Abstract
Abstract Objective: to present an evaluation model for developing effective indicators for the Vigilância Sanitária (VISA) (Sanitary and Health Surveillance) actions in Brazil. Methods: an exploratory, evaluative study from primary sources data - electronic form by key informants and reports on national, international and secondary benchmarking visits - documental analysis. Results: the diversity of VISA management practices made it possible to define the evaluation object: Health Surveillance Actions - as an organized action system. The components: management; regulation; sanitary and health control; sanitary and health risk monitoring and information, communication and health education were derived from the aims of the intervention and composes a central structure of the Theoretical Model and the Logical Model Actions of VISA in the Sistema Nacional de Vigilância Sanitária (SNVS) (National Sanitary and Health Surveillance System) . Conclusions: The Vigilância Sanitária (VISA) (Sanitary and Health Surveillance) accumulates experience with the process indicators for monitoring actions, being incipient are capable of evaluating its impact. The theoretical resources in the evaluation area support the information management in the VISA field and besides contributing for studies on social determinants and the incorporation of analyses in historic series.
Highlights
The data collection contemplated the proposition by the health surveillance and regulation managers of the field of themes to be approached in the evaluation and besides involving the identification of the initiatives, institutional prac
For the purposes of this model, these were grouped into components, in accordance with those adopted by various institutional Anvisa documents as well as those produced and institutionalized by the Sistema Nacional de Vigilância Sanitária (SNVS) tripartite management group within the Sistema Único de Saúde (SUS) (Brazilian National Health System)
These are laid out in the recommendation of the I Conferência Nacional de Vigilância Sanitária (National And health Conference) in 2001, as follows – to define an integrated set of indicators, to create a methodology for self-evaluation in sanitary and health surveillance and to propose a national project to evaluate the impact of these actions in terms of improving the population’s quality of life[22] and in the PDVISA2007 guidelines – The development in planning, monitoring, evaluation and auditing should be continuously shared at all three levels of government for further support in the process of attending our responsabilities.[17]
Summary
The theory-based evaluation increases the capacity to estimate the impact of programs that are not conducive to robust experiment design based on predefined standards.[4] The Theoretical modeling for evaluation aims to understand factors that may interfere with the expected effects and extrapolate the object of the study itself. The context in which these occur, it considers in creating a structure to facilitate value judgments; discussion among formulators, implementers and evaluators regarding the appropriateness of the intervention and even the evaluation itself and the way it is used.[2,4,5,6,7,8] It may contribute with the research most used by managers in the decision making, since it starts out from the aims and guidelines of the interventions and provides easiness in understanding them through greater knowledge of the object of study, insofar as references of different approaches in theories and methods.[2]
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