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2003年至2015年巴西非传染性疾病监测系统的实施:成就与挑战

The implantation of the Surveillance System for Non-communicable Diseases in Brazil, 2003 to 2015: successes and challenges.

作者信息

Malta Deborah Carvalho, Silva Marta Maria Alves da, Moura Lenildo de, Morais Otaliba Libânio de

机构信息

Departamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.

Departamento de Saúde Coletiva, Universidade Federal de Goiás - Goiânia (GO), Brasil.

出版信息

Rev Bras Epidemiol. 2017 Oct-Dec;20(4):661-675. doi: 10.1590/1980-5497201700040009.

Abstract

OBJECTIVE

To describe the implantation of the Surveillance System for Noncommunicable Diseases (NCDs) in the Unified Health System (Sistema Único de Saúde) and the challenges in maintaining it.

METHODS

A literature review was carried out the information contained in federal government directives between 2003 and 2015 was consulted.

RESULTS

A comprehensive risk and protection factor surveillance system was implemented. It is capable of producing information and providing evidence to monitor changes in the health behavior of the population. Among the advances cited are the organization of epidemiological surveys, such as the Surveillance System for Risk Factors and Protection for NCD (Sistema de Vigilância de Fatores de Risco e Proteção para DCNT - Vigitel), the National School Health Survey (Pesquisa Nacional de Saúde do Escolar - PeNSE), and the National Health Survey (Pesquisa Nacional de Saude) from 2013, which enabled the most extensive health diagnosis of the Brazilian population. In 2011, the NCD National Plan 2011-2022 established targets for reducing risk factors and NCD mortality.

CONCLUSION

The information gathered from the NCD surveillance system can support the implementation of sectoral and intersectorial strategies, which will result in the implementation of the Brazilian Strategic Action Plan for the prevention and control of NCDs, as well as the monitoring and evaluation of their results periodically. Finally, it can be a very important tool to help Brazil achieve the goals proposed by the 2030 Agenda for Sustainable Development and the Global Plan to Tackling NCDs.

摘要

目的

描述非传染性疾病监测系统在统一卫生系统中的实施情况以及维持该系统所面临的挑战。

方法

进行了文献综述,查阅了2003年至2015年联邦政府指令中包含的信息。

结果

实施了一个全面的风险和保护因素监测系统。它能够生成信息并提供证据,以监测人群健康行为的变化。所提及的进展包括组织流行病学调查,如非传染性疾病风险因素和保护监测系统(Vigitel)、全国学校健康调查(PeNSE)以及2013年的全国健康调查,这些调查实现了对巴西人口最广泛的健康诊断。2011年,《2011 - 2022年非传染性疾病国家计划》设定了降低风险因素和非传染性疾病死亡率的目标。

结论

从非传染性疾病监测系统收集的信息可支持部门和跨部门战略的实施,这将促成巴西非传染性疾病预防和控制战略行动计划的实施,以及定期对其结果进行监测和评估。最后,它可以成为帮助巴西实现《2030年可持续发展议程》和《全球应对非传染性疾病计划》所提出目标的非常重要的工具。

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