Maia Daniely Aleixo Barbosa, Frias Paulo Germano de, Assunção Romildo Siqueira, Vidal Suely Arruda, Vanderlei Lygia Carmen de Moraes
Secretaria de Saúde de Jaboatão dos Guararapes, Núcleo de Apoio à Saúde da Família, Jaboatão dos Guararapes, PE, Brasil.
Grupo de Estudos de Avaliação em Saúde, Instituto de Medicina Integral Prof. Fernando Figueira, Recife, PE, Brasil.
Epidemiol Serv Saude. 2019 Jan 24;28(1):e2018187. doi: 10.5123/S1679-49742019000100002.
to evaluate the implantation of the Notifiable Diseases Information System (SINAN) in Pernambuco, Brasil, 2014.
This was an evaluation study based on primary data (interviews) and secondary data (SINAN documents/data) provided by the State Health Department and its Regional Divisions in order to estimate the degree of SINAN implantation, comparing structure and process indicators with results achieved.
SINAN was found to be partially implemented at central level (77.2%); and at regional level (61.2%), ranging from 54.7 to 71.6%; the following components had been implemented: reporting/investigation (90.0%) and processing (84.1%); analysis/divulgation had been partially implemented (61.6%); while monitoring (53.4%) and management (56.8%) were incipient; there was a lack of planning and published information bulletins; 46.9% of municipalities closed compulsory reporting on time; 68.7% sent batches regularly, 3.0% of tuberculosis cases were duplicated.
SINAN was found to be partially implemented in Pernambuco due to shortcomings in monitoring and management, with negative influences on system results; its strengths related to reporting, investigation and data processing.
评估2014年巴西伯南布哥州法定传染病信息系统（SINAN）的实施情况。
这是一项基于主要数据（访谈）和次要数据（SINAN文件/数据）的评估研究，这些数据由州卫生部及其地区部门提供，以估计SINAN的实施程度，将结构和过程指标与取得的结果进行比较。
发现SINAN在中央层面部分实施（77.2%）；在地区层面（61.2%），范围从54.7%到71.6%；已实施的组成部分如下：报告/调查（90.0%）和处理（84.1%）；分析/公布部分实施（61.6%）；而监测（53.4%）和管理（56.8%）尚处于初期阶段；缺乏规划和发布的信息公告；46.9%的市按时完成强制报告；68.7%定期发送批次，3.0%的结核病病例重复。
由于监测和管理方面的缺陷，发现SINAN在伯南布哥州部分实施，对系统结果产生负面影响；其优势在于报告、调查和数据处理。
