Ellen Oliveira

Avaliação dos atributos de aceitabilidade e estabilidade do sistema de vigilância da dengue no estado de Goiás, 2011

OBJETIVO:avaliar os atributos de aceitabilidade e estabilidade do sistema de vigilância da dengue no estado de Goias, Brasil, em 2011.METODOS:estudo descritivo utilizando o metodo do Centers for Disease Control and Prevention(CDC/USA), com aplicacao de questionario a profissionais envolvidos na vigilância da dengue.RESULTADOS:134 profissionais participaram do estudo, representando 41,5% (102/246) dos municipios goianos; dificuldades para o encerramento dos casos graves foram referidas por 34,5% dos coordenadores de vigilância; aproximadamente 70% dos participantes informaram desconhecer a existencia de um plano de contingencia para o enfrentamento de epidemias de dengue e 59% responderam que todos os casos suspeitos de dengue deveriam ser confirmados laboratorialmente, independentemente da ocorrencia de epidemias; para 75% dos entrevistados, a digitacao das fichas de notificacao/investigacao foi realizada sem intercorrencias.CONCLUSAO:o sistema de vigilância da dengue apresentou funcionamento estavel; porem, as limitacoes observadas remetem a necessidade de seu aprimoramento.

Controle da dengue: os consensos produzidos por Agentes de Combate às Endemias e Agentes Comunitários de Saúde sobre as ações integradas

Dengue is one of Brazils most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.Dengue is one of Brazil’s most important public health challenges. Activities for its prevention and control have been based on the strategy of integrated management proposed in health policies, in which the central actors are the Endemic Disease Control Agent(ACE) and the Community Health Agent (ACS). This study analyzes consensus opinions produced by ACSs and ACEs on theactions for incorporating ACEs into the teams of the Family Health Strategy (ESF). It is a qualitative study from a large municipality in Brazil in which dengue is endemic, using a focus group of professionals that is subsequently analyzed using Collective Subject Discourse Analysis, supported by WebQDA. The results indicate consensus positions in relation to the following subjects: I) difficulty in the process of integration of ACSs and ACEs for control of dengue; II) inclusion of ACEs in the primary healthcare of the ESF; and III) absence of monitoring and assessment of the integrated actions. In conclusion, there are needs: to make participants more aware, seeking changes in behavior; to offer an environment of support to those involved with training courses about dengue; and to monitor the process of integration, and evaluate it periodically, creating indicators of quality and quantity.

Qualitative research in health: contributions to education, profession, family, citizenship and social interaction

Dayse Neri de Souza1, Marília Rua2, Ellen Synthia Fernandes Oliveira3, António Pedro Costa4 The articles published in the current Special Edition were selected after a rigorous evaluation. Despite being chosen because of their accuracy and quality of the studies conducted, not because of the subjects addressed, the themes that have become enriching for this publication were clearly cohesive and sequential. Being qualitative studies, the articles focus, as recommended by experts in the field1, 2, 3, 4, 5, 6, on the duty to reveal “truths”, values, beliefs, representations, habits, deep knowledge of their experiences and the way people construct meanings and relationships. It is indeed important to note that over the last years qualitative studies in health have achieved their due recognition. The path studies of this nature have walked is notoriously difficult. Authors like Sarma2 have pointed out the challenging path that encounters misleading allegations and the lack of understanding of the paradigmatic differences between the two research types Quantitative and Qualitative. According to the author, qualitative studies are accused of being mere story tales, anecdotes and researchers’ personal impressions, labelled as non-scientific due to the fact that their results cannot be generalised. The discussion about qualitative studies not being able to be generalised is an old one, preceding the golden years of the 1920s with Malinowski7, who has become a pioneer in his area by describing the collection of field data in an organised and systematic way, and his contributions to the discussion. In spite of the sharp criticism, one should reflect on the perspectives given by authors such as Deslandes and Assis8, and Amado9, who note the need for these studies to comply with their own characteristics but also the accuracy and quality of science. Boavida and Amado10, and Deslandes and Assis8 warn us that the compliance of reliability, validity and credibility criteria in qualitative studies is a great advantage that “allows a greater reliability of its constructs to the empirical reality and to the experience of the individuals surveyed”8:204. Facing a slow but steady and robust growth, important contributions of qualitative studies conducted by health professionals have been published in several health journals11,12. The themes of the articles in the current number range from health courses and training of doctors and nurses to health and disease, family experience and suffering, eating habits, the role and importance of social networks for nursing and family, as well as nurses’ experiences and views and the voice of the community health agent. Within the scope of health training based on the curricula and adaptation to reality, the article Understanding the national syllabus in light of the overarching training principals in health care in Brazil indicated an analysis of the pedagogical projects, highlighting the guiding principles of training in Nursing, Pharmacy, Medicine, Nutrition and Odontology courses, from the technical and ethical-social factors to professional practice and interdisciplinarity. In this respect, the results of the study Analysis of teaching-service integration activities performed in health courses at the Federal University of Bahia revealed the importance of inEDITORIAL

Perceptions of representatives of a committee against dengue in the health education actions, Goiás, Brazil.

This study aimed to analyze how the educational actions of prevention and control of dengue are performed in Goiás, from the perspective of representatives of the State Mobilization Committee against Dengue. It is a cross-sectional descriptive-analytical study, carried out in Goiânia with 43 representatives of public-private institutions, members of the State Mobilization Committee against Dengue of Goiás, in 2013. The data collection was done through questioning about the perception of health education for dengue prevention. Data were analyzed using content analysis and the WebQDA software. Three dimensions emerged from the analysis: educational aspects, management aspects, and community involvement. Respondents recognized the importance of health education for the prevention of dengue, and of the planning to strengthen the activities of the Committee.Esta pesquisa teve como objetivo analisar como ocorrem as acoes educativas de prevencao e controle da dengue em Goias segundo a percepcao dos representantes do Comite Estadual de Mobilizacao Contra Dengue. Trata-se de um estudo descritivo-analitico, transversal, realizado em Goiânia, com 43 representantes de Instituicoes publico-privadas integrantes do Comite Estadual de Mobilizacao Contra Dengue de Goias, em 2013. A coleta de dados realizada por meio de uma questao sobre a percepcao da educacao em saude para prevencao da dengue. Os dados foram analisados por meio da analise de conteudo com auxilio do software WebQDA. Emergiram da analise tres dimensoes: aspectos educacionais; aspectos de gestao e envolvimento da comunidade. Os respondentes reconheceram a importância da educacao em saude para a prevencao da dengue e do planejamento para fortalecer a atuacao do Comite.

Percepções de representantes de um comitê contra dengue nas ações de educação em saúde, Goiás, Brasil.

This study aimed to analyze how the educational actions of prevention and control of dengue are performed in Goiás, from the perspective of representatives of the State Mobilization Committee against Dengue. It is a cross-sectional descriptive-analytical study, carried out in Goiânia with 43 representatives of public-private institutions, members of the State Mobilization Committee against Dengue of Goiás, in 2013. The data collection was done through questioning about the perception of health education for dengue prevention. Data were analyzed using content analysis and the WebQDA software. Three dimensions emerged from the analysis: educational aspects, management aspects, and community involvement. Respondents recognized the importance of health education for the prevention of dengue, and of the planning to strengthen the activities of the Committee.Esta pesquisa teve como objetivo analisar como ocorrem as acoes educativas de prevencao e controle da dengue em Goias segundo a percepcao dos representantes do Comite Estadual de Mobilizacao Contra Dengue. Trata-se de um estudo descritivo-analitico, transversal, realizado em Goiânia, com 43 representantes de Instituicoes publico-privadas integrantes do Comite Estadual de Mobilizacao Contra Dengue de Goias, em 2013. A coleta de dados realizada por meio de uma questao sobre a percepcao da educacao em saude para prevencao da dengue. Os dados foram analisados por meio da analise de conteudo com auxilio do software WebQDA. Emergiram da analise tres dimensoes: aspectos educacionais; aspectos de gestao e envolvimento da comunidade. Os respondentes reconheceram a importância da educacao em saude para a prevencao da dengue e do planejamento para fortalecer a atuacao do Comite.