Abstract
This article analyses the process of construction of Health Surveillance in Brazil concerning the political, historical and organizational context of this component of the Unified Health System (UHS), by means of its historical view and presentation of the advances, limits, setbacks and perspectives. Throughout trajectory of Health Surveillance, its objects of study and intervention have been expanded, strengthening the integration among the different areas of surveillance, increasing its capacity for prediction and intervention. It evolved from surveillance of people, to surveillance of diseases and now to surveillance of health risks, promoting greater articulation of HS professionals with agents of endemics and Family Health Teams. The first National Health Surveillance Conference, in February 2018, provided opportunities for discussion and formulation of proposals aimed at strengthening HS, expanding its scope of actions with a view to achieving a comprehensive care model. Adequate and audacious alternatives are necessary so that there are no setbacks in the financing modalities in order to maintain and expand the advances achieved in the field of Health Surveillance in Brazil.
Highlights
Under current Brazilian legislation, health surveillance (HS) is defined as a continuous and systematic process of collecting, consolidating, analyzing and disseminating data regarding health-related events; it’s goal is the planning and implementation of public policy measures for the protection of the health of the population, the prevention and control of health risks and diseases, as well as the promotion of health[1]
Adequate and audacious alternatives are necessary so that there are no setbacks in the financing modalities in order to maintain and expand the advances achieved in the field of Health Surveillance in Brazil
An important feature in this regard was the participation of academic epidemiologists, in particular the Epidemiology Commission of the Brazilian Association of Public Health (Abrasco)[15]. The results of this can be seen in the construction, computerization and availability of large national epidemiological databases (SIM, SINASC, SINAN etc.), which stimulated the production of more disaggregated and close to reality epidemiological analyses of the health situation; the creation of the National Network of Health Information (RNIS) and the Inter-Agency Network of Health Information (RIPSA); the broad training of human resources in various modalities; and the support for research that was strategically useful for the SUS, the results of which were incorporated in some public policies and interventions[15]
Summary
Under current Brazilian legislation, health surveillance (HS) is defined as a continuous and systematic process of collecting, consolidating, analyzing and disseminating data regarding health-related events; it’s goal is the planning and implementation of public policy measures for the protection of the health of the population, the prevention and control of health risks and diseases, as well as the promotion of health[1]. This concept reflects the proposals of the Brazilian Health Reform (RSB) movement. This article analyzes the process of the development of HS in Brazil, addressing the political and organizational context of this component of the SUS through an historical overview and a discussion of the relevant progress, limitations, setbacks and perspectives
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