Miriam Nogueira Barbosa1, Eliete Albano de Azevedo Guimarães2, Zélia Maria Profeta da Luz3. 1. Secretaria Municipal de Saúde de Ribeirão das Neves, Departamento de Vigilância Epidemiológica, Ribeirão das Neves-MG, Brasil. 2. Universidade Federal de São João Del Rei, Programa de Pós-Graduação/Mestrado Acadêmico em Enfermagem, São João Del Rei-MG, Brasil. 3. Fundação Instituto Oswaldo Cruz, Centro de Pesquisas René Rachou, Belo Horizonte-MG, Brasil.
Abstract
OBJECTIVE: to evaluate the organization of health services as a strategy for the prevention and control of visceral leishmaniasis (VL) in Ribeirão das Neves, Minas Gerais, Brazil, from 2010 to 2012. METHODS: this was a case study evaluation of the degree of implementation of a strategy for the integration of health care services, control of zoonosis and epidemiological surveillance; it consisted of observing the work process, interviewing health professionals and analysing secondary data from information systems. RESULTS: implementation was partially adequate (84%); in terms of structure, the human resources component had the worst evaluation (64%) whilst in terms of work process, evaluation was 80% for reorganization of care and 77% for surveillance; in the period 2010-2012 there was a 20% increase in reported cases of VL and a 20% reduction in the time interval between reporting a case and starting treatment. CONCLUSION: the strategy contributed to the improvement of the organization of VL prevention and control actions.
OBJECTIVE: to evaluate the organization of health services as a strategy for the prevention and control of visceral leishmaniasis (VL) in Ribeirão das Neves, Minas Gerais, Brazil, from 2010 to 2012. METHODS: this was a case study evaluation of the degree of implementation of a strategy for the integration of health care services, control of zoonosis and epidemiological surveillance; it consisted of observing the work process, interviewing health professionals and analysing secondary data from information systems. RESULTS: implementation was partially adequate (84%); in terms of structure, the human resources component had the worst evaluation (64%) whilst in terms of work process, evaluation was 80% for reorganization of care and 77% for surveillance; in the period 2010-2012 there was a 20% increase in reported cases of VL and a 20% reduction in the time interval between reporting a case and starting treatment. CONCLUSION: the strategy contributed to the improvement of the organization of VL prevention and control actions.
Authors: João Gabriel Guimarães Luz; Amanda Gabriela de Carvalho; Danilo Bueno Naves; João Victor Leite Dias; Cor Jesus Fernandes Fontes Journal: Mem Inst Oswaldo Cruz Date: 2019-10-28 Impact factor: 2.743