Assessment of the implementation of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil. / Avaliação da implantação do Programa de Controle da Hanseníase em Camaragibe, Pernambuco.
Epidemiol Serv Saude
; 26(4): 817-834, 2017.
Article
em En, Pt
| MEDLINE
| ID: mdl-29211145
OBJECTIVE: to assess the implementation of the actions of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil. METHODS: evaluative research with 'implementation analysis', based on criteria, indicators and parameters guided from the construction of the Logic Model; four components were assessed - management, health care, epidemiological surveillance, health education and communication -; direct observation/questionnaire was used, as well as data from the Information System for Notifiable Diseases. RESULTS: the implementation of the program was incipient (58.3%); the estimate for the components varied from 'not implemented' (health education and communication, 48.0%), 'incipient' (management, 53.3%; health care, 57.2%) to 'partially implemented' (epidemiological surveillance, 73.0%); in 2012, it was observed low proportion of examined contacts (28.4%), treatment dropout (34.1%), limited standardization of patient care flow, and poor resolution of problems by managers. CONCLUSION: the level of implementation found was related to the organization of services, with negative repercussions regarding the result indicators.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Educação em Saúde
/
Atenção à Saúde
/
Hanseníase
/
Modelos Teóricos
Tipo de estudo:
Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
/
Sysrev_observational_studies
Aspecto:
Determinantes_sociais_saude
/
Implementation_research
Limite:
Humans
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
/
Pt
Revista:
Epidemiol Serv Saude
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil