Pordeus Augediva Maria Jucá, Fraga Maria de Nazaré de Oliveira, Facó Thaís de Paula Pessoa
Núcleo de Pesquisa, Centro de Ciências da Saúde, Universidade de Fortaleza, Fortaleza, CE, 60811-341, Brasil.
Cad Saude Publica. 2003 Jul-Aug;19(4):1201-4. doi: 10.1590/s0102-311x2003000400041. Epub 2003 Sep 8.
This article deals with measures developed by the public health system to prevent accidents and violence in children in Fortaleza, Ceará State, Brazil. The program resulted from the need perceived by the authors in light of statistics on mortality from external causes in childhood and adolescence and the fact that there was apparently no preventive action being taken by the public health system. We conducted a questionnaire-based survey of health administrators in the six Regional Executive Secretariats (SERs) corresponding to the geographic districts in which the health system is divided in Fortaleza. According to the survey, existing preventive measures are limited in time and space, and there is no overall policy in this direction; the current measures are organized as health education campaigns focused on prevention of alcohol and drug abuse, violence, household accidents, and juvenile delinquency. SER-I was the only health district that had established partnerships with other sectors in developing such activities. We conclude that the public health system's agenda in Fortaleza needs to incorporate the prevention of childhood and adolescent accidents and violence, taking an inter-sectoral approach and joining efforts in order for the knowledge accumulated on such health problems to be transformed into effective action
本文探讨了巴西塞阿拉州福塔莱萨市公共卫生系统为预防儿童意外事故和暴力所采取的措施。鉴于儿童和青少年外部原因死亡率的统计数据，以及公共卫生系统显然未采取任何预防行动这一事实，作者察觉到了开展该项目的必要性。我们对福塔莱萨市卫生系统划分的六个地理区域对应的区域执行秘书处（SERs）的卫生管理人员进行了问卷调查。根据调查结果，现有的预防措施在时间和空间上都很有限，且缺乏这方面的整体政策；目前的措施是以预防酒精和药物滥用、暴力、家庭事故及青少年犯罪为重点的健康教育活动。SER-I是唯一一个在开展此类活动时与其他部门建立了合作关系的卫生区。我们得出结论，福塔莱萨市公共卫生系统的议程需要纳入预防儿童和青少年意外事故及暴力的内容，采取跨部门方法并共同努力，以便将积累的关于此类健康问题的知识转化为有效的行动。
