OBJECTIVE: to assess the implementation of the actions of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil.
METHODS: evaluative research with 'implementation analysis', based on criteria, indicators and parameters guided from the construction of the Logic Model; four components were assessed - management, health care, epidemiological surveillance, health education and communication -; direct observation/questionnaire was used, as well as data from the Information System for Notifiable Diseases.
RESULTS: the implementation of the program was incipient (58.3%); the estimate for the components varied from 'not implemented' (health education and communication, 48.0%), 'incipient' (management, 53.3%; health care, 57.2%) to 'partially implemented' (epidemiological surveillance, 73.0%); in 2012, it was observed low proportion of examined contacts (28.4%), treatment dropout (34.1%), limited standardization of patient care flow, and poor resolution of problems by managers.
CONCLUSION: the level of implementation found was related to the organization of services, with negative repercussions regarding the result indicators.
BT - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil C1 -http://www.ncbi.nlm.nih.gov/pubmed/29211145?dopt=Abstract
DO - 10.5123/S1679-49742017000400013 IS - 4 J2 - Epidemiol Serv Saude LA - eng, por N1 -English PDF http://www.scielo.br/pdf/ress/v26n4/en_2237-9622-ress-26-04-00817.pdf
Portuguese PDF http://www.scielo.br/pdf/ress/v26n4/2237-9622-ress-26-04-00817.pdf
N2 -
OBJECTIVE: to assess the implementation of the actions of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil.
METHODS: evaluative research with 'implementation analysis', based on criteria, indicators and parameters guided from the construction of the Logic Model; four components were assessed - management, health care, epidemiological surveillance, health education and communication -; direct observation/questionnaire was used, as well as data from the Information System for Notifiable Diseases.
RESULTS: the implementation of the program was incipient (58.3%); the estimate for the components varied from 'not implemented' (health education and communication, 48.0%), 'incipient' (management, 53.3%; health care, 57.2%) to 'partially implemented' (epidemiological surveillance, 73.0%); in 2012, it was observed low proportion of examined contacts (28.4%), treatment dropout (34.1%), limited standardization of patient care flow, and poor resolution of problems by managers.
CONCLUSION: the level of implementation found was related to the organization of services, with negative repercussions regarding the result indicators.
PY - 2017 SP - 817 EP - 834 T2 - Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil TI - Assessment of the implementation of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil. TT - Avaliação da implantação do Programa de Controle da Hanseníase em Camaragibe, Pernambuco UR - http://www.scielo.br/pdf/ress/v26n4/en_2237-9622-ress-26-04-00817.pdf VL - 26 SN - 2237-9622 ER -