Vulnerabilidad de la infraestructura sanitaria en relación a la Covid-19 en el distrito de Castilla-Piura 2021- 2022

Objetivo: Analizar la relación entre la infraestructura sanitaria: equipos y suministros, ambientes construidos, humanización de la atención y la COVID-19 dentro del Desarrollo Urbano Sostenible en el distrito de Castilla - Piura en el año 2022. Métodos: Adopta el paradigma hermenéutico, con un diseño de tipo transversal, de tipo cualitativo, en base a encuestas aplicadas a una muestra estadística del sector de Castilla; a su vez, se realizaron entrevistas no estructuradas, dirigidas a expertos profesionales de la salud. Resultados: Se observa que el 100% de los hospitales de II y III nivel y centros de salud en Piura, se encuentran en condiciones inadecuadas para lograr la eficiencia y la efectividad en la atención, tanto en infraestructura sanitaria, equipos y suministros, como en los ambientes construidos y humanizados. Conclusión: El estado deficiente de los establecimientos de salud, ha determinado el incremento de casos de COVID-19, durante la pandemia, porque no cuentan con ambientes adecuados para atender diferentes patologías así como por la inadecuada zonificación de las áreas de aislamiento respiratorio y de vectores, las que deben responder a la realidad de esta región; esta situación plantea la necesidad de formular un plan de contingencia regional, la misma que garantice atención prioritaria y de calidad frente a situaciones de emergencia, así como la vivida durante la pandemia.

Objective: The relationship between the sanitary infrastructure, considering three aspects such as: equipment and supplies; built environments; humanization of care against COVID-19 in the district of Castilla - Piura in the year 2022. Methods: It adopts the Hermeneutic paradigm, with a cross-sectional, qualitative design, based on surveys applied to a statistical sample from the Castilla sector, unstructured interviews were conducted, aimed at health professional experts. Results: It is observed that 100% of the II and III level hospitals and health centers in Piura are in inadequate conditions to achieve efficiency and effectiveness in care, both in infrastructure-equipment, in built environment and humanized. Conclusion: The deficient state of health establishments has determined the increase in cases of COVID 19, during the pandemic, because they do not have adequate environments to treat different pathologies, as well as due to inadequate zoning of respiratory and vector isolation areas, those that must respond to the reality of this Region; This situation raises the need to formulate a regional contingency plan, the same one that guarantees priority and quality care in emergency situations, as well as life during the pandemic.

An Inter District Analysis of Public Healthcare Infrastructure Disparities in Assam.

Background: Sufficient and quality healthcare services are basic requirement for overall development of a nation. Public healthcare infrastructure is one of the major determinants of health outcomes in a country, and public healthcare services have a considerable impact on people's health status. The rural population primarily relies on public healthcare services. Assam is not an exception in this regard, where the insufficiency of public healthcare services is still an issue. 86 % of the population of Assam lives in rural areas. Objectives: The present work attempts to study the inter-district variation regarding public health infrastructure in 33 districts of Assam. Methods: The Inter district variation is estimated with a composite index of public health infrastructure. Principal Component Analysis (PCA) is adopted to construct a composite index using nine health infrastructure indicators. Results: The study has observed variations in health infrastructure among the various districts of Assam, reflecting the shortage of health infrastructure-physical and human in rural and remote areas of the state. The study finds inter-district variations in the state.

Does Health Financial Resource Correlate with Physical Health Infrastructure?

Background: Is building physical health infrastructure (PHI) a priority for state governments within the northeastern states (NES) of India? The decentralization mechanism initiated by the government of India to synergize health care across states seems highly unequal. Certain Indian states such as Kerala, Uttarakhand, and Himachal Pradesh have achieved phenomenal progress in the health-care system through a decentralized mechanism. Objectives: The study attempts to examine the PHI of NES and public health resources. Methods: The study has employed the Euclidian Distant Method (EDM) which fulfills various compulsive and instinctive properties; specifically, normalization, symmetry, monotonicity, proximity, uniformity, and signaling inclusively. This method ranks the states in terms of infrastructure availability and public health resources. Second, the correlation was done to see the relationship between the PHI of NES and public health resources. Results: The results of the EDM? show that Arunachal Pradesh ranked the highest in the Index of Public Health Infrastructure, whereas Assam ranked the lowest. The Index of Public Health Resource shows interesting results. Assam has remained at the lowest rank and inconsistency of ranks among the other NES. The correlation between the indices is positive, yet not encouraging. Conclusion: This implies that building up health infrastructure and responding to the demand for health-care infrastructure still stands ignored and rather remained stagnant.

Situação programática na perspectiva da vulnerabilidade em saúde: validação de banco de itens / Situación programática desde la perspectiva de la vulnerabilidad en salud: validación del banco de ítems / Programmatic situation from the perspective of health vulnerability: Item database validation

RESUMO Objetivo Validar banco de itens para avaliação da situação programática na perspectiva da vulnerabilidade em saúde. Método Estudo de validação realizado em 2021. Construíram-se duas scoping reviews para identificar definições operacionais e, após, realizaram-se reuniões com os autores para formular itens. Em seguimento, enviaram-se os itens via Google Forms para especialistas com expertise na área de vulnerabilidade em saúde ou construção e validação de instrumentos. Para validar os itens, utilizou-se coeficiente de validade de conteúdo, teste binomial, além do coeficiente de correlação intraclasse para verificar confiabilidade, todos via SPSS® versão 25. Resultados Sete especialistas retornaram com avaliações dos itens nos critérios clareza da linguagem, pertinência prática e relevância teórica. Dos 88 itens organizados nos subconceitos infraestrutura e processo de trabalho, a maior parte foi modificada por sugestão dos especialistas e teve coeficiente de validade de conteúdo maior que 0,80. O coeficiente de correlação intraclasse foi 0,80 para clareza, 0,94 para pertinência e 0,92 para relevância (p < 0,05). Dois itens foram excluídos após reunião dos autores para consenso sobre os itens do banco final e dez foram mesclados. Conclusão e implicação para prática: O banco de itens foi validado internamente e houve boa confiabilidade entre os juízes, possibilitando o uso por profissionais da saúde para investigar a vulnerabilidade.

RESUMEN Objetivo Validar una base de datos de ítems para evaluar la situación programática de vulnerabilidad en salud. Método Estudio de validación realizado en 2021. Se construyeron dos revisiones de alcance para identificar definiciones operativas y, posteriormente, se realizaron reuniones con los autores para la formulación de ítems. Como seguimiento, los ítems se enviaron a través de formularios de google a especialistas con experiencia en el área de vulnerabilidad en salud o construcción y validación de instrumentos. Para validar los ítems utilizamos el coeficiente de validez de contenido, prueba binomial, además del coeficiente de correlación intraclase para verificar la confiabilidad, todo a través de SPSS® versión 25. Resultados Siete expertos regresaron con evaluaciones de ítems en los criterios claridad de lenguaje, relevancia práctica y relevancia teórica. De los 88 ítems organizados en los subconceptos de infraestructura y proceso de trabajo, la mayoría fueron modificados por sugerencia de expertos y tuvieron un coeficiente de validez de contenido superior a 0,80. El coeficiente de correlación intraclase fue 0,80 para claridad, 0,94 para pertinencia y 0,92 para relevancia (p < 0,05). Se excluyeron dos elementos después de la reunión de los autores para el consenso sobre los elementos finales de la base de datos y diez se fusionaron. Conclusión e implicaciones para la práctica Los ítems fueron validados internamente y hubo una buena fiabilidad entre los jueces, lo que permitió su uso por parte de los profesionales de la salud para investigar la vulnerabilidad.

ABSTRACT Objective To validate an item database to assess the programmatic situation of health vulnerability. Method A validation study carried out in 2021. Two scoping reviews were elaborated to identify operational definitions and, afterwards, meetings were held with the authors to formulate items. As a follow-up, the items were sent via Google Forms to specialists with expertise in the areas of health vulnerability or construction and validation of instruments. To validate the items, we used the content validity coefficient and binomial test, in addition to the intraclass correlation coefficient to verify reliability, all via SPSS® version 25. Results Seven experts answered with item evaluations in the language clarity, practical relevance and theoretical relevance criteria. Of the 88 items organized in the infrastructure and work process sub-concepts, most were modified following the experts' suggestions and had content validity coefficients greater than 0.80. The intraclass correlation coefficient was 0.80 for clarity, 0.94 for relevance, and 0.92 for relevance (p < 0.05). Two items were excluded after the authors' meeting for consensus on the final item database and ten were merged. Conclusion and implications for the practice The items were internally validated and there was good reliability among the judges, enabling their use by health professionals to investigate vulnerability.

Retrato da atenção básica no Brasil: gastos e infraestrutura em municípios brasileiros / A portrait of Brazilian primary care: municipal expenditure and infrastructure in Brazilian municipalities

Resumo O trabalho apresenta a relação entre a alocação de recursos financeiros e a tipologia da infraestrutura básica local de saúde em amostra inicial de 5.570 municípios do Brasil. Trata-se de uma pesquisa explicativa com uso da análise de correspondência múltipla e regressão quantílica entre variáveis de gastos/controle e a tipologia da estrutura das Unidades Básicas de Saúde. As correspondências entre a tipologia e variáveis representativas dos gastos mostram que tipologias inferiores estão relacionadas com menores gastos per capita nessas variáveis, e vice-versa. A regressão quantílica apresentou relação positiva com a tipologia da infraestrutura nos dois ciclos avaliados. Há evidência das variáveis de gasto estarem relacionadas, de maneira positiva, à infraestrutura, permitindo entender que alocar mais recursos leva a melhor infraestrutura. No entanto, há a necessidade de melhoria na governança dos recursos financeiros da saúde, pois municípios com indicadores socioeconômicos inferiores têm infraestrutura nas categorias inferiores. Conclui-se que há grande multiplicidade de atores e os múltiplos critérios para alocação e descentralização de recursos trazem dificuldades de coordenação e integração entre os entes, restringindo a adequada priorização na alocação dos recursos.

Abstract The paper presents the relationship between the allocation of financial resources and the type of local basic health infrastructure in an initial sample of 5,570 Brazilian municipalities. This is an explanatory research using multiple correspondence analysis and quantile regression between expenditure/control variables and the type of structure of PHC Units. The correspondence between the type and the representative variables of expenditure shows that inferior typologies are related to lower per capita expenditure in these variables, and vice versa. Quantile regression showed a positive relationship with the type of infrastructure in the two cycles evaluated. There is evidence that expenditure variables are positively related to infrastructure, which allows us to understand that allocating more resources leads to better infrastructure. Results point to the need to improve the governance of financial resources for health, as municipalities with lower socioeconomic indicators have an infrastructure in the lower categories. We can conclude that there are multiple actors, and the various criteria for allocating and decentralizing resources bring about difficulties of coordination and integration between the entities, restricting the appropriate prioritization in the distribution of resources.

Necesidades de atención en salud mental y uso de servicios en población mexicana con trastornos mentales graves / Mental health care needs and use of services in Mexican population with serious mental disorders

Resumen: Objetivo: Analizar las demandas de atención de los trastornos mentales graves (TMG) y factores asociados con la utilización de servicios en México. Material y métodos: Se llevó a cabo un estudio analítico transversal en dos fases: la primera con una base de datos nacional de servicios disponibles y su utilización; la segunda, una muestra de registros médicos de un hospital psiquiátrico. Resultados: La esquizofrenia es el TMG más prevalente; más de 50% de hospitalizados fueron hombres, con edad promedio 37 años. La utilización de servicios estuvo asociada con la edad (β=1.062; p=.000), ingreso familiar (β=1.000, p=.000) y no tener ocupación (β=3.407; p=.000). La población con esquizofrenia tiene cuatro veces más la probabilidad de requerir estar exenta de pago (β=4.158; p=.000). Conclusiones: La población con TMG es más vulnerable por la discapacidad funcional y social asociada; requiere de intervenciones específicas de salud acompañadas de una política de protección financiera adaptada a sus necesidades de atención.

Abstract: Objective: To analyze the mental health care needs of the serious mental disorders (SMD) and factors associated with the use of services in Mexico. Materials and methods: A cross-sectional analytical study was conducted in two phases, the first with a national database of available services and its utilization; the second, a sample of medical records of a psychiatric hospital. Results: Schizophrenia is the most prevalent MDS; more than 50% of those hospitalized were male, with an average age of 37 years. The use of services was associated with age (β=1.062, p=.000), family income (β=1.000, p=.000) and no laboral occupation (β=3.407, p=.000). The population with schizophrenia is four times more likely to require to be exempt from payment (β=4.158, p=.000). Conclusions: The population with SMD as schizophrenia is more vulnerable due to the associated functional and social disability and it requires specific heath interventions and a financial protection policy adapted to their mental health care needs.

Infrastructure and work process in primary health care: PMAQ in Ceará / Infraestrutura e processo de trabalho na atenção primária à saúde: PMAQ no Ceará

ABSTRACT OBJECTIVE To analyze the quality of the infrastructure and work process of the Family Health Strategy in the municipalities of Ceará between 2012 and 2014. METHODS Cross-sectional study, using secondary data from the external evaluation of the 1st (2012) and 2nd (2014) cycle of the National Program for Improvement of Access and Quality of Primary Care in Ceará. A total of 20 composite indicators were used to verify the quality of infrastructure and work process. RESULTS Data from 183 (99.4%) of the 184 municipalities of Ceará were collected in both cycles. A total of 1,441 teams were evaluated for the infrastructure and 800 for the work process. Among the 20 composite indicators evaluated, 18 presented an improvement, but in a non-homogeneous way, ranging between 0.0 and 413.5%. We observed that the lower the initial value of the indicator, the greater the variation in quality between 2012 and 2014. The indicators of infrastructure and work process were influenced by the regional health system and population size of the municipality, being more evident the influence on the variables of the work process. CONCLUSIONS We identified that quality improvements related to infrastructure and work process occurred in the period of implementation of the program in the state of Ceará in an equitable manner, being influenced by population size and regional health system, showing the influence of the context in the implementation of public policies of this nature.

RESUMO OBJETIVO Analisar a qualidade da infraestrutura e do processo de trabalho da Estratégia Saúde da Família nos municípios do Ceará entre 2012 e 2014. MÉTODOS Estudo transversal, utilizando dados secundários da avaliação externa do 1º (2012) e 2º (2014) ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica no Ceará. Vinte indicadores compostos foram utilizados para averiguar a qualidade da infraestrutura e do processo de trabalho. RESULTADOS Dados de 183 (99,4%) dos 184 municípios foram avaliados nos dois ciclos. Avaliaram-se 1.441 equipes para infraestrutura e 800 equipes para processo de trabalho. Dentre os 20 indicadores compostos avaliados, houve melhoria em 18, porém de forma não homogênea, variando de 0,0 a 413,5%. Observou-se que quanto menor o valor inicial do indicador, maior a variação na qualidade entre 2012 e 2014. Os indicadores da infraestrutura e do processo de trabalho foram influenciados pela região de saúde e porte populacional do município, sendo mais evidente a influência nas variáveis de processo de trabalho. CONCLUSÕES Identificou-se que melhorias da qualidade referentes à infraestrutura e ao processo de trabalho ocorreram no período de implantação do programa no estado do Ceará de forma equitativa, sendo influenciadas pelo porte populacional e pela região, demonstrando a influência do contexto na implementação de políticas públicas dessa natureza.

Avaliação da estrutura na atenção primária em saúde para o suporte básico de vida / Evaluation of the first aid health structure for basic life support

Descrever a estrutura das Unidades Básicas de Saúde (UBS) no atendimento para o Suporte Básico de Vida (SBV). Trata-se de um estudo transversal, descritivo, com abordagem quantitativa, desenvolvido em 13 Unidades Básicas de Saúde de um município do interior paulista, no período de dezembro de 2013 a junho de 2014, por meio de entrevistas estruturadas com os responsáveis e observação da estrutura. Foi elaborado um roteiro específico para esse estudo. As unidades estudadas não dispunham de todos os materiais, equipamentos e espaço necessários para o atendimento de SBV. Apenas os itens bolsa-válvula-máscara adulto e luvas de procedimento foram encontrados em 100% das unidades. Constatou-se a não adequação de grande parte das UBS a requisitos estruturais mínimos para o atendimento de SBV, bem como lacunas frente à organização e disposição dos materiais.

To describe the structure of Basic Health Units (UBS) in attending the Basic Support of Life (SBV). A transversal, descriptive, quantitative study developed in 13 UBSs of a municipality in the interior of the state of São Paulo, Brazil, between December 2013 and June 2014, through structured interviews with people in charge and through the observation of the structure. A specific script was prepared for the study. Not all units had all the materials, equipments and space required for SBV care. Only items such as adult bag-valve-mask and gloves were extant in all the units. Results show that most UBSs were minimally prepared for SBV attendance, with serious gaps in the organization and disposition of materials.

A glance on public private partnership: an opportunity for developing nations to achieve universal health coverage

The government of India has joined hands with the rest of the world aiming at universal health coverage (UHC) and has set the target for 2022. The huge population, the difficult land terrain, unequal distribution of health care system, socio-economic and cultural factors are posing serious challenges. Public private partnership (PPP) even though not exactly a novel concept, some innovations can tackle these challenges to an extent and give us a smooth track towards UHC. In the past, PPP models were utilized to some extent for development and refurbishment of health infrastructure. But expanding the partnership between the two sectors to human resource, service delivery and financial management with supervision and monitoring by the government may bring out the needed significant difference.

Analysis on the critical success factors in Public-Private Partnership (PPP) health projects in China / 中国卫生政策研究

Recently, Public-private Partnerships (PPPs) are being increasingly used in the public facilities and services provision in China.The procurement system ranges from simple contracting of services to the involvement of the private sector in the infrastructure financing, design, construction, operation and maintenance.However, organizing a PPP is not an easy task due to its complexity and long term contractual obligations and this some projects to fail to attract the private sector in the partnership and in the services provision.18 critical success factors of PPP project in the Chinese health sector were undermined by the investigation of this research.The mostly identified CSFs are thorough and realistic benefit assessment, sound policies, appropriate risk allocation and risk mitigation, and the public/private sector responsibilities.This paper finally puts forward the recommendations based on the statistics that are published from the Integrated Information Platform of CPPPC in order to focus on validating them for successful PPP projects achievement.

Avaliação da estrutura física de Unidades Básicas de Saúde / Evaluación de la estructura física de Unidades Básicas de Salud / Evaluation of the physical structure of Basic Health Units

Objetivo avaliar a infraestrutura de unidades básicas de saúde, quanto à adequação às normas preconizadas pelo Ministério da Saúde. Métodos estudo descritivo, com abordagem quantitativa, realizado em 18 unidades básicas de saúde. Para coleta de dados, utilizou-se checklist construído com base na Portaria Ministerial 2.226/09. A análise dos dados foi realizada por meio do Statistical Package for the Social Sciences e empregou-se escala de pontuação (0-10) para classificação das unidades de saúde. Resultados das unidades analisadas, 16,6% ficaram com a nota igual a 3,5; 16,6% com 3,0; 5,5% com 2,5; 16,6% com nota 2,0; 11,1% com 1,5; 11,1% com 1,0; e 22,2% ficaram com 0,5, estando, portanto, todas com estrutura física inadequada. Conclusão o município não oferece ao público um serviço que contemple os padrões ideais em sua estrutura, na maioria das unidades inspecionadas.

Objetivo evaluar la infraestructura de unidades básicas de salud, cuanto a la adaptación a las normas recomendadas por el Ministerio de la Salud. Métodos estudio descriptivo, con abordaje cuantitativa, realizado en 18 unidades básicas de salud. Para recolección de datos, se utilizó lista construida con base en el Decreto Ministerial 2.226/09. Se realizó el análisis de datos utilizando el Statistical Package for the Social Sciences y empleó a escala de puntuación (0-10) para clasificación de los unidades de salud. Resultados de las unidades analizadas, 16,6% estaban con puntuación media de 3,5; 16,6% con 3,0; 5,5% con 2,5; 16,6% con nota 2,0; 11,1% con 1,5; 11,1% con 1,0; y 22,2% alcanzaron 0,5, por lo tanto, todas con estructura física inadecuada. Conclusión la ciudad no ofrece al público servicio que contemple las normas ideales en su estructura, en la mayoría de las unidades inspeccionadas.

Objective to evaluate the infrastructure of basic health units, as the adaptation to the standards recommended by the Ministry of Health. Methods descriptive study with a quantitative approach, carried in 18 basic health units. For data collection, we used a checklist built based on Ministerial Decree 2,226/09. Data analysis was performed using the Statistical Package for Social Sciences and a scoring scale (0-10) was used for the classification of health facilities. Results 16.6% of the analyzed units received the average score of 3.5; 16.6% received 3.0; 5.5%, 2.5; 16.6% received grade 2.0; 11.1%, 1.5; 11.1%, 1.0; and 22.2% received 0.5 and, therefore, all units had inadequate physical structure. Conclusion the city does not offer the public a service that addresses the ideals standards in its structure in most of the inspected units.

Improving capability of local public hospital and health center against newly emerging infectious diseases after Middle East respiratory syndrome epidemic in Korea

Healthcare system in Korea was found to be very vulnerable to public health emergency preparedness and response as demonstrated in the recent outbreak of Middle East Respiratory Syndrome Coronavirus. We need to redefine the function of and improve the capability of local district public hospital and local health center to cope with potential threats by newly emerging infectious disease in the nearer future. While central government may be responsible for early detection of newly emerging infectious disease transmitted from outside of the country, local government and its district-level public healthcare agencies need to primarily control over spread of the disease among the local residents. Governance setting for rapid response required in public health crisis situation appears to be possible based on strong local public health infrastructure for health promotion and disease prevention at si-gun-gu district level. Proper and sustainable investment is also needed for local public hospital with high standard facilities and skilled healthcare manpower since there seems little economic incentives to maintain such facilities in private hospitals. In conclusion, it would be urgent task to improve prevention activities for infectious disease of local health centers and clinical activities of local public hospital. Especially, role and competencies of public health physicians working at the public health center need to be specified as an essential component of public health infrastructure.

Health Status and Health Care Services in Uttar Pradesh and Bihar: A Comparative Study.

Background: India’s growth hype and dream of emerging as an economic superpower are being challenged today, among other things, by its failure to foster an inclusive growth path and provide to bulk of its population basic amenities of education and health. There exists great inequality at interstate and intrastate level in terms of the key components of human development–health and education. Aims: The present work attempts to measure the extent of the inequality in health status and health care services in the two most populous states of India namely Uttar Pradesh and Bihar. Materials and Methods: A detailed analysis of interdistrict and interregion disparity in health status and health care in the two states has been done using secondary data from Annual Health Survey (2011) and Statistical Diary (2011). Composite indices of health status and health services have been developed using Maher’s normalization technique and principal component analysis. Inequality measures like co-effi cient of variations have been used to measure the relevant disparities in the two states and explain the reason thereof. Results: The work shows low overall health status and wide interdistrict and interregion health disparity in the two states with lower disparity in Uttar Pradesh as compared to Bihar in terms of health status and relatively high disparity in health infrastructure. One startling fact is existence of very low and insignifi cant correlation between infrastructure and outcome. Conclusion: The study fi nds health status is infl uenced not only by health care facilities, but a number of other factors principally government’s commitment and policies.

Perfil clínico-epidemiológico dos casos suspeitos de Dengue em um bairro da zona sul de Teresina, PI, Brasil / Perfíl clinico-epidemiológico de los casos sospechosos de Dengue en un distrito de la zona sur de Teresina, PI, Brasil / Clinical-epidemiologic profile of Dengue suspicious cases in a district in the south zone of Teresina, PI, Brazil

O objetivo foi traçar o perfil clínico-epidemiológico dos casos suspeitos de Dengue em um bairro da zona sul de Teresina. Realizou-se um estudo descritivo-exploratório, por meio de inquérito domiciliar mediante aplicação de formulário com 28 pessoas. 88,9 por cento tinham coleta de lixo 3 vezes por semana; 57,1 por cento dos depósitos encontrados foram material de construção/peças de carro; 75 por cento destinam as águas servidas a céu aberto; 60,7 por cento desenvolveram primo-infecção, 75 por cento realizaram sorologia, com 33,3 por cento confirmados. Faltou uma maior efetividade de ações de saneamento por parte do poder público e um envolvimento da população no desenvolvimento de medidas preventivas no combate à dengue.

The objective of the study was to establish a clinical-epidemiologic profile of Dengue suspicious cases in a district in the south zone of Teresina, PI, Brazil. This study is a descriptive-exploratory survey in which it was applied a questionnaire to 28 residents of the mentioned district. 88.9 percent had garbage collection 3 times per week; 57.1 percent of the deposits had construction material or car parts; 75 percent destine served waters to opencast; 60.7 percent had developed first-infection, 75 percent were submitted to serology, 33.3 percent cases were confirmed. More effectiveness of sanitary action by government and population involvement in the development of preventive programs is missed in the fight against Dengue.

El un objetivo del estudio fue establecer un perfil clínico-epidemiológico de los casos sospechosos de Dengue en un distrito de la zona sur de la cuidad de Teresina, PI, Brasil. Tratase de un estudio descriptivo-exploratorio en lo cual se aplicó un cuestionario a 28 residentes del área del estudio. 88,9 por ciento tenían colección de basura 3 veces por la semana; 57,1 por ciento de los depósitos analizados tenían material de construcción o piezas de auto; 75 por ciento de las casas tenían el escoto con destino a áreas libres; 60,7 por ciento tuvieron prima-infección, 75 por ciento fueron sometidos a serología, con 33,3 por ciento confirmaciones. Mayor efectividad de acciones sanitarias por el gobierno y un envolvimiento de la población en el desarrollo de programas preventivos de combate a la Dengue son necesarios.