Implementação da Política Nacional de Redução de Acidentes e Violências

Abstract

This Editorial focuses on recent efforts in Brazil to include violence and accidents on the public health agenda. The text continues the discussion conducted by Cadernos de Saúde Pública in May/June 2004. In that issue of the journal, I spoke mainly of the difficulties involved in incorporating the theme in a health sector whose thinking and acting is based primarily on biomedical logic. Today I wish to show that with institutional support, we can do everything possible to attempt the impossible. But there is a proviso to my optimistic tone, since this process has been dragging on for decades and has only gained real impetus in the last three years. In order to implement the National Policy to Reduce Accidents and Violence (approved in 2001), in 2004 Brazil's Health Surveillance Secretariat (SVS) organized the National Network for the Prevention of Accidents and Violence, now consisting of 58 centers in areas with high morbidity and mortality rates from external causes. These centers or nuclei include Municipal, State, and academic institutions and NGOs. This incipient structure aims to foster studies and proposals for concrete action linked through policy guidelines. The year 2005 witnessed the approval of the National Agenda for the Surveillance, Prevention, and Control of Accidents and Violence. Under the Ministry of Health, the National Health Surveillance Secretariat is implementing the Surveillance of Violence and Accidents by Sentinel Services, aimed at identifying and upgrading information on the magnitude and severity of traffic and work-related accidents, falls, drowning, poisoning, and violent outcomes in general. This program is distributed in 39 municipalities (counties) in the country's 26 States and Federal District. The system has already been evaluated after a year in operation. In early 2007, in partnership with the SVS and the Health Care Secretariat (SAS), the Jorge Carelli Latin American Center for Studies on Violence and Health (CLAVES/ENSP/ FIOCRUZ) will launch a distance training course entitled The Impact of Violence on Health, targeting health services professionals and administrators. This program, like the Children's Laboratory at the São Paulo University Hospital, will promote specialization focused on theoretical reflection and practical action in the prevention of violence against children and adolescents. There is an increase in the number of Master's and PhDs and short-term specialization courses at FIOCRUZ and various other teaching institutions. Meanwhile, other programs are being implemented with a focus on care for specific groups like children and adolescents, women, the elderly, and people with disabilities. The importance of such initiatives is both real and symbolic, highlighting that it is possible to act against a phenomenon that afflicts Brazilian society, adopting the logic of prevention, promotion, and valorization of life. Implementation of the National Policy to Reduce Accidents and Violence in the Unified National Health System (SUS) should definitely continue, as ...

Violência física e fatores associados: estudo de base populacional no sul do Brasil

“…Taking this into account, we notice a positive perspective in the capacity building of these professionals, since education institutions are promoting courses for managers and health professionals aiming at fi lling this gap. 12 In regard to stressful events (unemployment, robbery, and separation), the present study found an association between physical violence and the occurrence of two or more stressful events in subjects in the 20 years and above age bracket. Even when considering the limitations of this study (temporality and cross-section), the results can give evidence of a kind of social environment in which several kinds of violence converge, and one that is structured in such a way as not being able to protect the population from the dire consequences of violence.…”

“…In addition, prevalence rates are directly infl uenced by the known limitations of the reporting systems, which are sometimes diffi cult to compatibilize. 12,13,21 The fact that violence is not associated to living with a partner was not expected, seeing that domestic violence is object of much concern, and affects women mostly. 2,9,18 This result may be due to the methodology adopted (population-based), which enabled the study of different population segments, some of which did not live maritally, such as adolescents (13.4% of the sample).…”

“…However, according Minayo, 12 although advances have been noticed, they are still insuffi cient to tackle the problem.…”

Nursing care for children victims of violence

“…Even with the enactment of the National Health Policy for The Reduction of Accidents and Violence, the system has been slowly organized to meet the needs of the theme while trying to assist the general demand (MINAYO, 2007).…”

Characteristics of patients who died from traumatic brain injury in two rural hospital emergency departments in Maharashtra, India, 2007-2009

“…This is of concern because even if patients are provided with optimum care in emergency departments,(ED) the lack of prehospital care may be associated with unfavorable health outcomes. [ 12 13 14 15 ] All transportation is by personal and private ground vehicles, or ambulances without trained paramedics, and there is no air-based evacuation and transportation system. [ 12 16 ] When appropriate field triage, transfer and emergency services are available, the short- and long-term outcomes from injury can potentially be improved.…”