Silvia Troyahn Manica

Socioeconomic and regional inequalities of pap smear coverage.

Objectives To identify socioeconomic and regional inequalities of pap smear coverage in the state of Rio Grande do Sul. Methods An ecological study based on data of the 2011-2012 national health information system to estimate the annual coverage of pap smears for the overall female population of the state and for women without private health insurance. We estimated annual pap smear coverage according to the Municipal Social Vulnerability Index and health macro-regions and regions of the state. Results The percentage of women without private health insurance ranged from 38.1% to 94.2% in the health regions. Pap smear coverage was 17.3% for the overall female population and 23.8% for women without private health insurance. Pap smear coverage was higher in more socially vulnerable municipalities and regions with a higher percentage of women with private health insurance. Conclusions The prevalence of private health insurance should be considered in studies that address the coverage of the Brazilian Unified Health System (SUS).Objectives To identify socioeconomic and regional inequalities of pap smear coverage in the state of Rio Grande do Sul. Methods An ecological study based on data of the 2011-2012 national health information system to estimate the annual coverage of pap smears for the overall female population of the state and for women without private health insurance. We estimated annual pap smear coverage according to the Municipal Social Vulnerability Index and health macro-regions and regions of the state. Results The percentage of women without private health insurance ranged from 38.1% to 94.2% in the health regions. Pap smear coverage was 17.3% for the overall female population and 23.8% for women without private health insurance. Pap smear coverage was higher in more socially vulnerable municipalities and regions with a higher percentage of women with private health insurance. Conclusions The prevalence of private health insurance should be considered in studies that address the coverage of the Brazilian Unified Health System (SUS).

A utilização da noção de vulnerabilidade na produção de conhecimento sobre tuberculose: revisão integrativa

OBJECTIVE to identify how the notion of vulnerability is used in national and international scientific publications that address the problem of tuberculosis. METHOD an integrative review of literature published in the databases of the Biblioteca Virtual em Saúde, the United States National Library of Medicine and the Biblioteca Digital Brasileira de Teses e Dissertações, considering the descriptors Tuberculosis and Vulnerability in Portuguese and English. RESULTS we selected fifty-eight studies published between 1992 and February 2014, which resulted in three categories of analysis. CONCLUSION the link between tuberculosis and the notion of vulnerability has not been sufficiently consolidated in national and international literature. This creates an obstacle for the achievement of the epistemological transformations and pragmatic measures that are required to obtain better results from interventions in the field.

Extended nursing consultation: education possibilities for the practice of integrality in health

Objetivou-se analisar uma intervencao no modo tradicional de ensinar a consulta de enfermagem e seu potencial para a formacao de enfermeiros para a pratica da integralidade em saude. Pesquisa participante, desenvolvida com oito alunos do Curso de Enfermagem de uma universidade publica do sul do Brasil, no periodo de agosto a novembro de 2011. O contexto de estudo constituiu-se pelas consultas ambulatoriais e por vivencias no cotidiano dos usuarios. Os dados coletados por meio de grupo focal foram submetidos a analise tematica, emergindo duas categorias: “A interatividade entre o cenario tradicional e o ampliado: possibilidades para o aprendizado da integralidade” e “A consulta de enfermagem ampliada: saberes gerados na experiencia”. Evidenciou-se que a experiencia foi produtora de saberes coerentes com a formacao para integralidade. Conclui-se que a diversificacao de cenarios de aprendizagem pode configurar-se como estrategia pedagogica com potencia para provocar transformacoes no modelo de atencao/formacao em saude vigente.

Consulta de enfermagem ampliada: possibilidades de formação para a prática da integralidade em saúde

Objetivou-se analisar uma intervencao no modo tradicional de ensinar a consulta de enfermagem e seu potencial para a formacao de enfermeiros para a pratica da integralidade em saude. Pesquisa participante, desenvolvida com oito alunos do Curso de Enfermagem de uma universidade publica do sul do Brasil, no periodo de agosto a novembro de 2011. O contexto de estudo constituiu-se pelas consultas ambulatoriais e por vivencias no cotidiano dos usuarios. Os dados coletados por meio de grupo focal foram submetidos a analise tematica, emergindo duas categorias: “A interatividade entre o cenario tradicional e o ampliado: possibilidades para o aprendizado da integralidade” e “A consulta de enfermagem ampliada: saberes gerados na experiencia”. Evidenciou-se que a experiencia foi produtora de saberes coerentes com a formacao para integralidade. Conclui-se que a diversificacao de cenarios de aprendizagem pode configurar-se como estrategia pedagogica com potencia para provocar transformacoes no modelo de atencao/formacao em saude vigente.

Desigualdades socioeconômicas e regionais na cobertura de exames citopatológicos do colo do útero

Objectives To identify socioeconomic and regional inequalities of pap smear coverage in the state of Rio Grande do Sul. Methods An ecological study based on data of the 2011-2012 national health information system to estimate the annual coverage of pap smears for the overall female population of the state and for women without private health insurance. We estimated annual pap smear coverage according to the Municipal Social Vulnerability Index and health macro-regions and regions of the state. Results The percentage of women without private health insurance ranged from 38.1% to 94.2% in the health regions. Pap smear coverage was 17.3% for the overall female population and 23.8% for women without private health insurance. Pap smear coverage was higher in more socially vulnerable municipalities and regions with a higher percentage of women with private health insurance. Conclusions The prevalence of private health insurance should be considered in studies that address the coverage of the Brazilian Unified Health System (SUS).Objectives To identify socioeconomic and regional inequalities of pap smear coverage in the state of Rio Grande do Sul. Methods An ecological study based on data of the 2011-2012 national health information system to estimate the annual coverage of pap smears for the overall female population of the state and for women without private health insurance. We estimated annual pap smear coverage according to the Municipal Social Vulnerability Index and health macro-regions and regions of the state. Results The percentage of women without private health insurance ranged from 38.1% to 94.2% in the health regions. Pap smear coverage was 17.3% for the overall female population and 23.8% for women without private health insurance. Pap smear coverage was higher in more socially vulnerable municipalities and regions with a higher percentage of women with private health insurance. Conclusions The prevalence of private health insurance should be considered in studies that address the coverage of the Brazilian Unified Health System (SUS).

Desigualdades socioeconómicas y regionales en la cobertura de exámenes citopatológicos del cuello uterino

Objectives To identify socioeconomic and regional inequalities of pap smear coverage in the state of Rio Grande do Sul. Methods An ecological study based on data of the 2011-2012 national health information system to estimate the annual coverage of pap smears for the overall female population of the state and for women without private health insurance. We estimated annual pap smear coverage according to the Municipal Social Vulnerability Index and health macro-regions and regions of the state. Results The percentage of women without private health insurance ranged from 38.1% to 94.2% in the health regions. Pap smear coverage was 17.3% for the overall female population and 23.8% for women without private health insurance. Pap smear coverage was higher in more socially vulnerable municipalities and regions with a higher percentage of women with private health insurance. Conclusions The prevalence of private health insurance should be considered in studies that address the coverage of the Brazilian Unified Health System (SUS).Objectives To identify socioeconomic and regional inequalities of pap smear coverage in the state of Rio Grande do Sul. Methods An ecological study based on data of the 2011-2012 national health information system to estimate the annual coverage of pap smears for the overall female population of the state and for women without private health insurance. We estimated annual pap smear coverage according to the Municipal Social Vulnerability Index and health macro-regions and regions of the state. Results The percentage of women without private health insurance ranged from 38.1% to 94.2% in the health regions. Pap smear coverage was 17.3% for the overall female population and 23.8% for women without private health insurance. Pap smear coverage was higher in more socially vulnerable municipalities and regions with a higher percentage of women with private health insurance. Conclusions The prevalence of private health insurance should be considered in studies that address the coverage of the Brazilian Unified Health System (SUS).

[Using the notion of vulnerability in the production of knowledge about tuberculosis: integrative review].

OBJECTIVE to identify how the notion of vulnerability is used in national and international scientific publications that address the problem of tuberculosis. METHOD an integrative review of literature published in the databases of the Biblioteca Virtual em Saúde, the United States National Library of Medicine and the Biblioteca Digital Brasileira de Teses e Dissertações, considering the descriptors Tuberculosis and Vulnerability in Portuguese and English. RESULTS we selected fifty-eight studies published between 1992 and February 2014, which resulted in three categories of analysis. CONCLUSION the link between tuberculosis and the notion of vulnerability has not been sufficiently consolidated in national and international literature. This creates an obstacle for the achievement of the epistemological transformations and pragmatic measures that are required to obtain better results from interventions in the field.

La utilización de la noción de vulnerabilidad en la producción de conocimiento sobre tuberculosis: revisión integrativa

OBJECTIVE to identify how the notion of vulnerability is used in national and international scientific publications that address the problem of tuberculosis. METHOD an integrative review of literature published in the databases of the Biblioteca Virtual em Saúde, the United States National Library of Medicine and the Biblioteca Digital Brasileira de Teses e Dissertações, considering the descriptors Tuberculosis and Vulnerability in Portuguese and English. RESULTS we selected fifty-eight studies published between 1992 and February 2014, which resulted in three categories of analysis. CONCLUSION the link between tuberculosis and the notion of vulnerability has not been sufficiently consolidated in national and international literature. This creates an obstacle for the achievement of the epistemological transformations and pragmatic measures that are required to obtain better results from interventions in the field.

Consulta de enfermería ampliada: posibilidades de formación para la práctica de la integralidad en salud

Objetivou-se analisar uma intervencao no modo tradicional de ensinar a consulta de enfermagem e seu potencial para a formacao de enfermeiros para a pratica da integralidade em saude. Pesquisa participante, desenvolvida com oito alunos do Curso de Enfermagem de uma universidade publica do sul do Brasil, no periodo de agosto a novembro de 2011. O contexto de estudo constituiu-se pelas consultas ambulatoriais e por vivencias no cotidiano dos usuarios. Os dados coletados por meio de grupo focal foram submetidos a analise tematica, emergindo duas categorias: “A interatividade entre o cenario tradicional e o ampliado: possibilidades para o aprendizado da integralidade” e “A consulta de enfermagem ampliada: saberes gerados na experiencia”. Evidenciou-se que a experiencia foi produtora de saberes coerentes com a formacao para integralidade. Conclui-se que a diversificacao de cenarios de aprendizagem pode configurar-se como estrategia pedagogica com potencia para provocar transformacoes no modelo de atencao/formacao em saude vigente.