Elizabeth Moreira dos Santos

Monitoramento em Promoção de Saúde: uma experiência de capacitação de adultos em um Estado do Nordeste brasileiro

This article aims to systematically describe and reflect on the experience of implementing monitoring processes of the Programa Acao Saude (PAS), or Health Action Programme, as an experience of translation, contextualized in the interface between primary care from the Sistema Unico de Saude (SUS), or Unified Health System, and communities with urban-rural characteristics. The PAS has established itself as a pedagogic proposition based on skills and has used the methodology of problematization. The processes of the PAS are taken under the perspective of translation operations, such as: problematization, mobilization, networking and alignment. The monitoring of those processes highlights the dilemmas of measurement, monitoring and shared reflection of their tangible and intangible effects. The implementation of the monitoring system, mediated by a public academic institution sought to contribute to models of public-private partnerships in social development policies. Among the promising connections established in the PAS, the identification of the public agenda in the health sector has been emphasized as a route to be strengthened and improved, as well as advocacy actions around the choice of local themes and priorities. It was concluded that the configuration of the health promotion network was influenced by different geopolitical contexts of the municipalities, especially for the sustainability and implementation of local projects and the incentive to a local culture in Monitoring and Evaluation - M&E.

E-Learning and Problematizing Pedagogies: A Brazilian Experience in Monitoring and Evaluation Teaching

The present chapter analyzes three E-learning initiatives developed by the Evaluation Laboratory (LASER) at the Sergio Arouca National School of Public Health, Fiocruz, Rio de Janeiro, Brazil (ENSP/FIOCRUZ), highlighting the challenges of using current pedagogical methodologies for monitoring and evaluation (M&E) teaching. The research is based on three classes of a specialization course in health evaluation in the online distance learning (ODL) format, as part of a technical cooperation agreement between ENSP/FIOCRUZ and the Brazilian Ministry of Health (MS). The initiatives suggest E-learning facilitates access to information and training. The experience indicates that E-learning in M&E in health makes an essential contribution in M&E practices and knowledge, among professionals working in Brazil’s Unified Health System (SUS). However, critical theoretical and practical challenges persist, either from a pedagogical approach, specificity of content in M&E, the information and communication technologies (ICT) involved, or institutional factors.