Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town

Detalhes bibliográficos
Autor(a) principal: Flavio Renata Barros da Guarda
Data de Publicação: 2021
Outros Autores: Renata Cecília Barbosa Carneiro, Rafaela Niels da Silva, Flávia Cristina Morone Pinto, Mathias Roberto Loch, Alex Antônio Florindo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7678
Resumo: In 2011, the Brazilian Minister for Health created the Health Academy Program (Programa Academia da Saúde) as a strategy to promote health and healthy lifestyles. However, the official standards do not seem to be clear enough to support the implementation program in the towns. The aim of this study was to analyse the degree of Health Academy Program implementation in a Brazilian midsize town Vitória de Santo Antão, Pernambuco State, in 2018. This is an evaluative study that carry out a normative approach, considering the dimensions of structure and process related to work process. The research is divided into: (1) elaboration of the theoretical model of evaluation, through the validation of the logical model; (2) verification of the level of implementation, through an interview with workers and managers. The cut-off scores for classification of implementation levels were: (1) incipient: > 0 < 33.3%; (2) intermediate: > 33.3 < 66.6%; (3) advanced: > 66.6%. The level of implementation was considered intermediate (37.54%). The score of the structure was higher (54.76%) than the process (26.06%). The low level of Health Academy Program implementation, especially related to the multi-professional articulation and the difficult connection with other sectors or social actors, shows the necessity of reorganization of the actions.
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spelling Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize townHealth EvaluationPrimary Health CareExerciseUnified Health SystemIn 2011, the Brazilian Minister for Health created the Health Academy Program (Programa Academia da Saúde) as a strategy to promote health and healthy lifestyles. However, the official standards do not seem to be clear enough to support the implementation program in the towns. The aim of this study was to analyse the degree of Health Academy Program implementation in a Brazilian midsize town Vitória de Santo Antão, Pernambuco State, in 2018. This is an evaluative study that carry out a normative approach, considering the dimensions of structure and process related to work process. The research is divided into: (1) elaboration of the theoretical model of evaluation, through the validation of the logical model; (2) verification of the level of implementation, through an interview with workers and managers. The cut-off scores for classification of implementation levels were: (1) incipient: > 0 < 33.3%; (2) intermediate: > 33.3 < 66.6%; (3) advanced: > 66.6%. The level of implementation was considered intermediate (37.54%). The score of the structure was higher (54.76%) than the process (26.06%). The low level of Health Academy Program implementation, especially related to the multi-professional articulation and the difficult connection with other sectors or social actors, shows the necessity of reorganization of the actions.El ministro brasileño de salud creó en 2011 el Programa Academia de la Salud (Programa Academia da Saúde) como estrategia para promover la salud y estilos de vida saludables. Sin embargo, los estándares oficiales no parecen estar lo suficientemente claros para apoyar la implementación del programa en las ciudades. El objetivo de este estudio fue analizar el grado de implementación del Programa Academia de la Salud en un pueblo de tamaño medio en Brasil (Vitória de Santo Antão, Pernambuco) en 2018. Es un estudio evaluativo, con un enfoque normativo, que considera las dimensiones de la estructura y proceso relacionado con el sistema laboral. La investigación está dividida en dos pasos: (1) elaboración del modelo teórico de evaluación, a través de la validación del modelo lógico; (2) verificación del nivel de implementación, mediante una entrevista con trabajadores y gestores. Las puntuaciones de corte para la clasificación de implementación por niveles fueron: (1) incipiente: > 0 y < 33,3%; (2) intermedios: > 33,3 y < 66,6%; (3) avanzados: > 66,6%. El nivel de implementación fue considerado intermedio (37,54%). La puntuación de la estructura fue mayor (54,76%) que el proceso (26,06%). El bajo nivel de implementación del Programa Academia de la Salud, especialmente relacionado con la coordinación multiprofesional, y la difícil conexión con otros sectores o actores de la sociedad, muestra la necesidad de una reorganización de las acciones.Em 2011, o Ministério da Saúde criou o Programa Academia da Saúde como estratégia para promover a saúde e estilos de vida saudáveis. Entretanto, as normas oficiais não parecem ser suficientemente claras para apoiar a implementação do programa nas cidades. O estudo teve como objetivo analisar o grau de implementação do Programa Academia da Saúde em uma cidade brasileira de porte médio, Vitória de Santo Antão, Pernambuco, em 2018. É um estudo avaliativo com abordagem normativa, considerando as dimensões de estrutura e processo relacionadas ao processo de trabalho. O estudo é divido em dois passos: (1) a elaboração de um modelo teórico de avaliação, através da validação do modelo lógico e (2) a verificação do nível de implementação através de entrevistas com os profissionais e gestores. Os pontos de corte para a classificação dos níveis de implementação foram: (1) incipiente: > 0 < 33,3%; (2) intermediário: > 33,3 < 66,6%; (3) avançado > 66,6%. O grau de implantação foi considerado intermediário (37,54%). A pontuação da estrutura foi mais alta (54,76%) que a do processo (26,06%). O nível baixo de implementação do Programa Academia da Saúde, principalmente relacionado a problemas de articulação multi-profissional e à dificuldade de articulação com os outros setores e atores da sociedade, mostra a necessidade de reorganização das ações.Reports in Public HealthCadernos de Saúde Pública2021-06-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7678Reports in Public Health; Vol. 37 No. 6 (2021): JuneCadernos de Saúde Pública; v. 37 n. 6 (2021): Junho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7678/17146https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7678/17147Flavio Renata Barros da GuardaRenata Cecília Barbosa CarneiroRafaela Niels da SilvaFlávia Cristina Morone PintoMathias Roberto LochAlex Antônio Florindoinfo:eu-repo/semantics/openAccess2024-03-06T15:30:05Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7678Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:49.836770Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
title Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
spellingShingle Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
Flavio Renata Barros da Guarda
Health Evaluation
Primary Health Care
Exercise
Unified Health System
title_short Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
title_full Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
title_fullStr Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
title_full_unstemmed Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
title_sort Analysis of the degree of implementation of Health Academy Program in a Brazilian midsize town
author Flavio Renata Barros da Guarda
author_facet Flavio Renata Barros da Guarda
Renata Cecília Barbosa Carneiro
Rafaela Niels da Silva
Flávia Cristina Morone Pinto
Mathias Roberto Loch
Alex Antônio Florindo
author_role author
author2 Renata Cecília Barbosa Carneiro
Rafaela Niels da Silva
Flávia Cristina Morone Pinto
Mathias Roberto Loch
Alex Antônio Florindo
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Flavio Renata Barros da Guarda
Renata Cecília Barbosa Carneiro
Rafaela Niels da Silva
Flávia Cristina Morone Pinto
Mathias Roberto Loch
Alex Antônio Florindo
dc.subject.por.fl_str_mv Health Evaluation
Primary Health Care
Exercise
Unified Health System
topic Health Evaluation
Primary Health Care
Exercise
Unified Health System
description In 2011, the Brazilian Minister for Health created the Health Academy Program (Programa Academia da Saúde) as a strategy to promote health and healthy lifestyles. However, the official standards do not seem to be clear enough to support the implementation program in the towns. The aim of this study was to analyse the degree of Health Academy Program implementation in a Brazilian midsize town Vitória de Santo Antão, Pernambuco State, in 2018. This is an evaluative study that carry out a normative approach, considering the dimensions of structure and process related to work process. The research is divided into: (1) elaboration of the theoretical model of evaluation, through the validation of the logical model; (2) verification of the level of implementation, through an interview with workers and managers. The cut-off scores for classification of implementation levels were: (1) incipient: > 0 < 33.3%; (2) intermediate: > 33.3 < 66.6%; (3) advanced: > 66.6%. The level of implementation was considered intermediate (37.54%). The score of the structure was higher (54.76%) than the process (26.06%). The low level of Health Academy Program implementation, especially related to the multi-professional articulation and the difficult connection with other sectors or social actors, shows the necessity of reorganization of the actions.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-25
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7678
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7678
dc.language.iso.fl_str_mv eng
language eng
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eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 37 No. 6 (2021): June
Cadernos de Saúde Pública; v. 37 n. 6 (2021): Junho
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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