O enfrentamento da Sífilis em Vitória (ES) no quadriênio 2016-2019: avaliação para a gestão
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Data
2021-12-20
Autores
Barcelos, Mara Rejane Barroso
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Universidade Federal do Espírito Santo
Resumo
Syphilis is an ancient disease, which continues to be a major public health problem in the world, in Brazil, in the state of Espírito Santo and in Vitória, its capital. The municipality is the main space for the implementation of health policies, from the decentralization of the Unified Health System, through their translation into programs, projects and plans that will guide their conduct. So far, there is no record of the evaluation of the Vitoria Combat Plan against Syphilis in a systematic way. Thus, this evaluation study for management is unprecedented in the municipality. Objectives: to evaluate the actions taken to face syphilis in pregnant women, acquired syphilis and congenital syphilis, in the city of Vitória from 2016 to 2019, to describe the facilities, difficulties and contributions of the actions developed in each axis of the coping plan in the perception of the health professionals and managers, and propose an assessment model to cope with syphilis for the management of the municipality. Method: This is an evaluation study for management, of a descriptive nature, with a quali-quantitative approach, with document analysis, extracting information from health information systems (Information System on Live Births and Information System of Notifiable Diseases), concerning to the years of 2016 to 2019, and conducting 87 interviews with health professionals and 2 focus groups with managers, from the city of Vitória. Results: Although the rate of detection of syphilis in pregnant women has been rising, there was an increase in the percentage of early detection, prenatal coverage and monitoring of pregnant women, evidencing improvements to cope the syphilis in this segment of the population. The city of Vitória showed a significant reduction in the number of cases of congenital syphilis and in the incidence rate of this disease, with improvements in the indicator of follow-up of congenital syphilis. Regarding acquired syphilis, Vitória presented an adequate treatment percentage of 90.08%, with an increase in each year. However, the percentage of monitoring, according to the Ministry of Health (MS), in this period, was 35.71%. Conclusion: The evaluation of the Syphilis Coping Plan contributed to a better understanding of the problem, in addition to providing the opportunity to develop new actions aimed at improving prenatal care and, consequently, the prevention of vertical transmission of syphilis, as well as highlighting the gaps that still exist struggling syphilis, allowing the management of the health sector, access to scientific knowledge that guides decisions. As a contribution to the service, an evaluation model of the Combat Plan against Syphilis was organized and delivered to the municipality, which can be used to evaluate future periods.
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Sífilis , gestação , sífilis congênita , políticas públicas , prevenção e controle , avaliação em saúde