Evaluation of the decentralization of the sanitary surveillance practices of the municipality of Olinda, Pernambuco

• Autor(a) principal: Rodrigues da Silva, Julieth Merelis
• Data de Publicação: 2020
• Outros Autores: Siqueira, Marília Teixeira de, Cazumbá, José Carlos, de Almeida, Karine Santos, Siqueira Filha, Noêmia Teixeira de
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Vigilância Sanitária em Debate
• Texto Completo: https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1320
• topic: Health Evaluation; Decentralization; Sanitary Surveillance; Avaliação em Saúde; Descentralização; Vigilância Sanitária

Introduction: The Sanitary Surveillance Actions (Visa) informs the population about risks to health. Health system evaluations are important to amplify the Visa actions and inform policy makers. Objective: Evaluate the level of implementation of decentralized practices in the Visa at the municipality of Olinda, Pernambuco. Methods: Normative evaluation of two components, structure and process, adopting a logical model and image-objective approaches. A self-applied questionnaire was adopted to collect information from a stratified and representative random sample including professionals form different sectors. The decentralization was ranked according to scores: incipient (0.0%–33.33%), partial (33.4%–66.6%) and implemented (66.7%–100.0%). Results: 62.3% of professionals classified the level of decentralization as partial (62.3%). The structure ranked 55.0% and the process ranked 84.2%. Managers, agents and inspectors gave different scores for the evaluation components. Conclusions: The decentralization of the Visa was classified as partially implemented, health system evaluations have the potential to strengthen the public health system in Olinda.