Dubeux Luciana Santos, Jesus Renata Patrícia Freitas Soares de, Samico Isabella, Mendes Marina Ferreira de Medeiros, Wanderley Flávia Silvestre Outtes, Tomasi Elaine, Nunes Bruno Pereira, Facchini Luiz Augusto
Instituto de Medicina Integral Prof. Fernando Figueira, Grupo de Estudos de Gestão e Avaliação em Saúde, Recife, PE, Brasil.
Secretaria Estadual de Saúde, Secretaria Executiva de Vigilância em Saúde, Recife, PE, Brasil.
Epidemiol Serv Saude. 2019 Jul 29;28(2):e2018085. doi: 10.5123/S1679-49742019000200008.
to evaluate the implementation of schistosomiasis mansoni control actions under the Program to Combat Neglected Diseases in three municipalities in Pernambuco state, Brazil.
implementation analysis was done in 2014, considering the following components - management, epidemiological surveillance, patient care, laboratorial support and health education -; direct observation and interviews were carried out with managers and technical personnel at the state, regional, and municipal levels.
partial implementation was found in municipalities A and B 69.7%; 62.2%, while there was full implementation in municipality C 79.5%; contextual weaknesses were found in communication between management levels, insufficient technical-management autonomy of decentralized levels, and professional staff job instability; potentialities identified were - continuing education, political articulation, knowledge about the program, and performance evaluation.
contextual categories related to development and implementation stood out for their positive influence on the degree of implementation in the municipalities; we recommend intervention in the weaknesses found, in order to ensure program sustainability and institutionalization.
评估巴西伯南布哥州三个市在 neglected diseases 防治计划下曼氏血吸虫病控制行动的实施情况。
2014 年进行实施情况分析，考虑以下几个方面——管理、流行病学监测、患者护理、实验室支持和健康教育；对州、地区和市级的管理人员和技术人员进行了直接观察和访谈。
A 市和 B 市部分实施，分别为 69.7%；62.2%，而 C 市全面实施，为 79.5%；发现管理层面之间沟通存在薄弱环节、分权层面技术管理自主权不足以及专业人员工作不稳定等情况；确定的潜力包括——继续教育、政治协调、对该计划的了解以及绩效评估。
与发展和实施相关的背景类别对各市的实施程度具有积极影响，这一点很突出；我们建议对发现的薄弱环节进行干预，以确保该计划的可持续性和制度化。
