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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2337-9622
Abstract
SOUZA, Monique Feitosa de; VANDERLEI, Lygia Carmen de Moraes and FRIAS, Paulo Germano de. Assessment of the implementation of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil. Epidemiol. Serv. Saúde [online]. 2017, vol.26, n.4, pp.817-834. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742017000400013.
OBJECTIVE:
to assess the implementation of the actions of the Leprosy Control Program in Camaragibe, Pernambuco State, Brazil.
METHODS:
evaluative research with ‘implementation analysis’, based on criteria, indicators and parameters guided from the construction of the Logic Model; four components were assessed - management, health care, epidemiological surveillance, health education and communication -; direct observation/questionnaire was used, as well as data from the Information System for Notifiable Diseases.
RESULTS:
the implementation of the program was incipient (58.3%); the estimate for the components varied from ‘not implemented’ (health education and communication, 48.0%), ‘incipient’ (management, 53.3%; health care, 57.2%) to ‘partially implemented’ (epidemiological surveillance, 73.0%); in 2012, it was observed low proportion of examined contacts (28.4%), treatment dropout (34.1%), limited standardization of patient care flow, and poor resolution of problems by managers.
CONCLUSION:
the level of implementation found was related to the organization of services, with negative repercussions regarding the result indicators.
Keywords : Health Evaluation; Leprosy; Communicable Disease Control; Program Evaluation; Primary Health Care.