The scope of this study was to analyze the organizational structure, financing and supply of programs and actions of bodily practices and physical activities (PCAF) considering the tripartite management of the Unified Health System (SUS). Focusing on the years2018 to 2020, information was requested from the Ministry of Health (MS), the 26 state health secretariats, the Federal District (SES) and the 26 municipal health secretariats in the capitals (SMS). 40 responses were received (rate of 74%).
View Article and Find Full Text PDFThe article reports on the sociogenesis of the Family Health Support Center (NASF) in Brazil, based on document analysis and 16 in-depth interviews with key informants. Based on triangulation of data and sources and with Pierre Bourdieu as the theoretical reference, a sociohistorical analysis was performed to build a timeline of events related to the formulation of the NASF, including conflicts, interests, alliances, and agreements to allow the proposal's implementation. Four moments were identified in the history of the NASF: from 2000 to 2002, the first discussion for building a proposal to expand the family healthcare (PHC) teams; from 2003 to 2005, drafting a proposal to expand the core team, with the design centered on curative and individual interventions (NAISF); from 2005 to 2006, the repeal of the Brazilian Ministry of Health ruling that established the first proposal, revealing a "vacuum" in the debate on the expansion of PHC teams; and from 2007 to 2008, when the NASF was created with the central purpose of inter-consultation support activities with the family health teams.
View Article and Find Full Text PDFRev Panam Salud Publica
November 2018
Objective: To describe and discuss events associated with the latest review of the national primary health care (PHC) policy in Brazil (, PNAB) so as to highlight narratives that may contribute to future analyses focusing on the formulation, implementation, and assessment of this policy.
Method: Participant observation report of the PNAB review process, based on content and document analyses.
Results: The review process of PNAB, which took place between 2015 and 2017, was strongly marked by technical and political dispute among the Ministry of Health and authorities representing municipal and state health departments.
The development of methods that enable analysis of programs and public policies is a key point for their objectives to be attained. This study presents a Brazilian experience of analysis of two food and nutritional security programs in cities in Brazil's northeast region, namely the National Program for Vitamin A Supplementation, and monitoring health conditions of those included in the Family Allowance Program. The methodological stages included the definition of programs to be analyzed, data collection locations, the population participating in the research, collection procedures and data analysis.
View Article and Find Full Text PDFThis study aimed to evaluate the National Program for Vitamin A Supplementation in a municipality (county) in Northeast Brazil, with participation by the parents or guardians of children under five years of age. This was a cross-sectional, population-based study using both qualitative and quantitative approaches. A total of 657 interviews were performed, and the vitamin A doses recorded on the children's immunization cards were analyzed.
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