Publications by authors named "Marly Cruz"

This case study analyzed arrangements and strategies of the network actors in the Special Indigenous Sanitary District (DSEI) Pernambuco's territory to guarantee the right to health of Indigenous populations during the COVID-19 pandemic. This work was carried out through document analysis, workshops, and field research. The Contingency Plan for COVID-19 in Indigenous Peoples of DSEI Pernambuco included surveillance actions, laboratory and pharmaceutical assistance, communication, and management.

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The study aimed to identify protection strategies used by Indigenous peoples during the COVID-19 pandemic. Analyzing 56 articles from 2020 to May 2021 across four areas -community organization, governance, communication, and territorial approaches - it found that structural vulnerabilities shaped their responses. The spread of the virus was influenced by environmental, social, and cultural factors.

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This essay provides a theoretical reflection on the challenges of meeting the Sustainable Development Goals of the 2030 Agenda, considering its motto of "leave no one behind". To exemplify these challenges, we discuss noncommunicable diseases (NCDs), one of the main issues on the global health agenda before the COVID-19 pandemic, and the political and economic dimensions that determine their presence and global spread. After a brief overview of NCDs, the text seeks to answer three questions: In "Leaving no one behind?" we list some themes to reflect on how and who has historically been left behind, delving a little deeper into the examples in "Who has been left behind in the world?" and "Who has been left behind in Brazil?".

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Objective: To analyse hospital case fatality and mortality related to Chagas disease (CD) in Brazil, 2000-2019.

Method: This is a mixed ecological study with spatial and temporal trends, based on national population data from the Brazilian Ministry of Health - hospital admissions (HA) and death certificates (DC). Records with CD as a primary or secondary cause of death in HA and/or as an underlying or associated cause of death in DC were evaluated.

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Objective: To analyze the temporal trend of mortality rate due to HIV/AIDS defining and non-HIV/AIDS defining illnesses in Brazil between 2000 and 2018.

Methods: This was an ecological time series study, using data from the Mortality Information System, in Brazil and the Federative Units. Trend analysis was performed by means of Prais-Winsten regression model, according to overall mortality rate, sex, age group, marital status and race/skin color.

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The article presents a perspective on the Brazilian scientific production on the health of the black population (SPN) published in scientific journals. We performed a rapid scoping review combined with thematic and bibliometric analysis. Our search included four indexed databases.

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Article Synopsis
  • The article evaluates the Information System on Indigenous Health (SIASI) to assess its effectiveness for local health administration, detailing the study's methodology including the description of the intervention, users, and contextual analysis.
  • The study highlights the importance of SIASI for organizing indigenous health teams and monitoring health conditions, but notes issues like low data usage and challenges related to infrastructure.
  • Recommendations include enhancing SIASI's effectiveness by improving the decentralization of information flow and utilizing the Local SIASI Panel for more interactive health reporting.*
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Article Synopsis
  • * Low awareness of preventive measures like PrEP was identified, and unprotected sex was common among participants; lifetime HIV testing rates were around 57%-66% across the cities.
  • * High rates of stimulant drug use and unprotected sexual practices were noted in young men, highlighting the need for better communication strategies to enhance HIV prevention and encourage safer sex.
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This study aims to analyze the linkage to HIV/AIDS treatment among Men who have Sex with Men (MSM) of the project "A Hora é Agora" in Curitiba, Paraná, Brazil. The concept of vulnerability with its three axes, namely, the individual, social, and programmatic, was the theoretical framework. The barriers from testing up to the onset of the treatment were mapped through linkage registration and minutes from supervisory meetings.

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Article Synopsis
  • - The study examined HIV/AIDS mortality trends in Brazil from 2000 to 2018, focusing on factors like gender, age, marital status, and ethnicity using statistical models.
  • - Key findings revealed that states like Rio Grande do Sul and Rio de Janeiro had the highest mortality rates, with men and older adults showing significant increases over time.
  • - The data highlighted growing mortality rates among unmarried individuals and Black communities, emphasizing the need for targeted prevention and care efforts for these groups.
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Objectives: HIV self-testing is an effective tool to improve diagnostic coverage in key populations, enabling linkage to care and access to antiretroviral therapy. Its implementation requires better understanding of patients' perspectives on this novel strategy. The aim of the study was to investigate the perception of men who have sex with men (MSM) regarding the HIV oral fluid self-test (HIVST) in São Paulo, Brazil, and to analyse the sociodemographic characteristics and testing strategy preferences of individuals registered to undertake HIVST.

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Article Synopsis
  • This study focused on assessing HIV risk in men who have sex with men (MSM) by creating an index that factors in various social elements, including partner networks and individual behaviors.
  • Data was collected from a MSM survey in Rio de Janeiro between 2014 and 2015, incorporating factors such as age, ethnicity, schooling, relationship type, and condom use.
  • The findings revealed that the HIV prevalence among participants was 13.9%, and those with a higher risk index were significantly more likely to test HIV-positive, aiding in identifying individuals at greater risk of infection.
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Introduction: The Curitiba (Brazil)-based Project, A Hora é Agora (AHA), evaluated a comprehensive HIV control strategy among men who have sex with men (MSM) aimed at expanding access to HIV rapid testing and linking HIV-positive MSM to health services and treatment. AHA's approach included rapid HIV Testing Services (HTC) in one mobile testing unit (MTU); a local, gay-led, non-governmental organization (NGO); an existing government-run health facility (COA); and Internet-based HIV self-testing. The objectives of the paper were to compare a) number of MSM tested in each strategy, its positivity and linkage; b) social, demographic and behavioral characteristics of MSM accessing the different HTC and linkage services; and c) the costs of the individual strategies to diagnose and link MSM to services.

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Background: Approximately 30% of people living with HIV worldwide are estimated to be unaware of their infection. HIV self-testing (HIVST) is a strategy recommended by the World Health Organization to increase access to and uptake of testing among key populations who are at high risk for HIV infection.

Objective: This study aimed to describe the development and feasibility of a free, anonymous, internet-based HIVST strategy designed for men who have sex with men in Curitiba, Brazil (electronic testing [e-testing]).

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Objective: to evaluate the implementation of the Results Control, Monitoring and Evaluation System (e-Car) at the Health Surveillance Secretariat (SVS), Brazilian Ministry of Health, in the period 2012-2015.

Methods: this was an evaluation study using mixed methods for collection of primary and secondary data, followed by definition of the system's degree of implementation and analysis of the influence of the political-organizational context.

Results: the e-Car System was considered to have been implemented (75.

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This article discusses the issue of social protection against the demands presented in the treatment of children and adolescents in Brazil. It aims to problematize the advances and limits of the Brazilian social protection system in face of the social demands arising from the treatment of children and adolescents that go beyond the specific limits of health care. It is a qualitative study that was structured based on the analysis of official documents, Laws, Decrees, Ordinances and Policies and the literature destined to children and adolescents in cancer treatment whose incapacitating consequences produce social demands that impact, above all, family life.

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Governance is a concept with different hues in public policies. In this study, it is conceived as a policy network, with stakeholders who manage interests depending on available resources, mediated by rules and by their degree of influence. This paper analyzes the stakeholders, spaces of articulation, norms, and processes in health governance in two regions of the Legal Amazon and how managers shape their social network.

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The aim of this study was to describe the stages in the development and results of the validation of the theoretical logical model for food and nutritional surveillance in primary healthcare (PHC). This was a descriptive and exploratory study that involved 20 specialists in food and nutrition, including researchers, policymakers, health professionals, and users based on a consensus technique in two rounds. Participants classified the structural components needed for food and nutritional surveillance and the respective expected results according to pertinence and relevance.

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Brazil is characterized by a concentrated AIDS epidemic, it has a prevalence of less than 1% in the general population. However, there are higher rates in specific populations, especially in men who have sex with men. The study's aim was to analyze the association between sociodemographic characteristics, sexual practices, sexual behaviors and the HIV infection in a group of men who have sex with men.

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This paper aims to analyze the potential, limits and challenges of regional governance in the implementation process of health care networks in three Brazilian regions: Alto Solimões (Amazonas), Belém (Pará) and an interstate region comprising Tocantins, Pará and Maranhão states (Topama). The study is based on the evaluation study on the implementation of the Quality Health Care Network Development and Improvement Project (QualiSUS-Rede). This is a qualitative multiple case study with the analysis of official documents and use of semi-structured interviews with key stakeholders conducted from July to December 2014.

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Article Synopsis
  • The study analyzed AIDS mortality trends in Rio Grande do Sul State and Porto Alegre City from 2000 to 2011, focusing on sociodemographic factors.
  • The research found a stationary overall AIDS mortality rate, but observed significant increases for specific groups, including women and individuals aged 40-60.
  • The conclusion highlights a concerning rise in AIDS mortality among women, people with brown skin, and older age groups in both regions.
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The objective of this article is to present the results of a study on the evaluability of the Program to Value Primary Healthcare Professionals (PROVAB in the Portuguese) that was created by the Brazilian Ministry of Health in 2011. The Program is part of the Manage Healthcare Work and Educationstrategy which seeks to invest in a number of measures aimed at improving and valuing the work carried out by primary healthcare teams. The research, which used qualitative methods, was carried out between February and November 2013 and involved five stages: (a) analysis of documents; (b) identification of potential users; (c) strategic analysis; (d) modelling of the intervention; (e) sharing of lessons learned.

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In this study, the frequency of detected congenital hypothyroidism, phenylketonuria and haemoglobinopathies in the State of Rio de Janeiro's (Brazil) Newborn Screening Program (NBSP) was analyzed between the years of 2005 and 2007. There were two Newborn Screening Reference Centers (named NSRC A and B) with programmatic differences. In 2007, overall detection coverage reached 80.

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