MedMinas project: design and use of mixed methods in the evaluation of pharmaceutical services in primary health care in Minas Gerais, Brazil.

Background: The main purposes of primary care-based pharmaceutical services (PHCPS) in Brazil are to provide free access to medicines and pharmaceutical care to patients. Several obstacles hinder achieving their goals; thus, MedMinas Project aimed to evaluate the PHCPS, the supply system, and the use of medicines. This paper reflects on our experience designing, planning, and conducting the project, describing the issues yielded in the field and lessons learned.

Electronic Health Record: a systematic review of the implementation under the National Humanization Policy guidelines.

As part of the evaluability study of the implementation of the Electronic Patient Record (EPR) evaluation, the aim of this Systematic Review (SR) was to identify the evaluation domains to be addressed. This SR, aligned with the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) encompassed articles published from 2006 to 2019. The search was carried out in the electronic databases SciELO, Oasis IBICT, BVS Regional and Scopus.

Symbolic sites of belonging and prevention and control of tuberculosis: perceptions and practices of community health workers in Brazil and Ethiopia.

This article aims to evaluate the contribution of Community DOTS, Directly Observed Treatment Short-Course, for the prevention and control of Tuberculosis actions in primary care in Brazil and Ethiopia, based on the perceptions and practice of the community health care workers. We employed the Symbolic Sites conceptual-methodological framework, accounting for its three types: Black box, Conceptual box, and Toolbox. The contrasting case study involved triangulating and complementing data collection and analysis from semi-structured interviews with community health workers and health professionals, site observation, and document analysis.

Strategic analysis of tuberculosis prevention and control actions in Brazil and Ethiopia: one size fits all?

Objectives: This study aimed at conducting a strategic analysis of Tuberculosis prevention and control actions in Brazil and Ethiopia, looking at the potential of directly observed treatment short-course strategy (DOTS) and community DOTS in both countries.

Methods: Literature review was conducted using PubMed, Medline-Ovid, EMBASE, and SCIELO databases. The reviewed terms were Tuberculosis, prevention and control and Brazil (or Brasil) or Ethiopia (or Etiopia).

[Building evaluation criteria: experts and user satisfaction with pharmaceutical delivery services for HIV/Aids].

A criterion is a typical tool in the evaluation field that can be defined as a standard-dimension under which the object of an evaluation receives qualitative or quantitative judgments. During an evaluation, several rigorous methodological procedures are involved in development and application of suitable criteria to determine the value of the object being evaluated. This article presents a set of criteria to evaluate user satisfaction with HIV/Aids-related pharmaceutical delivery services.

Logic models from an evaluability assessment of pharmaceutical services for people living with HIV/AIDS.

Brazil was the first developing country to provide people living with HIV/AIDS (PLWA) with comprehensive, universal, free access to antiretroviral medicines (ARV). Pharmaceutical services are considered a strategic action that has the goal of providing access to rational use of quality medicines while also promoting user satisfaction. User satisfaction is a complex concept, and evaluation models for pharmaceutical services for PLWA were not found in the literature.

[Evaluation model for tuberculosis control program].

The implementation process is one of the steps of policy cycle, corresponding to the execution of activities which the purpose is to achieve previously defined targets. It could also be considered that policy's formulation and implementation means a process, subject to context and intervening actions. The building of theoretical models allows the evaluation of policies and programs to go beyond the dichotomist view of input x results and enables to understand the reasons of successful actions in different contexts and population groups.

[Evaluation of breastfeeding support: meanings from mothers receiving care at primary health care units in the State of Rio de Janeiro].

This article aims at understanding the meanings expressed by women concerning the breastfeeding support received at primary health care (PHC) units. A study was conducted in 24 PHC units in the State of Rio de Janeiro for the purpose of investigating why pregnant women and mothers felt supported (or not) by these units regarding breastfeeding. Heidegger's phenomenological approach was used to develop five structures of meaning, evincing the breastfeeding support provided as "none", "dubious", "incentive", "guidance", and "partnership".

[Pattern of HIV/AIDS infection in Manaus, State of Amazonas, between 1986 and 2000].

The objective of this study was to describe HIV infection in Manaus, Amazonas, between 1986 and 2000. This was a descriptive study on confirmed cases of HIV/AIDS among adults, from the medical records of the State Reference Service. To delineate the spatial epidemiological profile and historical trends, the following periods were considered: 1986-1990, 1991-1995 and 1996-2000.

[Aspects of women's satisfaction with childbirth care in a maternity hospital in Rio de Janeiro].

The objective of this study was to evaluate factors associated with women's satisfaction with vaginal delivery at the Leila Diniz Maternity Hospital in Rio de Janeiro, Brazil. A cross-sectional study was conducted from March 1 to 30, 1999, using interviews with women who had undergone vaginal delivery. In order to analyze women's satisfaction, the following were used: (a) a scale to evaluate overall satisfaction with the birthing process; (b) description of the woman's reasons for this evaluation; and (c) analysis of factors associated with the evaluation of childbirth satisfaction.

Development and validation of a HPLC-UV method for the determination in didanosine tablets.

A simple, rapid, sensitive and specific reversed-phase high performance liquid chromatographic method involving ultraviolet detection (HPLC-UV) was developed for analysis of didanosine in drug substance and formulated products, tablets. Chromatography was carried out on a pre-packed, Lichrospher 100 Rp-8 (5.0 microm, 250 mm x 4.

[Strengths and limitations of the Rio de Janeiro Municipal AIDS Information System as an instrument for epidemiological surveillance].

This study analyzes the Rio de Janeiro Municipal AIDS Information System, specifically the system's strengths and limitations in the epidemic's current context, from a broader perspective of epidemiological surveillance. The objective was to provide a brief description of the system, considering its different components. The authors further analyzed records pertaining to the reporting and investigation of AIDS cases from 1985 to 1995 and an update of the database as a contribution to the system's quality.

[Evaluating pharmaceutical services for people living with HIV/AIDS in the city of Rio de Janeiro].

This study evaluates access by people living with HIV/AIDS to pharmaceutical care provided by public health care facilities in the city of Rio de Janeiro, Brazil, focusing on availability, accessibility, and accommodation. The evaluation was conducted using the implementation analysis approach, assessing the process of producing intervention outcomes, considering its relationship to the organizational context. A case study was performed in 11 public health facilities selected according to: different health program areas; diverse levels of complexity; and more than 100 HIV/AIDS patients registered.