Análise da lógica de intervenção do Programa Nacional de Controle da Dengue

Figueiró, Ana Cláudia; Sóter, Ana Paula Menezes; Braga, Cynthia; Hartz, Zulmira; Samico, Isabella

doi:10.1590/s1519-38292010000500009

Cited by 16 publications

(14 citation statements)

References 22 publications

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“…Included in the PNCD objectives, 3,4,15 is reducing BI with regards Aedes aegypti in all Brazilian municipalities to reach an index of < 1.0%. The BI in Sao Gabriel do Oeste remained high throughout the period studied, above this rate, and started to fall in 2005, reaching a value of < 1.0% in 2007.…”

Section: Discussionmentioning

confidence: 99%

“…With this proceeding, actions to control dengue came to have two professionals acting at a local level, the activities of whom could be either independent, shared or overlapping. 3,4 …”

Section: Introductionmentioning

confidence: 99%

“…Aiming to improve the rationality and efficiency of actions to control dengue at the primary level, the PNCD 3,4 sought to unify the ECA’s geographic base with micro-areas covered by the CHW. The Ministry of Health reinforced the integration of activities in primary care in 2009, establishing that the ECA and CHW should be co-responsible for controlling dengue and specifying their attributes.…”

Section: Introductionmentioning

confidence: 99%

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Incorporação das atividades de controle da dengue pelo agente comunitário de saúde

et al. 2014

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OBJECTIVETo evaluate the performance of Community Health Agents when dengue control activities were added to their tasks.METHODSPerformance was measured comparing the evolution of selected indicators from the Brazilian National Dengue Control Program and the Family Health Strategy for 2002 to 2008 in the municipality of Sao Gabriel do Oeste, MS, Central Western Brazil, with those of Rio Verde de Mato Grosso, neighboring municipality with demographic, socioeconomic and health services similarities. Data were collected from municipal databases of the Information System for Yellow Fever and Dengue and the Information System for Primary Healthcare of the Mato Grosso do Sul State Health Office. The variables selected for the family health strategy activities were: monthly home visits, pregnant women whose antenatal care began in the first trimester, children under one with up-to-date vaccinations and hypertensive patients. Those selected for the Brazilian National Dengue Control Program were: properties inspected with Aedes aegypti and properties not inspected.RESULTSThe two municipalities maintained a similar trend in dengue control indicators in the period studied. With regard to the Family Health Strategy, in 2002 Sao Gabriel do Oeste was better off in three of the four indicators studied, however, this situation was reversed at the end of the period when the county was overtaken by Rio Verde de Mato Grosso in three of the four indicators analyzed, including, the monthly average community health worker visits per registered family, the main activity of a Family Health Strategy agent. CONCLUSIONS: Incorporating the National Dengue Control Program into the Family Health Strategy is viable and developed without prejudice to dengue control activities, however, the same did not occur with the activities of family health in Sao Gabriel do Oeste. The additional workload of the community health workers is the most likely hypothesis for the declining performance of these agents in the Family Health Strategy activities.

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Section: Discussionmentioning

confidence: 99%

“…With this proceeding, actions to control dengue came to have two professionals acting at a local level, the activities of whom could be either independent, shared or overlapping. 3,4 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incorporação das atividades de controle da dengue pelo agente comunitário de saúde

et al. 2014

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“…The neurological complications of children whose mothers contracted Zika during pregnancy -especially the microcephaly epidemic in the Northeast -reveal the dramatic face of a State with limited capacity to protect its citizens. These recurrent epidemics also reveal the low effectiveness of vector control programs and actions centered on the dispersion of pesticides in and around the residences of Brazilian families (which consumes up to 85% of resources allocated to these actions) 41,42 and in accountability of individuals 43 . Opting for a development model based on mega-projects is generating significant socio-environmental impacts in the territories influenced by them 44 .…”

Section: Challenges To Health Surveillance In Brazilmentioning

confidence: 99%

Vigilância em Saúde brasileira: reflexões e contribuição ao debate da 1a Conferência Nacional de Vigilância em Saúde

Netto

Villardi

Machado

et al. 2017

Ciênc. saúde coletiva

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“…O discurso deixa evidente que a população transfere a responsabilidade da limpeza da cidade toda, incluindo os seus quintais, para o poder público. Em um contexto similar pesquisado, também se encontrou essa situação associada ao comodismo e às ações assistencialistas planejadas para prevenção da dengue, como os mutirões de limpeza (20) . Assim, na lógica dos enfermeiros, os quintais estão sempre sujos porque a população acredita que a manutenção da limpeza do ambiente deve ser realizada pelos agentes públicos e não é entendida como responsabilidade individual.…”

Section: Dsc 3 -Conhecimento Adequado Com Conduta Inadequadaunclassified

Responsabilização do outro: discursos de enfermeiros da Estratégia Saúde da Família sobre ocorrência de dengue

2013

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RESUMOO objetivo desta pesquisa foi conhecer, a partir do discurso dos enfermeiros da Estratégia Saúde da Família, os comportamentos da população em relação ao dengue, com a fi nalidade de melhorar a comunicação entre profi ssionais e população. Foi realizado um estudo qualitativo com enfermeiros da Estratégia Saúde da Família de seis municípios selecionados, sendo os dados analisados pela técnica do Discurso do Sujeito Coletivo. Os resultados mostraram quatro ideias centrais sobre o comportamento da população, a quem os enfermeiros atribuem parte importante da responsabilidade pela ocorrência da dengue. Conclui-se que o discurso dos enfermeiros aponta para a responsabilização do outro, seja um ente público ou privado, individual ou coletivo. Generalizam os comportamentos, apontando para aqueles negativos, que contribuem para a ocorrência da doença. Entende-se ser necessário implementar ações especifi cas com o objetivo de mudar condutas e mantê-las a longo prazo. Descritores: Dengue; Enfermeiros; Saúde da Família; Comportamento. ABSTRACTThe aim of this investigation was to know, from the discourse of Family Health Strategy nurses, what are the behaviors of the population in relation to dengue, to improve communication between professionals and the population. A qualitative study was conducted with nurses in the Family Health Strategy of six selected cities, and the data were analyzed by the technique of the Collective Subject Discourse. The results showed four central ideas about the population's behavior, to who nurses attribute important part of the responsibility for the occurrence of dengue. The conclusion is that the discourse of nurses is very close to common sense, generalizing inadequate behaviors. Thus, it is necessary to implement specifi c actions to change behaviors and keep them in the long term. Key words: Dengue; Nurses; Family Health; Behavior. RESUMEN El objetivo de esta investigación fue conocer, desde el discurso de los enfermeros de la Estrategia Salud de la Familia, cuales son los comportamientos de la población en relación al dengue, con la fi nalidad de mejorar la comunicación entre los profesionales y la población. Se llevó a cabo un estudio cualitativo con los enfermeros de la Estrategia Salud de la Familia de seis ciudades seleccionadas. Los datos fueran analizados por la técnica del Discurso del Sujeto Colectivo. Los resultados mostraron cuatro ideas centrales acerca de la conducta de la populación, a quién los enfermeros atribuyen grande parte de la responsabilidad por la ocurrencia de dengue. Llegamos a la conclusión de que el discurso de los enfermeros es muy cercano del sentido común, con generalización de los comportamientos inadecuados. Por lo tanto, considera-se que es necesario aplicar medidas concretas encaminadas a cambiar las conductas y a mantener-las al largo plazo. Palabras clave: Dengue; Enfermeros; Salud de la Familia; Comportamiento.

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Análise da lógica de intervenção do Programa Nacional de Controle da Dengue

Cited by 16 publications

References 22 publications

Incorporação das atividades de controle da dengue pelo agente comunitário de saúde

Incorporação das atividades de controle da dengue pelo agente comunitário de saúde

Vigilância em Saúde brasileira: reflexões e contribuição ao debate da 1a Conferência Nacional de Vigilância em Saúde

Responsabilização do outro: discursos de enfermeiros da Estratégia Saúde da Família sobre ocorrência de dengue

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