Fernando Castim Pimentel

Análise do avanço das equipes de saúde bucal inseridas na Estratégia Saúde da Família em Pernambuco, região Nordeste, Brasil, 2002 a 2005

The aim of this study was to analyze the implementation of oral health care in the Family Health Strategy in the State of Pernambuco, Brazil, 2002 until 2005. It was observed aspects regarding the expansion of the teams, the percentage of population covered and the rise in the quantitative of oral primary procedures. It was a descriptive and quantitative study, focusing on the 185 cities included in the Family Health Strategy and all cities that included an oral health care in the program. The results showed that the evaluation of the oral health teams was 204.22%, while the percentage of the evolution of oral health care procedures 19.19%. It was observed that the expansion of the type I (327,14%) was higher than type II (125,92%). The estimation of the population covered by oral health team was about 29.56% to 3.450 inhabitants (Decree n. 673/03). The financing of oral health care primary had an increase in the same period of 389.50%. At last, it was verified, in practice, the oral care existent service to oral primary care procedures were changed in oral health teams.

Perfil do cirurgião-dentista inserido na Estratégia de Saúde da Família em municípios do estado de Pernambuco, Brasil

This article intends to approach the incorporation of the oral health to the Family Health Strategy which included the odontology professionals into the primary health care. As the odontology has the work based in a practice of healing with emphasis in restoring activities, the implantation from this new model of attention to the health is questioned in relation to the responsible for the execution of that politics - the human resources. The objective of this article is to characterize the profile of surgeons dentists inserted in the Family Health Strategy in the cities of Pernambuco state connecting it with the specificities of the program. It was used a database of the research Model of Attention in Oral Health and Education of the Surgeon DentisI inserted in the Family Health Strategy in the State of Pernambuco. The results showed that 70.4% of the surgeons dentists are female, with predominance of the age group from 31 to 49 years old, and 65.2% of those were admitted under the contract form. Concerning education, 67.8% have specialization in the Strategy of Family Health, in which 92.3% considered it pertinent, in addition 89.6% of the dentists told to accomplish educational activities.

Análise da atenção à saúde bucal na Estratégia de Saúde da Família do Distrito Sanitário VI, Recife (PE)

The aim of this study was to analyze the work process developed by the oral health teams of the VI Sanitary District of Recife, Pernambuco State, in 2006. It is a descriptive study of qualitative approach in that secondary data were obtained of a previous research accomplished in Recife, where the Sanitary District VI is located. Four semi-structured interviews were accomplished with the oral health coordinator, two surgeon-dentists and a nurse that acted in the Family Health Strategy. The results showed that some practices accomplished by the teams are still incipient such as the epidemic survey, patient reference and counter reference, and the control and evaluation of the actions. However, the progress in the preventive vision and in education practice in the professional health became evidenced through the interviews. In conclusion, in spite of the difficulties for the execution of the practices established by the National Policies of Oral Health, it is noticed a change in the attention model in oral health, being necessary some adjustments and corrections in the activity of the teams, besides a larger participation of other administration levels for the full exercise of oral health in the Family Health Strategy.

Violência intrafamiliar contra crianças e adolescentes: identificação, manejo e conhecimento da rede de referência por fonoaudiólogo em serviços públicos de saúde

OBJECTIVE: to describe the profile and the conduct of public sector, philanthropic, and private phonoaudiologists contracted by the public health authorities in the city of Recife, in the Brazilian State of Pernambuco, with regard to suspected and/orconfirmed cases of domestic violence against children and adolescents between August and October 2008. METHODS: a cross-sectional descriptive study was carried out with phonoaudiologists from the Brazilian public health service with more than one year of work experience following graduation. The study variables included socio-demographic characteristics, area of work, academic profile and suspected and/or confirmed cases of abuse reported by them and were obtained using a structured questionnaire, subsequently analyzed statistically using the chisquare and Fishers Exact test. RESULTS: of the 89 phonoaudiologists, 43.8% (39)had attended cases of suspected and/or confirmed abuse, with physical abuse being the most frequent kind (35%). Of the 70 cases reported, 2.9% (2) were referred to the appropriate authorities. Most referred the cases to social services or psychologists (34.3%). Around 50% of such patients abandoned treatment. CONCLUSION: the reporting of cases was found to be very low, due, possibility, to lack of information on the part of phonoaudiologists as to the measures to be taken. This suggests that there is a need for professional training to improve the identification of cases of violence and teach phonoaudiologists how to deal with them.

A Estratégia Saúde da Família no estado de Pernambuco: avaliação da estrutura das equipes por porte populacional

O estudo teve como objetivo avaliar a estrutura das Equipes de Saude da Familia do estado de Pernambuco por porte populacional, no ano de 2009. Foram aplicados questionarios estruturados a 154 equipes, de 24 municipios, e avaliados itens referentes a instrumentos, materiais educativos, espaco fisico, medicamentos, vacinas, alem dos recursos humanos disponiveis. Os resultados mostraram que os espacos fisicos das equipes foram mais bem avaliados nos municipios de pequeno porte (p=0,032). Somente 5,6% das equipes cumprem todos os requisitos de estrutura, e o componente recursos humanos apontou a precariedade do vinculo dos profissionais, principalmente nos municipios de medio porte do estado.

A atenção em saúde bucal no estado de Pernambuco: analisando a estrutura e as ações preventivas e curativas, segundo porte populacional

The aim of this study was to analyze the oral health care in Pernambuco state, Brazil, from the available structure and the preventive and curative actions offered by oral health teams, according to population size. For this, structured questionnaires were applied to a sample of 121 oral health teams, which reported on the structure and work process, being used for data analysis using the χ2 and Fisher exact tests. Regarding vocational training, the results showed a higher percentage of dental surgeons with introductory course formation (57.2%) or expertise in family health (46.3%) in big cities, when compared to medium and small size cities (p<0.05). In addition, only 25.4% of the units had a room with sink and mirror for supervised brushing and 48% of teams reported having insufficient amount of educational materials for prevention efforts. It was also noted that collective actions outside school were less often developed by small municipalities. Thus, investments in the team structure and continuous encouraging on education may reduce the differences in oral health care in the cities of Pernambuco.

Analysis of oral health indicators of Pernambuco: performance of cities according to size population, population enrolled in the Information System for Primary Care and proportion in the Family Health Strategy

Este estudo teve como objetivo analisar a assistencia a saude bucal no Estado de Pernambuco, com base em seus indicadores, segundo as variaveis porte populacional, proporcao da populacao cadastrada e relacao entre as equipes de saude da familia e equipes de saude bucal. Para isso, foram utilizados dados secundarios obtidos do Sistema de Informacao Ambulatorial (SIA/SUS), Cadastro Nacional de Estabelecimentos de Saude (CNES) e Sistema de Informacoes da Atencao Basica (SIAB), utilizando os testes estatisticos ANOVA e Kruskal-Wallis para analise dos dados. Os resultados mostraram que o porte populacional dos municipios demonstrou estar relacionado com o desempenho de alguns indicadores: municipios de grande porte apresentaram menores valores para proporcao de exodontias (p=0,0006). A organizacao das equipes de saude bucal foi outro aspecto discutido neste estudo, observando-se que quanto maior a cobertura e quando a relacao entre as equipes era 1:1, mais favoraveis eram os indicadores de primeira consulta odontologica, escovacao supervisionada, media de procedimentos odontologicos individuais e proporcao de exodontias, todos apresentando diferencas estatisticamente significantes (p<0,05). Dessa forma, pode-se concluir que aspectos demograficos, de cobertura da estrategia e de relacao proporcional das equipes influenciam o desempenho de indicadores em saude bucal em municipios do Estado de Pernambuco.

Análise do acesso aos serviços odontológicos através do indicador de primeira consulta odontológica programática em Pernambuco: estudo comparativo entre os anos 2001 e 2009 - doi: 10.5020/18061230.2012.p151

Objectives: To analyze access to individual dental care developed in the state of Pernambuco, comparing years 2001 and 2009, related to Oral Health Teams in Family Health Strategy. As well, to verify the existence of any inequities in access to dental care, according to geographical region and administrative region. Methods: This descriptive ecological temporal-trend study was performed using secondary data sources, from health care information systems on a national basis. The first dental programmatic appointment was used as the primary care indicator for evaluation of assess to individual dental care. Results: Data analysis showed a significant increase in the number of oral health teams in the state, over the studied years (from 132 teams in 2001 to 1,296 in 2009), representing an increase of 881.82%. Regarding the first dental appointment, an enhancing in coverage was observed (from 10.04% in 2001 to 16.87% in 2009). Conclusions: Despite the positive growth in the first dental appointment indicator, utilization and access to dental services on a programmatic way in primary care still remain low. Numbers indicate relatively low access rates, and reveal that reality of services is far distant from what is constitutionally guaranteed. These results point to the need of rethinking the practice and work to build a system mainly focused on coverage enlargement and on the needs of communities.

Análise do processo de trabalho dos agentes de vigilância ambiental do município de Olinda, Pernambuco

This work aimed to analyze the coverage of the Program of Environmental Surveillance in Health in the city of Olinda, Pernambuco State and the factors that interfered in not achieving the number of properties established by the National Program of Dengues Control to be visited by the environmental surveillance agents, among them the number of absences and the number of properties worked daily. For the accomplishment of the study, a database was prepared with a list of agents that worked in the year of 2006, considering the number of absences, medical licenses, vacations and the number of worked properties. The results showed that the number of properties worked by the agents per day had a larger influence in the low income presented in the year of 2006 when compared to the number of their absences. The high number of closed properties and refusals, lack of materials, constant training courses and agent demands for other health actions were some factors that contributed to the low productivity of the agents. Therefore, it is necessary a change in the work process of the environmental surveillance agents, as well as a more discerning and constant evaluation of their activities so that it is possible to reach the established goals.