Saúde e ambiente sustentável: estreitando nós

Matriz de avaliação de programas de promoção da saúde em territórios de vulnerabilidade social

“…Thus, the Evaluation Matrix was established, corroborating the hypothesis that qualitative-quantitative and multidimensional health indicators contribute to the evaluation of the effectiveness of health promotion programs and that the participatory and integrated evaluation process has the potential to boost the management of quality and to promote the internalization of good public management practices and the continuous improvement of the teams' work processes 8 , aiming at confronting situations of exclusion and inequities, based on the establishment of the determinants of the disease-health process.…”

“…It also considered that the construction of health indicators should be based on social reality 8 33 affirmed the need for a collaborative relationship between managers and evaluators for the institutionalization of health promotion programs. The results of the application of the Evaluation Matrix in the two locations also showed the importance of the adherence of health managers and stakeholders to the negotiations, but also the need for their inclusion in the Municipal Health Plan in order to ensure their sustainability and consequent institutionalization.…”

“…It is in this context that Primary Health Care of SUS, primarily through the Family Health Strategy (FHS), acquired the important role of responsible for providing humanized access, coordinated care, comprehensive services and equity in its actions 6 . Health promotion programs have been implemented by SUS with the aim of reducing inequalities in different territories 7 , but there is no evidence of an evaluation tool that originates in territorialized social realities 8,9 that considers the participation of societal sectors and stakeholders 7 . The need to follow-up on the quality of health systems through monitoring and systematic evaluations has been emphasized by the World Health Organization (WHO) 10 , but they generally use disease outcomes such as mortality and morbidity.…”

“…This study builds on the hypothesis that qualitative-quantitative and multidimensional health indicators contribute to the evaluation of the effectiveness of health promotion programs based on public policies, the promotion of perceived health from its determinants and the expanded conception of the health-disease process 3 . Thus, this study aimed to develop an Evaluation Matrix based on the implementation of a health promotion program, with the theme of confronting intestinal parasites (IPs) in vulnerable territories, using the theoretical bases of health promotion, the quality assessment model 14,15 , health planning 8,13 and evaluation 7 for its construction.…”

Nas trilhas das cadeias produtivas: reflexões sobre uma política integradora de vigilância em saúde, trabalho e ambiente

“…(PORTO, 2005, p. 837) Diante dos problemas socioambientais e das situações de vulnerabilidades nos territórios são necessárias reflexões e intervenções da saúde pública que considerem as diversas dimensões dos problemas, calcadas em referenciais mais amplos dos fenôme-nos (PORTO, 2007;AUGUSTO, 2003;BREILH, 2003;MIRANDA, 2002). A perspectiva holística poderia ser a chave para uma grande e necessária abordagem integral em saúde pública (LEVY, 1996).…”