巴西伯南布哥州卡马拉吉贝麻风病控制项目实施情况评估。

Assessment of the implementation of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil.

作者信息

Souza Monique Feitosa de, Vanderlei Lygia Carmen de Moraes, Frias Paulo Germano de

机构信息

Secretaria Estadual de Saúde de Pernambuco, Diretoria de Vigilância à Saúde, Recife-PE, Brasil.

Instituto de Medicina Integral Prof. Fernando Figueira, Diretoria de Ensino, Recife-PE, Brasil.

出版信息

Epidemiol Serv Saude. 2017 Oct-Dec;26(4):817-834. doi: 10.5123/S1679-49742017000400013.

DOI:10.5123/S1679-49742017000400013

PMID:29211145

Abstract

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.

摘要

目的

评估巴西伯南布哥州卡马拉吉贝麻风病控制项目行动的实施情况。

方法

基于逻辑模型构建所指导的标准、指标和参数进行“实施分析”的评估研究；评估了四个组成部分——管理、医疗保健、流行病学监测、健康教育与宣传；采用了直接观察/问卷调查以及法定传染病信息系统的数据。

结果

该项目的实施尚处于初期阶段（58.3%）；各组成部分的评估结果从“未实施”（健康教育与宣传，48.0%）、“初期”（管理，53.3%；医疗保健，57.2%）到“部分实施”（流行病学监测，73.0%）不等；2012年，观察到接触者检查比例较低（28.4%）、治疗中断率（34.1%）、患者护理流程标准化程度有限以及管理人员解决问题的能力较差。