http://hdl.handle.net/11422/6272 2026-04-28T01:44:53Z http://hdl.handle.net/11422/26494 Title: Desafios e potencialidades da Rede CIEVS: um diagnóstico situacional das unidades do estado do Rio de Janeiro Author(s)/Inventor(s): Silva, Maria Isabella Luiz da Advisor: Santos, Gerusa Belo Gibson dos Abstract: Since its establishment in 2005, the Strategic Information Center for Health Surveillance (CIEVS), under the Secretariat of Health Surveillance and Environment of the Brazilian Ministry of Health, has played a key role in the detection, monitoring, and response to public health emergencies in Brazil, in alignment with the International Health Regulations. The expansion of the CIEVS Network in a context of intensified climate change, the rise of emerging and re-emerging diseases, and a significant decline in vaccination coverage highlights the importance of surveillance systems for the timely identification of unusual health events. In this context, it is essential to ensure that CIEVS units operate with the necessary structure and processes to adequately respond to potential public health emergencies. Objective: This study aimed to conduct a situational diagnosis of the CIEVS Network in the state of Rio de Janeiro, focusing on physical and organizational infrastructure, work processes, and the operational capacity of municipal units. Method: A survey was conducted with key informants (coordinators from the eight municipal CIEVS units in Rio de Janeiro state) using an electronic questionnaire, complemented by on-site technical visits. Data collected addressed aspects related to installed capacity, work processes, human resources, and operational capacity. Results: With the exception of the municipality of Rio de Janeiro, all units began their activities after the COVID-19 pandemic. Although all units perform the main work processes expected of CIEVS, weaknesses were observed regarding inter-sector communication, as well as limitations in human resources and infrastructure. Teams also expressed interest in training and tools to support data analysis and visualization. The study identified strengths, such as the presence of multidisciplinary teams, but also highlighted the need for actions to promote greater operational standardization. Regular and systematic evaluations are crucial or the network's continuous improvement, considering that public health emergencies represent a growing challenge requiring strategic and coordinated actions for their management. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização 2025-06-12T00:00:00Z http://hdl.handle.net/11422/25998 Title: Reestruturação da Atenção Básica em Saúde em Mesquita Author(s)/Inventor(s): Melo, Gabriela David de Advisor: Siqueira, Alexandre San Pedro Abstract: The 1988 Federal Constitution, the result of a period of intense political participation, provides spaces for social participation and redefines the role of the different federative entities in state management, pointing to another type of planning with very different characteristics from previous models, especially the one adopted by the military civil dictatorship. In other words, the 1988 Federal Constitution becomes a guideline for planning in Brazil, defining general guidelines that must be respected, such as transparency, decentralization and social participation. The Organic Health Law 8080/1990 organizes the Unified Health System into a health care network, defining the levels of complexity of care, making each federative entity responsible according to its level in the administrative structure. Thus, equipment with a more robust and technological structure capable of dealing with more complex health situations such as surgeries, specific exams and invasive treatments are the responsibility of the federal sphere, which is characterized as tertiary care; less complex cases (in relation to the health condition of the physical body) and urgent cases or cases that are already at a rehabilitation level and require outpatient follow-up are the responsibility of the state level, classified as secondary care and the responsibility for less complex cases, health promotion, prevention and surveillance actions are the responsibility of the municipalities, characterized as Primary or Basic Care. In this paper we describe how the municipality of Mesquita has restructured primary health care, looking at hospital admission rates for conditions sensitive to primary care, and conducting a partial quantitative and qualitative analysis of this process. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização 2024-12-14T00:00:00Z http://hdl.handle.net/11422/24989 Title: Recuperando o fôlego: a importância das equipes de atenção primária prisional para o controle da tuberculose nos presídios do estado do Rio de Janeiro Author(s)/Inventor(s): Ribeiro, Helena Medrado Advisor: Brandão, Elaine Reis Abstract: The right to health in Brazilian prisons is a historical challenge, marked by significant morbidity, especially from infectious diseases such as tuberculosis. The National Policy for Comprehensive Health Care for the Deprived of Liberty Population in the Prison System aims to ensure access for this population to comprehensive care within the Unified Health System (SUS) throughout their prison journey, through the establishment of Prison Primary Care teams (PNAISP). The main objective of this study was to analyze the importance of implementing Prison Primary Care teams in controlling tuberculosis in the prison system of the state of Rio de Janeiro. Specifically, I sought to describe the process of implementing the Prison Primary Care teams in the state and to relate the implementation of these teams to two operational tuberculosis indicators: the confirmation of tuberculosis diagnosis by laboratory criteria and HIV testing among new tuberculosis cases. To this end, documentary research was conducted, combining qualitative analysis of institutional documents and quantitative analysis of operational data. It was found that the state of Rio de Janeiro adhered to PNAISP in 2014, but only in 2019, with the creation of a specific superintendency within the structure of the State Health Department of Rio de Janeiro, did efforts begin to implement the policy in municipalities with prison units, especially through the establishment of a co-financing program for municipalities. By 2024, all penal units in the state of Rio de Janeiro were covered by Prison Primary Care teams. An increase was observed in both evaluated indicators: the percentage of confirmation of pulmonary tuberculosis by laboratory criteria and the percentage of new tuberculosis cases that underwent HIV testing. This study sought to demonstrate that decentralizing health care for the deprived of liberty population to Primary Health Care in the penal units of the state of Rio de Janeiro was fundamental in initiating a paradigm shift in tuberculosis control within the state’s prisons. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização 2024-10-17T00:00:00Z http://hdl.handle.net/11422/24850 Title: E agora, quem poderá nos defender?: a vigilância de violências no município do Rio de Janeiro Author(s)/Inventor(s): Irineu, Nadyra Moraes Advisor: Cavalcanti, Maria de Lourdes Tavares Abstract: Violence is a phenomenon rooted in complex social structures, standing out as one of the main challenges for global public health. According to the World Health Organization (WHO), violence accounts for approximately 2% of global deaths, significantly impacting the quality of life for millions of people. In Brazil, it ranks among the leading causes of death, particularly among young people and adults. Within this context, health surveillance emerges as a strategic tool for monitoring and controlling violence, guided by policies such as the National Policy for the Reduction of Morbidity and Mortality from Accidents and Violence (PNRMAV), which outlines preventive and follow-up measures. This study aims to characterize the violence surveillance system in the city of Rio de Janeiro, focusing on the notification process. Using a qualitative and descriptive approach, the study analyzed notification flows, management procedures, and discrepancies between the regulations of the Ministry of Health and local practices. The findings revealed that the notification process involves identifying signs by health professionals, detailed recording on specific forms, and data entry into the National System for Notifiable Diseases (SINAN). Cases are discussed in regional groups and used to plan preventive actions. Tools such as Monitor Carioca assist in tracking sexual violence against children and adolescents. However, the system faces challenges such as underreporting, overburdened health professionals, lack of standardized procedures, and difficulties in integrating data from various sources. Improving the system requires continuous professional training, standardization of notification tools, and strengthened coordination among management levels and intersectoral sectors, including health, justice, social assistance, and education. Furthermore, fostering community participation through councils and working groups is essential to align actions with local needs. It concludes that the violence surveillance system in Rio de Janeiro has made significant progress but still faces structural limitations that compromise its effectiveness. Investing in information technologies, integrating systems, and improving data collection and analysis processes are crucial steps to strengthen surveillance, support more assertive public policies, and promote population health. Publisher: Universidade Federal do Rio de Janeiro Type: Trabalho de conclusão de especialização 2024-11-28T00:00:00Z