Proposta de indicadores para o eixo vigilância em saúde no projeto "Sífilis Não"

Abstract

In 2018, in Brazil, 193,476 cases of syphilis were reported in the Information System for Diseases of Diseases - SINAN. In September 2017, after an extensive audit, the Federal Court of Accounts (TCU) issued an operational report (Judgment No. 2019/2017-PL), on the role of the federal government in controlling the syphilis accident. In order to reverse this scenario, the Laboratory of Technological Innovation in Health - LAIS has been helping to induce strategic actions through the “non syphilis” project, which presents actions that are consistent with the effectiveness in combating and controlling syphilis. Thus, the study aims to present the indicators for the health surveillance axis in the “nonsyphilis” project, which serve as a parameter to achieve the levels of quality, legitimacy and reciprocity in physical goals and assessment of the quality of care for syphilis in the SUS. It is an applied, exploratory, case study, qualitative and quantitative research. The results show the indicators under 2 dimensions of analysis: epidemiological and operational. For the epidemiological dimension, 11 epidemiological indicators have been proposed, which aim to quickly and automatically communicate the occurrence of syphilis, for the purpose of adopting relevant intervention measures. For the operational dimension, management indicators and quality assessment were established, totaling 46 indicators. These should be used by the project's supporters as a monitoring and evaluation strategy with the objective of recommending good practices and continuous improvement of services. The possibility of being incorporated as a model for assessing the quality of care for syphilis in other municipalities in Brazil is envisaged. Therefore, the importance of the indicators proposed for guaranteeing and quality of care in health services is highlighted for the reduction of syphilis cases and common strategic actions, allowing to reach the levels of quality, legitimacy and reciprocity in physical physical goals and fullness the functioning of the proposed tools contributing to the induction of policies and actions of the Ministry of Health in the fight against syphilis.