Abstract:
:Economic policies are changing Latin American health programs, particularly promoting decentralization. Numerous difficulties thus arise for the control of endemic diseases, since such activities traditionally depend on vertical, and centralized structures. Theoretical arguments in favor of decentralization notwithstanding, no such tradition exists at the county level. The lack of program expertise at peripheral levels, intensive staff turnover, and even corruption are additional difficulties. Hence, the simple bureaucratic transfer of activities from the Federal to county level is often irresponsible. The loss of priority for control of endemic diseases in Latin America may mean the inexorable extinction of traditional control services. Malaria, dengue fever, and Chagas disease programs are examples of the loss of expertise and effectiveness in Latin America. A better strategy for responsible decentralization is required. In particular, a shared transition involving all governmental levels is desirable to effectively modernize programs. Maintenance of regional reference centers to ensure supervision, surveillance, and training is suggested.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Schmunis GA,Dias JCkeywords:
subject
Has Abstractpub_date
2000-01-01 00:00:00pages
117-23eissn
0102-311Xissn
1678-4464pii
S0102-311X2000000800016journal_volume
16 Suppl 2pub_type
杂志文章abstract::We performed a case study on a company focusing on the form of management and the shop floor workers, in order to identify the possible effects of participant work strategies on workers' health. Data on the company included its history, type of management, and organization of both production and the work process. Data...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1998000200019
更新日期:1998-04-01 00:00:00
abstract::This study aimed to shed light on the meanings ascribed to chronic pain in medical discourse and clinical practice in two Pain Clinics located in University hospitals in Salvador (Bahia) and São Paulo, Brazil. An ethnographic approach used participant observation and semi-structuralized interviews with attending and m...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0102-311x2007001100015
更新日期:2007-11-01 00:00:00
abstract::The primary health care model implemented by the Family Health Program in Brazil still lacks systematized, validated mechanisms for its monitoring and evaluation. Based on an actual experience, the current study sought to understand experiences and explore concepts held by staff and managers in the Ceará State Health ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008001200018
更新日期:2008-12-01 00:00:00
abstract::This article compares food intake by women 35 years or older in two population-based cross-sectional studies in Rio de Janeiro, Brazil, in 1995-1996 (n = 1,014) and 2004-2005 (n = 1,001). Food intake was assessed with a food-frequency questionnaire, and nutritional status was defined according to body mass index (BMI ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001100012
更新日期:2009-11-01 00:00:00
abstract::Knowledge of job satisfaction and work impact among psychiatric staff is highly useful for policymakers and mental health professionals. Since there are few studies on this issue in Brazil, a cross-sectional study was carried out among mental health professionals. Data were collected for 133 professionals from 4 menta...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000300016
更新日期:2008-03-01 00:00:00
abstract::Recent studies have emphasized that there is no justification for using the odds ratio (OR) as an approximation of the relative risk (RR) or prevalence ratio (PR). Erroneous interpretations of the OR as RR or PR must be avoided, as several studies have shown that the OR is not a good approximation for these measures w...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00077313
更新日期:2014-01-01 00:00:00
abstract::This study analyzed the association between air pollution and deaths from respiratory diseases, considering differential susceptibility according to gender. The authors used daily deaths from respiratory diseases (ICD-10, J00-J99), PM(10), SO(2), and O(3) levels, and meteorological indicators in Volta Redonda, Rio de ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011000900016
更新日期:2011-09-01 00:00:00
abstract::A descriptive analysis of systems and forms of payment for medical labor was carried out based on an intentional sample of hospitals, according to preestablished criteria. Hospital administrators, physicians, and representatives of medical and entrepreneurial corporations were interviewed. The results were analyzed ac...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1994000100008
更新日期:1994-01-01 00:00:00
abstract::In the past year, the Brazilian Federal Government and society have reported and acted on a crack use epidemic, which has been exacerbated by the media. This study hypothesized that crack use has not increased at the rate suggested by the Brazilian media. A cross-sectional survey was carried out in 2010 using a multis...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012000900004
更新日期:2012-09-01 00:00:00
abstract::The reproducibility and validity of a Food Frequency Questionnaire (FFQ) was evaluated in 83 adults living in a State capital in southern Brazil. The reproducibility and validity were tested with intra-class correlation coefficients (ICC). Mean nutrient intakes from three 24-hour dietary recalls (24hDR) were compared ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009000400015
更新日期:2009-04-01 00:00:00
abstract:: ...
journal_title:Cadernos de saude publica
pub_type: 社论
doi:10.1590/0102-311x00237418
更新日期:2019-01-01 00:00:00
abstract::Urban climate changes, excessive air pollution, and increasing social inequalities have become determinant factors in the high risk of hospitalizations due to respiratory diseases. The current study thus aimed to understand how meteorological factors (air temperature, relative humidity, and precipitation) and air poll...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00101418
更新日期:2019-07-29 00:00:00
abstract::Lymphatic filariasis is caused by the nematodes Brugia malayi, Brugia timori, and Wuchereria bancrofti. The disease occurs in developing countries and is more frequent in urban areas. An estimated 4 billion people live in at-risk areas. In Brazil the endemic is caused by W. bancrofti and was first documented in 1878. ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1999000100020
更新日期:1999-01-01 00:00:00
abstract::The definition of complex chronic health condition (CCHC) is important for identifying children and adolescents occupying pediatric beds in Brazilian hospitals, where they live out their childhood, requiring complex care by multidisciplinary teams in network format both in-hospital and in home care. The current articl...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00189516
更新日期:2017-11-21 00:00:00
abstract::The objective was to construct an etiological model of disordered eating behaviors in Brazilian adolescent girls. A total of 1,358 adolescent girls from four cities participated. The study used psychometric scales to assess disordered eating behaviors, body dissatisfaction, media pressure, self-esteem, mood, depressiv...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00024115
更新日期:2016-01-01 00:00:00
abstract::This article analyzes the Federal implementation of primary health care policy in Brazil from 2003 to 2008, considering the government functions of health planning, regulation, financing, and health services delivery. The methodology included literature and document review, interviews with key policy actors, budget an...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2010000400012
更新日期:2010-04-01 00:00:00
abstract::This was a systematic review and meta-analysis of studies evaluating the effectiveness of ferrous sulfate supplementation in the prevention of anemia in children under five. The database search included PubMed, Scopus, LILACS, and SciELO. Articles published between 1980 and 2011 in Spanish, English, or Portuguese were...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,meta分析,评审
doi:10.1590/0102-311x00152312
更新日期:2013-09-01 00:00:00
abstract::Based on experiences and reflections reported by health professionals, the aim of this study was to critically analyze the actions, situations, and decisions in healthcare services that involve breastfeeding, examining aspects that favor or limit its possibilities. This was a qualitative study based on the conceptual ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
abstract::Vitamin A and D serum concentrations and risk factors for their deficiencies were investigated in children participating in a government-sponsored fortified milk program. The study used multivariate linear regression analysis with hierarchical selection of independent variables: socio-demographic conditions, children'...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00082814
更新日期:2015-03-01 00:00:00
abstract::Seventeen variables were evaluated as possible risk factors for the intradomiciliary infestation with Triatoma dimidiata in 644 houses in Jutiapa, Guatemala. During 2004 the houses were assessed for vector presence and evaluated for hygiene, cluttering, material comfort, construction conditions and number of inhabitan...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001300008
更新日期:2009-01-01 00:00:00
abstract::The objective was to test and assess the accuracy of a scoring method in probabilistic data linkage in order to enable automatic identification of true matches, dispensing with the manual inspection stage. Accuracy study using data from the Breast Cancer Information System (SISMAMA) base in Minas Gerais State, Brazil,...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00066419
更新日期:2019-11-11 00:00:00
abstract::Thirteen years after the Unified National Health System was implemented in Brazil, the Federal government increased the use of norms and regulations aimed at rationalizing resources and prioritizing basic care within the system. In other words, although actions and services are the responsibility of Municipal governme...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::The study aimed to estimate prevalence of self-reported arthritis or rheumatism and associated factors. This was a cross-sectional population-based study in Florianopolis, Santa Catarina State, Brazil, with 1,720 adults ranging from 20 to 59 years of age. Presence of self-reported arthritis or rheumatism was analyzed ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012000800009
更新日期:2012-08-01 00:00:00
abstract::This study aimed to assess the coverage and reliability of the Hospital Admissions Information System (SIH/SUS) in the Municipality of Rio de Janeiro, Brazil. Data for women who gave birth in hospitals belonging to the Unified National Health System (SUS) were compared with data from medical records and interviews fro...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000600015
更新日期:2008-06-01 00:00:00
abstract::The article presents prevalence rates for malnutrition, intestinal parasitic infections, anemia, and iron deficiency in under-five children in a population-based cross-sectional survey performed in the urban area of two counties in the Western Brazilian Amazon, Assis Brasil (n = 200) and Acrelandia (n = 477). Availabl...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007000600004
更新日期:2007-06-01 00:00:00
abstract::Gain- and loss-framed messages about smoking behavior have commonly been used to promote cessation. However, there are still no clear conclusions as to what kind of message is more effective for motivating smokers to quit. This study compared the effectiveness of loss- and gain-framed messages in the online recruitmen...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00151318
更新日期:2019-10-07 00:00:00
abstract::This article takes an interdisciplinary qualitative approach to the problem of traffic accidents in Campinas, São Paulo, Brazil. The authors begin by analyzing the "municipalization" (i.e., decentralization to the municipal level) of transport and traffic management in Campinas based on social representations by membe...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2002000500010
更新日期:2002-09-01 00:00:00
abstract::This study aimed to analyze aspects related to choice of type of delivery in two maternity hospitals, one public and the other private, in São Luís, Maranhão State, Brazil. This cross-sectional study compared 163 primiparous women in a public maternity hospital and 89 in a private hospital, with mean ages of 21.63 +/-...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,多中心研究
doi:10.1590/s0102-311x2009000700017
更新日期:2009-07-01 00:00:00
abstract::This cross-sectional study was carried out between August 2011 and July 2012 in the city of Campos dos Goytacazes in Rio de Janeiro State, Brazil. Dried blood spot samples were collected on filter paper from 919 individuals between the ages of 1 and 19 and were tested for antibodies against the hepatitis A virus (anti...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00175614
更新日期:2016-11-01 00:00:00
abstract::Historically, family planning programs have targeted women almost exclusively. More recently it has become clear that men have a strong influence on their partners' use of contraception, either by opposing the use of any or one specific method, or by deciding that a woman has to either use a given method or be sterili...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:1998-03-30 00:00:00