SciELO - Scientific Electronic Library Online

vol.13 issue6Evaluation of the decentralization of epidemiologic surveillance to the Team of the Family Health ProgramModel for evaluating plans for health service waste management (MPHSW) for use by local health and environmental protection authorities author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Ciência & Saúde Coletiva

On-line version ISSN 1678-4561Print version ISSN 1413-8123


GALVAO, Noemi Dreyer; YOKOO, Edna Massae; SANTOS, Marina Atanaka dos  and  NATAL, Sonia. Epidemiologic surveillance in the plan for intensification of malaria control actions in the state of Mato Grosso: a case study. Ciênc. saúde coletiva [online]. 2008, vol.13, n.6, pp.1933-1944. ISSN 1678-4561.

The objective of this study is to analyze the epidemiologic surveillance in the Malaria Control Actions Intensification Plan (PIACM) in the 18 cities of the state of Mato Grosso, from 1999 to 2002. An evaluative research of the type implantation analysis was conducted. The analysis was carried out using a logic model considering 4 dimensions - external and political context, organizational context, implementation and effectiveness - and 5 evidence bases, 3 of primary data and 2 of secondary data. The cities are called CASE. The data were collected using semi-structured questionnaires. The implementation of the PIACM actions was found adequate in only 5,6% of CASES. The effectiveness of the actions was adequate in only one CASE and none of the CASES showed adequate contextual characteristics. The principal factors affecting the implementation were: frequent changes of the local health managers and professionals, fragmented and sporadic training and health promotion and prevention actions limited to the primary care team. In conclusion, structural problems and lack of articulation of epidemiologic surveillance hamper the full development of the PIACM actions.

Keywords : Malaria; Epidemiologic surveillance; Health services evaluation; PIACM.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )