Moura Erly Catarina de, Lima Aline Maria Peixoto, Urdaneta Margarita
Tecnologia e Insumos Estratégicos, Secretaria de Ciência, Ministério da Saúde, Brasilia DF, Brazil.
Cien Saude Colet. 2012 Oct;17(10):2597-606. doi: 10.1590/s1413-81232012001000009.
This article presents and discusses the initial actions of Brazilian National Men's Health Policy (PNAISH) concerning indicators used for monitoring promotion and assistance actions of men's health. This multiple case study was developed among five Brazilian cities which had implanted the PNAISH: (Goiânia (GO), Joinville (SC), Petrolina (PE), Rio Branco (AC) and Rio de Janeiro (RJ). A questionnaire was applied to verify the use of data and information required to calculate the indicators recommended by the PNAISH, concerning health's promotion, implementation and expansion of the men's health assistance system, according to the planned goals contained in the cities' local action plans. The results revealed a critical situation concerning monitoring of the activities through the proposed indicators taking into account the lack of standardized procedures to calculate them. Another specific limitation encountered was the limited access to or availability of data by age and sex in the health information systems. These results point out a lack of necessary indicators to define a base line situation, which weakens the systematic monitoring and future evaluation of the actions.
本文介绍并讨论了巴西国家男性健康政策(PNAISH)在用于监测男性健康促进和援助行动的指标方面的初步行动。这项多案例研究在五个实施了PNAISH的巴西城市中开展:(戈亚尼亚(GO)、茹安维尔(SC)、佩特罗利纳(PE)、里奥布兰科(AC)和里约热内卢(RJ)。根据各城市地方行动计划中包含的既定目标,应用了一份问卷来核实计算PNAISH推荐指标所需的数据和信息的使用情况,这些指标涉及男性健康援助系统的促进、实施和扩展。结果显示,考虑到计算这些指标缺乏标准化程序,通过提议的指标对活动进行监测的情况严峻。另一个遇到的具体限制是,健康信息系统中按年龄和性别获取或提供的数据有限。这些结果表明缺乏定义基线情况所需的必要指标,这削弱了对行动的系统监测和未来评估。