ABSTRACT
Resumo:O objetivo deste artigo é apresentar os desafios no processo de implantação do prontuário eletrônico na Atenção Primária à Saúde (APS) no estado do Rio Grande do Sul, Brasil. O estudo tem delineamento transversal e aplica a análise de conteúdo sobre um corpus formado por respostas dadas por gestores das secretarias municipais de saúde. A coleta de dados foi realizada por meio de formulário eletrônico. Foram identificadas três categorias de macro sentidos: dificuldade de implantação junto aos profissionais assistenciais, dificuldade de infraestrutura e recursos e dificuldade de interoperabilidade e gestão. A partir do conhecimento da opinião dos gestores municipais sobre os desafios no processo de implantação do prontuário eletrônico na APS, a análise dos desafios e macro sentidos encontrados tem o intuito de facilitar a compreensão do cenário municipal diante de uma nova ferramenta de trabalho proposta em nível nacional, podendo servir como uma ferramenta de planejamento em locais que pretendem ou estejam vivenciando esse processo.
ABSTRACT
OBJECTIVE: to describe the perception of data collection performed by primary health care professionals as collaborators of the national POP-Brasil survey - Epidemiological Study of National Prevalence of HPV Infection. METHODS: in all, 217 professionals from 119 primary care units participated in the POP-Brasil Study conducted in the 26 Brazilian capitals and the Federal District. RESULTS: the professionals were trained and certified locally for collecting data and biological material from 8,580 participants; participation in the study allowed professionals to recognize the importance of their work. CONCLUSION: the successful experience confirms how important it is to do research as part of work practice, as long as professionals are trained and have adequate support, given that their work routine is compatible with the execution of the research protocol.
Subject(s)
Data Collection/methods , Health Personnel/organization & administration , Papillomavirus Infections/epidemiology , Primary Health Care , Brazil , Humans , Surveys and QuestionnairesABSTRACT
BACKGROUND: In addition to screening by Pap smears, vaccination against human papillomavirus (HPV) can dramatically reduce cervical cancers caused by the virus. The acceptance of HPV vaccination is directly related to HPV knowledge. This research aimed to evaluate knowledge about HPV and vaccination among men and women aged 16-25 years who use the public health system in Brazil. METHODS: This was a cross-sectional, multicenter study of sexually active young adults recruited from 119 primary care units between 2016 and 2017. All participants answered a face-to-face standardized questionnaire. RESULTS: Of 8581 participants, the mean percentage of correct answers about HPV and vaccination was 51.79% (95% CI 50.90-52.67), but 75.91% (95% CI 74.13-77.69) had awareness of the HPV vaccination. Women answered a higher proportion of questions correctly than men did (pâ¯=â¯0.0003). Lower education level was the variable that most interfered with knowledge. The best information sources for knowledge were both health professionals and the media (1.33%, 95% CI 1.03-1.70). CONCLUSIONS: The results emphasize the importance of educational programs about HPV and vaccination among young adults, especially in socially disadvantaged populations. These findings can help to increase the vaccination rate in the country and to stimulate public health policies.
Subject(s)
Health Knowledge, Attitudes, Practice , Knowledge , Papillomavirus Infections/prevention & control , Papillomavirus Vaccines/administration & dosage , Vaccination/methods , Adolescent , Adult , Brazil , Cross-Sectional Studies , Female , Humans , Male , Surveys and Questionnaires , Young AdultABSTRACT
The sexual behaviors of 15- to 24-year-olds increase the risk of this population to acquire sexually transmitted infections (STIs). The present study aimed to describe the sexual behavior in the transition to adulthood Brazilian population and its association with STI history.We analyzed cross-sectional data collected from 8562 sexually active women and men who participated in the National Survey of Human Papillomavirus Prevalence (POP-Brazil). This large-scale survey enrolled participants from 26 Brazilian capitals and the Federal District. Professionals from primary care facilities were trained to collect data utilizing a standardized questionnaire with questions on sociodemographic, sexual behavior, and drug use. We constructed a Poisson model with robust variance for both crude and adjusted analysis to investigate the associations between the variables. To adjust the distribution of the sample to the study population, we weighted the measures by the population size in each city and by gender.There were differences in several aspects from sexual behavior between genders. The majority of men reported an early sexual initiation, more sexual partners, and a different practice in sexual positions when compared with women. Women reported use of contraception more frequently than men (Pâ<â.001). The use of alcohol and drugs and the use of drugs before sexual intercourse impact in STIs equally between the genders. Exclusive for women, the presence of any STI was associated with the practice of vaginal sex and other types of intercourse (adjusted prevalence ratio [APR] 1.43, 95% CI 1.08-1.88). For men, the number of sexual partners in the last year (APR 1.02, 95% CI 1.01-1.04), not having vaginal sex (APR 3.25, 95% CI 1.78-5.92) and sexual experience with someone of the same sex (APR 4.05, 95% CI, 2.88-5.70) were associated with a higher presence of STIs.This is the first report regarding sexual behavior in a nationally representative population sample in Brazil. This study provides more valid estimates of sexual behavior and associated STIs, identifying important differences in sexual behavior and identifying predictors for referred STIs among females and males.
Subject(s)
Papillomaviridae/isolation & purification , Sexual Behavior/psychology , Sexually Transmitted Diseases/epidemiology , Substance-Related Disorders/epidemiology , Adolescent , Brazil/epidemiology , Condoms/statistics & numerical data , Contraception/methods , Contraception/statistics & numerical data , Cross-Sectional Studies , Female , Humans , Male , Prevalence , Risk Factors , Risk-Taking , Sexual Behavior/statistics & numerical data , Sexual Partners/psychology , Sexually Transmitted Diseases/virology , Socioeconomic Factors , Substance-Related Disorders/psychology , Surveys and Questionnaires , Young AdultABSTRACT
Este trabalho aborda a Formação em auriculoterapia para os profissionais de saúde da Atenção Básica, oferecida através da parceria entre a Universidade Federal de Santa Catarina e o Ministério da Saúde, destacando a trajetória de implantação do atendimento de auriculoterapia em uma Unidade de Saúde do município de Porto Alegre/RS. A inserção das PIC - Práticas Integrativas e Complementares no Sistema Único de Saúde configura uma ação de ampliação de acesso e qualificação dos serviços, na perspectiva da integralidade da atenção à saúde da população; ademais, o espaço social das PIC tem valor antropológico e sua ascensão, juntamente com uma crise da atenção à saúde, reflete um cuidado à saúde mercantilizado e focado na doença, não no indivíduo e nas suas subjetividades. Trata-se de um relato de experiência em que a potencialidade está em compartilhar o impacto de uma formação em Auriculoterapia, repercutindo na implantação do atendimento em uma Unidade de Saúde da Família.
Subject(s)
Male , Female , Humans , Acupuncture, Ear , Brazil , Public Health , Unified Health SystemABSTRACT
Este trabalho aborda a "Formação em auriculoterapia para os profissionais de saúde da Atenção Básica", oferecida através da parceria entre a Universidade Federal de Santa Catarina e o Ministério da Saúde, destacando a trajetória de implantação do atendimento de auriculoterapia em uma Unidade de Saúde do município de Porto Alegre/RS. A inserção das PIC - Práticas Integrativas e Complementares no Sistema Único de Saúde configura uma ação de ampliação de acesso e qualificação dos serviços, na perspectiva da integralidade da atenção à saúde da população; ademais, o espaço social das PIC tem valor antropológico e sua ascensão, juntamente com uma crise da atenção à saúde, reflete um cuidado à saúde mercantilizado e focado na doença, não no indivíduo e nas suas subjetividades. Trata-se de um relato de experiência em que a potencialidade está em compartilhar o impacto de uma formação em Auriculoterapia, repercutindo na implantação do atendimento em uma Unidade de Saúde da Família. (AU)
This study addresses training in auriculotherapy for primary healthcare professionals offered in partnership with the Federal University of Santa Catarina and the Ministry of Health, highlighting the process of implementing auriculotherapy care at a Health Unit in the municipality of Porto Alegre, Rio Grande do Sul state (RS). The insertion of complementary and integrative medicine (CIM) within the National Health System (SUS) is aimed at expanding access and qualifying services with a view to providing comprehensive healthcare the population; in addition, the social space of CIM holds anthropological value and its rise, along with a healthcare crisis, reflects a diseaseoriented and commodified approach to healthcare as opposed to focusing on individuals and their subjectivities. This is an experience report whose potential lies in sharing the impact of auriculotherapy training with a view to its implementation at a Family Health Unit. (AU)
