Saúde Coletiva

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17584
Programa de Pós-Graduação em Saúde Coletiva

Centro: CCS
Telefone: (27) 3335 7287
URL do programa: http://www.saudecoletiva.ufes.br/pt-br/pos-graduacao/PPGSC

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    Análise do programa saúde na escola como estratégia de promoção da saúde
    (Universidade Federal do Espírito Santo, 2023-12-12) Wagmacker, André dos Santos; Carvalho, Raquel Baroni de ; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador2; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador3; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador4; ID do co-orientador4; Lattes do co-orientador4; Esposti, Carolina Dutra Degli ; https://orcid.org/; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Pacheco, Karina Tonini dos Santos ; https://orcid.org/; http://lattes.cnpq.br/; Paiva, Saul Martins ; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 4º membro da banca; http://lattes.cnpq.br/; 5º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 6º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 7º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    Introduction: The School Health Program (Programa Saúde na Escola - PSE) was established in 2007 through a partnership between the Ministries of Health and Education of Brazil, aiming to promote the comprehensive health of public school students. Although the PSE has proven to be an important health strategy, its implementation has not yet reached its full potential, with one of the most notable weaknesses being intersectorality.Objectives: This dissertation aimed to analyze the PSE as a health promotion strategy and had the following specific objectives: to describe the implementation and results of the PSE in Brazil through a scoping literature review; to analyze the correlation between social inequalities, organization of health services, epidemiological indicators, and PSE outcomes in the municipalities of the state of Espírito Santo (ES) between 2019 and 2022; and to develop a manual to support the execution and monitoring of PSE results by Brazilian municipalities.Methods: This is a qualitative-quantitative study divided into three stages. In the first stage, a scoping review of the literature on the implementation and results of the PSE in Brazil between 2007 and 2022 was conducted. In the second stage, an ecological study was performed using public secondary data. The dependent variable considered the set of goals agreed upon in the adherence to the PSE in each cycle and was constructed with data from SISAB. The result was correlated with social variables, organization of health services, and epidemiological indicators. In the third stage, an e-book containing information on the execution and monitoring of PSE results for Brazilian municipalities was developed. Results: The scoping review revealed weaknesses in the implementation of the PSE across the country, namely: in the structure, there is insufficient training on the program's objectives, a shortage of professionals, and work overload; in the process, there is an absence of situational diagnosis and intersectoral planning, fragmented activities, and the health sector's leading role; and in the results, there were improvements in access to health services, increased adherence to the program, and perceived improvements in students' habits and learning. The ecological study showed that municipalities in ES had difficulties meeting the program's goals, especially in 2020, the peak of the COVID-19 pandemic. The Metropolitan Health Region achieved better results in the four years evaluated; a correlation was observed between social variables (HDI, CadÚnico, IDEB, and illiteracy rate), health system variables (Basic Care Coverage and Previne Brasil ISF), and epidemiological variables (Poliomyelitis Vaccination Coverage) with better PSE outcomes. The health sector was noted as the main participant in activities compared to the education sector. In the third stage, an e-book was developed containing information about the PSE, proposed methodologies to be employed in activities, and tools for monitoring its results. Conclusions: Both the literature review and the ecological study showed that municipalities face difficulties in developing the activities agreed upon in the cycles. These findings highlight the need for improvements in the program's implementation, addressing its structural and procedural weaknesses to enhance its desired outcomes and impacts. It is hoped that the developed manual will contribute to this process
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    Análise ecológica dos dados de óbito por tuberculose no Espírito Santo
    (Universidade Federal do Espírito Santo, 2024-08-16) Oliveira, Yasmin Gurtler Pinheiro de; Catão, Rafael de Castro ; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador2; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador3; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador4; ID do co-orientador4; Lattes do co-orientador4; Prado, Thiago Nascimento do ; https://orcid.org/; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Cola, João Paulo ; https://orcid.org/; http://lattes.cnpq.br/; Vieira, Anne Caroline Barbosa Cerqueira ; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 4º membro da banca; http://lattes.cnpq.br/; 5º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 6º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 7º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    Introduction: Tuberculosis is still a challenge for the world and is the second leading cause of death from infectious diseases. Not unlike the world scenario, Brazil has also been seeking strategies to tackle tuberculosis in order to reduce the number of new cases and deaths from the disease. To this end, ecological studies have been developed in Brazil as a tool for analyzing the points of highest incidence and prevalence of a disease in the territory, as well as a tool used to evaluate the temporal trend of the disease, showing the places that present the greatest risks for the development and worsening of a disease. Objectives: To identify in the scientific literature the methods used for ecological analysis of deaths from tuberculosis in Brazil between 2018 and 2024. To analyze the quality of data on tuberculosis care services in the municipalities of the state of Espírito Santo using information from the forms, especially the completeness of data from the notification forms in the Compulsory Notifiable Diseases Information System with the outcome of deaths from the disease, between 2015 and 2019. Methods: The PICOS search strategy and the PRISMA research protocol were used to carry out a literature review of ecological studies that addressed the topic of tuberculosis deaths and the methods adopted by the scholars. The period analyzed was from 2018 to 2024 and used the Scielo, PubMed and LILACS databases. As for the spatial analysis, this is an ecological, descriptive and exploratory study, which involved secondary data from the compulsory tuberculosis notification forms of the Compulsory Notifiable Diseases Information System made available by the Espírito Santo State Health Department. In order to assess the completeness of the information, the 2003 Centers for Disease Control and Prevention classification was used, classifying completeness as “poor”, “fair” and “excellent”. Maps were created showing the distribution of completeness in the territory of Espírito Santo in order to see which places filled in the notification forms better or worse. Results: Sixteen articles were eligible, addressing the theme of tuberculosis death in the Brazilian territory, published between 2018 and 2024. The authors used secondary data from DATASUS, mostly Mortality Information System data. Among Brazil's macro-regions, the Northeast was the territory with the most publications. The Global and Local Moran's Index was the most used method in the 13 sample, as was the spatial scanning method. Finally, all the studies presented the relationship between the territory and social determinants as an outcome. As for the completeness analysis, the total number of tuberculosis notifications closed as “TB deaths” was 347 cases, of which 271 met the eligibility criteria (not presenting the “post-mortem” entry type). The majority of cases were male, aged between 50 and 60, of brown race/color, with incomplete schooling. The state of Espírito Santo had a fair rating for the completeness of the information on the variables analyzed and the Metropolitan Region of Vitória had a poor and fair rating for the completeness of the data on the tuberculosis notification form. Conclusions: In relation to the findings of the integrative literature review, it was observed that the tools of ecological spatial analysis are reflected in maps that show the scenario of the territory and how it is possible to evaluate the temporal trend of the region of analysis. Therefore, this type of scientific method has been developed in regions where death from tuberculosis is still an alarming factor for public health, contributing to the interpretation and analysis of space in relation to the disease. With the ecological analysis of the completeness of the data from the tuberculosis notification forms that had the outcome “death from tuberculosis”, it was observed that the completeness of the data directly affects the demonstration of death in the municipalities of Espírito Santo, hindering epidemiological analysis of the population. In addition, it was observed that the flow of notifications in the territory is centralized in the state capital, with the municipality of Vitória having more notifications than residents who died from the disease. In view of this, the findings of this study emphasize the need to analyze the collective in order to help devise health strategies for dealing with tuberculosis. To this end, it is suggested that future studies explore ecological methods for analyzing the behavior of tuberculosis deaths in space and that measures and flows be planned and audited
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    Práticas integrativas e complementares em saúde : inserção no ensino, pesquisa e extensão no Centro de Ciências da Saúde de uma universidade pública
    (Universidade Federal do Espírito Santo, 2024-04-26) Amite, Cristiara Ferreira Lima; Co-orientador1; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador2; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador3; https://orcid.org/; http://lattes.cnpq.br/; Co-orientador4; ID do co-orientador4; Lattes do co-orientador4; Orientador1; https://orcid.org/; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; 1º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 2º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 4º membro da banca; http://lattes.cnpq.br/; 5º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 6º membro da banca; https://orcid.org/; http://lattes.cnpq.br/; 7º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    Introduction: The main public policy related to the topic, National Policy on Integrative and Complementary Practices in Health, reinforces the need for training human resources and continuing education for professionals. One of the main actions defined in the guidelines is the introduction of disciplines in professional health training, that is, at undergraduate and postgraduate levels. Objective: this work is to carry out a situational diagnosis of teaching, research and extension of PICS in the Health Sciences Center of a public university. This is a cross-sectional, documentary, descriptive study with a quantitative approach on the offering of subjects and content in PICS at the teaching, research and extension level from January 2020 to December 2023, with data collection carried out from June to December 2023. The study was developed within the scope of the Research in Integrative and Complementary Practices in Health (iPICS) research group. Results: In teaching, homeopathy and phytotherapy were optional subjects in undergraduate medicine, pharmacy and nutrition courses; in nursing, there was a mandatory subject that addresses the subject of PICS; in the multi-professional residency postgraduate course there is a PICS discipline on the transversal axis, which is mandatory; In the master's and doctorate programs in public health, master's degree in nursing and pharmaceutical sciences, there is also a record of related subjects and content. In research, there are two research groups, and the record of 174 scientific publications; in extension, 19 activities. Topics generally stand out in PICS, and specifically related to medicinal plants/phytotherapy in teaching (60%) and research (20.1%); and meditation (26.3%) in extension. Conclusions: the situational diagnosis highlighted the presence of PICS in undergraduate and postgraduate education, the existence of research groups and developed research and extension activities in the university's CCS
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    Tendência temporal da mortalidade por acidente vascular cerebral na população residente do estado do Espírito Santo, Brasil: uma análise com a regressão joinpoint entre o período de 2000 e 2021
    (Universidade Federal do Espírito Santo, 2024-07-28) Mpuhua, Casanova André Motopa; Souza, Orivaldo Florêncio de; https://orcid.org/; http://lattes.cnpq.br/; Abreu, Luiz Carlos de; https://orcid.org/0000-0002-7618-2109; http://lattes.cnpq.br/; Orientador2; https://orcid.org/; http://lattes.cnpq.br/; https://orcid.org/; http://lattes.cnpq.br/; Daboin, Blanca Elena Guerrero; https://orcid.org/0000-0001-6819-3900; http://lattes.cnpq.br/; Rocha, João Batista Francalino da; https://orcid.org/; http://lattes.cnpq.br/; 3º membro da banca; https://orcid.org/; http://lattes.cnpq.br/
    INTRODUCTION: stroke is one of the leading causes of death and acquired disability worldwide. Each year, 17 million people suffer a stroke, resulting in 6.5 million deaths, while millions more face the disease, bringing the total number of survivors to 80 million. In Brazil, stroke is the leading cause of death among adults, accounting for 10% of hospital admissions to public hospitals. Despite the reduction in overall mortality from stroke, the absolute number of cases, deaths and years of life lost continues to grow, especially in developing and underdeveloped countries. OBJECTIVE: to analyze the trend of mortality due to stroke in the population of the state of Espírito Santo, Brazil, between 2000 and 2021. METHODS: this is an ecological time series study using secondary data on the population of the state of Espírito Santo, Brazil, from 2000 to 2021. Data on deaths by sex and age group during this period were obtained from the database of the Department of Informatics of the Unified Health System (DATASUS), on the website https://datasus.saude.gov.br/informacoes-de-saude-tabnet/. The focus of the study was to analyze deaths whose underlying cause was stroke, coded as I64 in the International Classification of Diseases, 10th version. The temporal trend of strokes was assessed using joinpoint regression analysis with the Regression Joinpoint software. RESULTS: in the state of Espírito Santo, from 2000 to 2021, there was a significant decrease in proportional mortality from stroke of -3.7% (95% CI: -5.8%; - 1.7%), with a p-value <0.001. This decline was observed both in males, with a reduction of -3.0% (95% CI: -4.2%; -1.7%), and in females, which recorded a decrease of -3.9% (95% CI: -5.6%; -2.2%). Among the age groups analyzed, the group aged 50 to 59 years stood out, which showed the greatest decline in proportional mortality from stroke, with an average annual percentage change (AAPC) of -4.9 (95% CI: -8.4; -1.4). In contrast, the 30–39 age group showed the smallest decline, with a VPMA of -2.4 (95% CI: -4.2; -0.5). No segments of change in proportional stroke mortality were identified in the 40–49, 60–69, and 70–79 age groups during the study period. CONCLUSION: there was a decline in stroke mortality rates, with a long-term downward trend, in the state of Espírito Santo, Brazil, during the period analyzed. The interrupted trend analysis revealed two segments for stroke mortality from 2000 to 2016, with a decreasing trend, and from 2016 to 2021, with an increasing trend.