on an increase of local decision-making capacity, autonomy, control and social participation. The experiences of the cities of Campinas and Ribeirão Preto are described, with emphasis on aspects related to human resources and nursing, and organization of services.