[Evaluation and monitoring of primary health care in Ceará State, Brazil: exploring concepts and experiences at the central level].

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 Department in Brazil, in relation to their evaluative and monitoring practices. A qualitative methodology was used, with the sample consisting of the group responsible for primary care at the State level. The focus group technique was used to obtain the empirical material. Themes that stood out in the interpretation were the nature and goals of evaluation and experiences with evaluation. Both are discussed in the current article and show that the key informants do not participate in the discussion on evaluation of health programs and services, meaning that the concept of evaluation is poorly understood and suffers attrition during the process of implementing activities. The traditional normative model predominates in the evaluative experiences, revealing a mismatch between concepts and practice in relation to proposals with a qualitative-participatory approach.

journal_name

Cad Saude Publica

authors

Vasconcelos SM,Bosi ML,Pontes RJ

doi

10.1590/s0102-311x2008001200018

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

2891-900

issue

12

eissn

0102-311X

issn

1678-4464

pii

S0102-311X2008001200018

journal_volume

24

pub_type

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