Strategic factors for the sustainability of a health intervention at municipal level of Brazil
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017000705003 |
Resumo: | Abstract: The present study aims to describe the evolution of an intervention, using a methodology that adopts the critical event as the unit of analysis, and to identify strategic factors that facilitate the continuation of the interventions. Six critical events were identified: dispute care models for health; area of advice: dispute field; change policy; break of interorganizational relations; lack of physical structure and turnover of staff; difficulty in organizing practices in the work process. these are developed into strategic factors: enabling network of allies; meetings and educational activities/building capacity; benefits perceived by community members; mobilization of key actors; intervention’s compatibility with the government’s vision; restoration of interrelationship; and stability of the workforce. These strategic factors form a group of interrelated conditions that provide the strengthened linkages between elements in the intervention, supporting the hypothesis that they collaborate for the sustainability of the interventions in health. Tracking down the transformations of an intervention set by the critical events, it was verified that these factors performed a protective role at times of changes in the intervention process. |
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Strategic factors for the sustainability of a health intervention at municipal level of BrazilPolicy MakingPrimary Health CareProgram EvaluationAbstract: The present study aims to describe the evolution of an intervention, using a methodology that adopts the critical event as the unit of analysis, and to identify strategic factors that facilitate the continuation of the interventions. Six critical events were identified: dispute care models for health; area of advice: dispute field; change policy; break of interorganizational relations; lack of physical structure and turnover of staff; difficulty in organizing practices in the work process. these are developed into strategic factors: enabling network of allies; meetings and educational activities/building capacity; benefits perceived by community members; mobilization of key actors; intervention’s compatibility with the government’s vision; restoration of interrelationship; and stability of the workforce. These strategic factors form a group of interrelated conditions that provide the strengthened linkages between elements in the intervention, supporting the hypothesis that they collaborate for the sustainability of the interventions in health. Tracking down the transformations of an intervention set by the critical events, it was verified that these factors performed a protective role at times of changes in the intervention process.Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017000705003Cadernos de Saúde Pública v.33 n.7 2017reponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZ10.1590/0102-311x00063516info:eu-repo/semantics/openAccessOliveira,Sydia Rosana de AraujoMedina,Maria GuadalupeFigueiró,Ana CláudiaPotvin,Louiseeng2017-07-21T00:00:00Zoai:scielo:S0102-311X2017000705003Revistahttp://cadernos.ensp.fiocruz.br/csp/https://old.scielo.br/oai/scielo-oai.phpcadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2017-07-21T00:00Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
title |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
spellingShingle |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil Oliveira,Sydia Rosana de Araujo Policy Making Primary Health Care Program Evaluation |
title_short |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
title_full |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
title_fullStr |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
title_full_unstemmed |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
title_sort |
Strategic factors for the sustainability of a health intervention at municipal level of Brazil |
author |
Oliveira,Sydia Rosana de Araujo |
author_facet |
Oliveira,Sydia Rosana de Araujo Medina,Maria Guadalupe Figueiró,Ana Cláudia Potvin,Louise |
author_role |
author |
author2 |
Medina,Maria Guadalupe Figueiró,Ana Cláudia Potvin,Louise |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Oliveira,Sydia Rosana de Araujo Medina,Maria Guadalupe Figueiró,Ana Cláudia Potvin,Louise |
dc.subject.por.fl_str_mv |
Policy Making Primary Health Care Program Evaluation |
topic |
Policy Making Primary Health Care Program Evaluation |
description |
Abstract: The present study aims to describe the evolution of an intervention, using a methodology that adopts the critical event as the unit of analysis, and to identify strategic factors that facilitate the continuation of the interventions. Six critical events were identified: dispute care models for health; area of advice: dispute field; change policy; break of interorganizational relations; lack of physical structure and turnover of staff; difficulty in organizing practices in the work process. these are developed into strategic factors: enabling network of allies; meetings and educational activities/building capacity; benefits perceived by community members; mobilization of key actors; intervention’s compatibility with the government’s vision; restoration of interrelationship; and stability of the workforce. These strategic factors form a group of interrelated conditions that provide the strengthened linkages between elements in the intervention, supporting the hypothesis that they collaborate for the sustainability of the interventions in health. Tracking down the transformations of an intervention set by the critical events, it was verified that these factors performed a protective role at times of changes in the intervention process. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017000705003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017000705003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0102-311x00063516 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
publisher.none.fl_str_mv |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
dc.source.none.fl_str_mv |
Cadernos de Saúde Pública v.33 n.7 2017 reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1754115737605111808 |