Health Surveillance Policy: evaluation of the process of management and execution of implementation activities in the territory of the Amazônia Paraense

• Autor(a) principal: Pantoja, Gracilene Ferreira
• Data de Publicação: 2022
• Outros Autores: Cordeiro, Yvens Ely Martins
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/26053
• topic: Política de salud pública; Epidemiología; Inequidades en salud.; Public health policy; Epidemiology; Health inequities.; Política pública de saúde; Epidemiologia; Iniquidade em saúde.

This research evaluated the degree of action of the National Health Surveillance Policy (PNVSA) in a medium-sized municipality in Baixo Tocantins, Pará State, Brazil. Its methodological procedures were: the bibliographic, documentary and empirical research, with data collection occurred in December 2020 and January 2021 with the Municipal Health Secretary, Health Surveillance Coordinator and Coordinators of the different Surveillance. The data were analyzed based on the triangulation of methods, univariate and multivariate statistics and scores were obtained from the arithmetic mean. The results indicate that the degree of action of the Health Surveillance was classified as intermediate, while the Epidemiological Surveillance and Environmental Health Surveillance was unsatisfactory, and the action of the Worker's Health Surveillance (a) was nonexistent. Among the critical points for both, the sub-dimensions stand out: material and technological resources; information management, implementation of actions; monitoring and resolution by goals, and process management is the best evaluated indicator. The weaknesses observed are related to the lack of physical resources for administrative and field work, challenges in relation to the municipal VS database and the periodicity of mandatory actions and health promotion, absence of internal evaluation and lack of direct communication channels with the population, in addition, the professionals were dissatisfied with the work. The challenges found reveal the need for multiple initiatives to enable politics in the dynamic and heterogeneous context that are the territories of the Amazon.