Avaliação do Programa de Enfrentamento às Doenças Negligenciadas para o controle da esquistossomose mansônica em três municípios hiperendêmicos, Pernambuco, Brasil, 2014*

Abstract

Objective: to evaluate the implementation of schistosomiasis mansoni control actions under the Program to Combat Neglected Diseases in three municipalities in Pernambuco state, Brazil. Methods: implementation analysis was done in 2014, considering the following components-management, epidemiological surveillance, patient care, laboratorial support and health education-; direct observation and interviews were carried out with managers and technical personnel at the state, regional, and municipal levels. Results: partial implementation was found in municipalities A and B (69.7%; 62.2%), while there was full implementation in municipality C (79.5%); contextual weaknesses were found in communication between management levels, insufficient technical-management autonomy of decentralized levels, and professional staff job instability; potentialities identified were-continuing education, political articulation, knowledge about the program, and performance evaluation. Conclusion: contextual categories related to development and implementation stood out for their positive influence on the degree of implementation in the municipalities; we recommend intervention in the weaknesses found, in order to ensure program sustainability and institutionalization.

Situação epidemiológica e controle da esquistossomose em Pernambuco: estudo descritivo, 2010-2016*

“…Contingency policies lead to a review of priorities as contained in a second plan for the period 2015-2018, indicating lower adherence on the part of implementing stakeholders. 2,9,16 A literature review study of factors related to policy implementation in low and middle-income countries corroborates these findings by showing that workers tend to resist to change because it disorganizes established power structures. 17 The increase in the survey target population and in tests performed, although the latter are below the level recommended by the Ministry of Health, and the reclassification of new areas as being endemic (Health Regions IV and VIII) are related to sample-based coproscopic surveys and malacological surveys proposed by SANAR.…”

“…29 Socio-economically precarious communities where low schooling levels together with environmental problems prevail, are characterized by these additional factors which result in these problems continuing, within a context in which reinfection is facilitated. [1][2][3][4][5][6][7]9,10,12,14,16,18,[23][24][25][26][27][28][29] The reduction in the percentage of positivity for other helminthiases may be associated with treatment with low toxicity medication (albendazole, mebendazole), which has taken place for decades in Brazil and has been reinforced by SANAR. 7,25 Data from the national survey on the prevalence of Manson's schistosomiasis and geo-helminthiases showed that periodic use of these low cost and easy to administer forms of medication is responsible for the reduction in approximately 80% of cases of other helminthiases.…”

Doenças Negligenciadas No Brasil E as Estratégias De Prevenção

“…A amostra final foi composta de 12 artigos apresentados no quadro a seguir (Quadro 1). Enquanto isso, em Dubeux et al (2019), revelou-se as fragilidades das ações de controle da esquistossomose do Programa de Controle da Esquistossomose, como a deficiência de educação em saúde, vista em erros de grafia, inadequações de nomenclatura, além de incorreções na descrição do ciclo da doença pela maioria dos materiais educativos. Além disso, houve menção às condições físicas inadequadas, contudo técnicos e gestores mostraram-se motivados para atuar nas ações de controle da doença previstas no programa SANAR.…”

Pesquisa e Extensão: Abordagem Interdisciplinar

“…Enquanto isso, em Dubeux et al (2019), revelou-se as fragilidades das ações de controle da esquistossomose do Programa de Controle da Esquistossomose, como a deficiência de educação em saúde, vista em erros de grafia, inadequações de nomenclatura, além de incorreções na descrição do ciclo da doença pela maioria dos materiais educativos. Além disso, houve menção às condições físicas inadequadas, contudo técnicos e gestores mostraram-se motivados para atuar nas ações de controle da doença previstas no programa SANAR.…”