Objective. To understand the needs and health profile of men incarcerated in the Pau dos Ferros Regional Criminal Complex (Rio Grande do Norte, Brazil). Methodology. Quanti-qualitative research conducted with 30 men incarcerated in November 2012. Semi-structured interviews were the primary data collection method. Descriptive statistics and thematic analysis of the speeches were used for data analysis. Results. The participants' health profile, resulting from deficits in living conditions prior to their imprisonment, is heightened by the degrading conditions of their prison stay, and plays a role in their exclusion and lack of care when admitted as prisoners. The disorders and symptoms most often self-reported by participants were: headache (86.6%), respiratory infections (66.6%), diarrhea (60.0%), stress (60.0%), and depression or deep sadness (56.6%). The responses showed that there is a social gap, especially related to health care, in the prison complex. Conclusion. We recognize a need to ensure the physical and moral integrity of inmates, which is compromised by life in prison; the inmates' health problems and needs differ from those of the general population, and require solutions; the inmates' health-disease process deteriorates due to the mere situation of entering the prison system; the inmates' health problems and health needs are treated with palliative and / or no assistance by those legally responsible for their protection; few human and financial resources exist to ensure health actions for the inmates; and there are no interventions or actions of disease prevention and health promotion.Key words: vulnerable populations; delivery of health care; prisons; morbidity. Perfil de salud de los hombres privados de libertad en cárcelesObjetivo. Conocer las necesidades y el perfil de salud de los hombres privados de la libertad en el Complexo Penal Regional de Pau dos Ferros (Rio Grande do Norte, Brasil). Metodología. Investigación con enfoque cuali-cuantitativo realizado en noviembre de 2012 en el que participaron 30 hombres privados de la libertad en la cárcel en estudio. Para la recolección de la 270 • Invest Educ Enferm. 2015;33 (2) información se utilizó una entrevista semiestructurada. El análisis de datos fue mediante estadística descriptiva y análisis temático de los discursos. Resultados. El perfil de salud de los participantes fue el resultado de los déficits en las condiciones de vida previas al régimen de prisión, siendo agravado por las condiciones inhumanas de la permanencia en la cárcel, teniendo como consecuencia la exclusión y la falta de asistencia cuando los ingresaron como reclusos. Las enfermedades y los síntomas más frecuentemente reportados por los participantes fueron: dolor de cabeza (86.6%), infecciones respiratorias (66.6%), la diarrea (60.0%), el estrés (60.0%) y la depresión o la tristeza profunda (56.6%). Los discursos mostraron que existe una brecha social relacionada especialmente con la asistencia en salud en el complejo penal. Conclusión. Se reconoce la necesidad de garantiz...
Aedes aegypti is a cosmopolitan vector for arboviruses dengue, Zika and chikungunya, disseminated in all Brazilian states. The Eco-Bio-Social (EBS) strategy is vital in Aedes aegypti control as it mobilizes stakeholders (government, professionals, society, and academics) to promote healthy environments. This paper describes the rationale and methods of expanding the EBS strategy for Aedes aegypti control in Fortaleza, Northeast Brazil. A cluster, non-randomized controlled clinical trial was developed to analyze the strategy’s effectiveness in vulnerable territories (high incidence of dengue and violent deaths; low HDI; substandard urban infrastructure, high population density, and water scarcity). We selected two intervention and two control groups, resulting in a sample of approximately 16,000 properties. The intervention consisted of environmental management by sealing large elevated water tanks, introduction of beta fish in waterholes, elimination of potential breeding sites, and mobilization and training of schoolchildren, endemic disease workers, health workers, social mobilizers, and community leaders; community surveillance of arboviruses; construction and validation of a booklet for the prevention of arboviruses in pregnant women. We analyzed the costs of arboviruses to government and households, the intervention cost-effectiveness, chikungunya’s chronicity, and acceptance, sustainability, and governance of vector control actions. The primary outcome (infestation) was analyzed using the house, container, and Breteau indices. We hope that this study will help us understand how to scale up strategies to fight Aedes aegypti in vulnerable areas.
RESUMO:Estudo qualitativo que objetivou discutir os limites e possibilidades da prescrição de medicamentos por enfermeiros na Estratégia Saúde da Família. Foram entrevistados 11 enfermeiros e a interpretação das informações por meio da Análise Temática resultou em cinco categorias empíricas. Os enfermeiros se sentem capacitados para prescrever medicamentos na consulta de enfermagem; para eles a prescrição traz autonomia e valorização profissional e necessita de cautela quando executada, para não trazer riscos à saúde dos usuários. Tal prática ocorre nos programas de saúde pública, porém falta apoio legal da gestão de saúde sobre o tema. Faz-se necessário o diálogo entre a gestão, os enfermeiros e os órgãos representativos da categoria para que a prescrição de medicamentos seja realizada com ética e responsabilidade com vistas ao cuidado coletivo de saúde. DESCRITORES: Enfermagem; Cuidados de enfermagem; Prescrição de medicamentos; Saúde da família; Ética em enfermagem. ABSTRACT: This qualitative study aimed to discuss the limits and possibilities of the prescription of drugs by nurses in the Family Health Strategy. 11 nurses were interviewed, and the interpretation of the information using Thematic Analysis resulted in five empirical categories. The nurses feel able to prescribe drugs in the nursing consultation; for them, the prescribing brings autonomy and professional valorization and needs caution when undertaken so as not to entail risks to the health of the service users. This practice occurs in the public health programs, but legal support from the health managers on the issue is lacking. Dialog is needed between management, the nurses, and the representative bodies of that category so that the prescription of drugs may be undertaken ethically and responsibly, with a view to public health care. DESCRIPTORS: Nursing; Nursing care; Prescription of drugs; Family health; Ethics in Nursing. *Extraído da monografia intitulada A Prática da Prescrição de Medicamentos pelos Enfermeiros na Estratégia Saúde da Família PRESCRIPCIÓN DE MEDICINAS POR LOS ENFERMEROS EN LA ESTRATEGIA SALUD DE LA FAMILIA RESUMEN:Estudio cualitativo cuyo objetivo fue discutir los límites y posibilidades de la prescripción de medicinas por enfermeros en la Estrategia Salud de la Familia. Fueron entrevistados 11 enfermeros y la interpretación de las informaciones por medio del Análisis Temático resultó en cinco categorías empíricas. Los enfermeros se sienten capaces de prescribir medicinas en la consulta de enfermería; para ellos, la prescripción trae autonomía y valoración profesional y necesita de cuidado cuando ejecutada, para no traer riesgos a la salud de los usuarios. Esa práctica ocurre en los programas de salud pública, pero hace falta apoyo legal de la gestión de salud sobre el tema. Es necesario un diálogo entre la gestión, los enfermeros y los órganos representativos de la categoría para que la prescripción de medicinas sea realizada con ética y responsabilidad para el cuidado colectivo de salud. DESCRIPTORES: Enfermería; Cuidados...
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