Consulta Pública nº , de 24 de maio de D.O.U de 28/5/ A Diretoria Colegiada da Agência Nacional de Vigilância Sanitária, no uso das. The Diário Oficial da União, abbreviated DOU, is the official journal of the federal government Create a book · Download as PDF · Printable version. 20 set. O Diário Oficial da União (DOU) é um dos veículos de comunicação pelo qual a Imprensa Nacional tem de tornar público todo e qualquer.
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This work is in the public domain in Brazil for one of the following reasons: It is a work published or commissioned by a Brazilian government (federal, state. from orbureforha.ml import Diario pdf = '/path/orbureforha.ml' diario = Diario( pdf) # Quantidade de páginas do documento orbureforha.ml_count # Sumário do. 9 out. Project description. # amanuense Parser do Diário Oficial da União (D.O.U). # Tutorial. from amanuense import Diario. pdf = '/home/rafael/Área.
According to the legislation, I highlight the acknowledgement in the exchange of experiences between Brazilian professionals and those graduated in other countries as a learning and education device. Support to mobility of professionals for scientific and cultural learning is provided with the arrival of foreigners to share experiences in the learning process and thus develop work in primary care.
CsF gained visibility due to the internationalization aspect of science and education. However, it is connected to the idea of scientific, technological and industrial development and innovation by qualifying professionals through different cognitive, socio-interactive and occupational experience in international mobility. The relationship between professional education and work development is associated in health to health residency programs and the National Policy for Education and Development of SUS44 Brasil.
The epistemic basis of this policy takes into consideration the occupational world submitted to conditionalities and determinations that are more complex than the explanatory capacity of the disciplinary sciences. It attributes to work a pedagogical capacity to mobilize learning in different scopes related to professional practice within health systems and services55 Ceccim RB, Feuerwerker LCM. Trab Educ Saude. Conflicts should not be barriers in this communication.
The First National Conference of Health Surveillance may be another step in this approach between managers, workers and users. The exercise of Institutional Support was reported by managers as management technology to help teams set groups, analyze their own work and build interventions. Oliveira and Campos 39 It is interesting to analyze whether the practice of institutional support persists, because together with other devices such as continuing education, it seems to strengthen management, according to stakeholders of the self-assessment.
Managers considered monitoring and evaluation practice to be satisfactory, despite institutional limits.
They use evaluative processes as a management tool; adopt strategies that strengthen the feeding and use of information systems; organize and adopt monitoring actions in the area of surveillance; promote the discussion of results and encourage the use of information by health surveillance teams. They also consider that they comply with the pacts established with other federative entities, according to results achieved, such as good vaccine coverage and advances in some programs such as STI, AIDS and Tuberculosis 4 4.
The use of information and its incorporation into the daily routine of managers and teams, including monitoring and evaluation are crucial to health surveillance practice. It can be said that it is the core, which subsidizes planning, underpins and guides health interventions. It remains to be seen how information is used: Drumond JR M.
Management of the Surveillance Service — sub-realms H to J were answered by managers and workers who recognize the physical and equipment infrastructure as a deficit, which hinders the performance of daily activities:. We serve customers in front of all professionals, in the hallway or in the meeting room, when not in use. Aspects related to the storage, availability and sufficiency of supplies, immunobiologicals and medicines for the development of surveillance actions and the process of dispensing and controlling vaccines, laboratory kits and medicines by health services were also evaluated.
Factors discussed in this topic allow us to reflect on how health surveillance municipal management can provide working conditions for the development of increasingly complex actions under its responsibility, thus requiring adequate infrastructure to address daily and emergency situations 43 Several initiatives have been identified over the last few years to strengthen and qualify health surveillance management and financing, such as, for example, VIGISUS stages I and II 44 Brito SMF.
Universidade Federal da Bahia; It is necessary to discuss the organizational capacity to execute the financing, which presupposes support among the federative entities, considering bureaucratic issues to streamline investments in the sector. Regarding information systems, points related to the quality of the information produced, knowledge of the teams about the current systems, feeding and strategies adopted for its strengthening, as well as the use and dissemination of the information produced were addressed.
While self-assessment was satisfactory, the observations made point out issues for reflection on the work process, both of managers and teams. In addition to local specificities, this is a challenging topic to health surveillance. There are many existing health information systems, some unique to health surveillance.
Information systems on vital events, live births SINASC and mortality SIM are important for the development of surveillance activities and, according to the organization of municipal secretariats, are allocated to health surveillance and other sectors 47 Statements revealed work fragmentation in the use of each information system, distancing and certain lack of knowledge regarding the information databases of vital events.
On the use of information by management, they ask:. In relation to the use of data and information produced by surveillance and its use in PHC facilities:. Information produced by surveillance is not always used in PHC facilities The availability of several information systems, lack of standardization of data collection and management, problems with connectivity and training difficulties are known to the MS, translated in the Information and Computing Policy, with a view to overcome these problems and advance in the wide use of information in the SUS 48 Health information systems facilitate data collection, storage and organization to enable monitoring and analysis to identify health risks and problems in order to allow the knowledge of the health status of a given population 49 White KL.
Information for healthcare: Inquiry ; Sub-realms K, L, M, N, evaluated by workers. Refresher and qualification courses are not offered to all health surveillance professionals [ Questions addressed work based on priorities, risk classification and vulnerabilities, involvement of society in the planning of actions, access to citizen, intersectoral coordination, action on determinants and conditionants, monitoring and evaluation and holding regular meetings.
A challenge for health surveillance managers is to organize a way of working at risk in the territory, epidemiological indicators, planning, monitoring and evaluation, as well as aspects related to management strategies. There is much to improve, but action planning with increased employee participation setting priorities has raised the quality of the surveillance work process.
Reconciling demands and responsibilities, often with deadlines to meet them, with moments of study, reflection, planning and evaluation are herculean, yet essential tasks. We analyzed health education, alert and response actions to outbreaks and events of importance in health, inspections, monitoring, issuing health license, reception and compliance with notifications, reports and claims, active search, control of reservoirs, hosts and vectors, vaccination and surveys.
It is necessary to think about the need for harmonization of knowledge, understanding the meaning of activities and a coordinated work with the other sectors of the Health Secretariat and other government agencies, with health surveillance matrix support to the other points of care of the network in order to strengthen actions, as mentioned in the results related to managers.
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Professionals value educational actions and improved channels of communication with the regulated sector, even if it is to increase the reporting space. They believe that education and prevention actions are incumbent upon primary care, with the support of health surveillance.
We evaluated particularities about addressing social problems of greater local expression, joint actions with the community and debates about local health problems and the availability of channels of communication with users. Finally, aspects regarding the tool used in the self-assessment study and the most relevant results found in the study will be highlighted.
That is, even if the respondent was not familiar with the concept, it was possible to look at the practice and reflect on whether or not the themes submitted were already part of their daily repertoire.
It is necessary to think of a more synthetic tool, and it is necessary to review the need for some sub-realms to be evaluated by both managers and workers. Self-evaluation revealed positive points and critical nodes of health surveillance practices such as the incorporation of the use of information in the daily life of managers and workers, the fragmentation of practices within health surveillance and externally in the health care network, as well as structural and organizational problems to which professionals are subjected.
Workers and managers have had different perceptions on these issues.
There is a lack of space for dialogues with other points of care of the health network, both in the construction of common projects of actions in the territory and technical or matrix support.
On the one hand, managers comply with interfederative pacts and rarely use information in their daily routines, and on the other, workers are immersed in their universe of technical work, not reflective and with structural and organizational gaps. At the same time, they produce a lot of information that seems to be restricted to the realm of top management or to reference specialists for certain diseases.
Taking ownership of the information produced by the teams can be a mobilizer for managers and workers towards producing a formative evaluation practice. It is believed and hoped, as Onoko-Campos and Furtado 7 7. These include the definition of criteria for suspect cases, reporting, monitoring, and control measures for illness prevention and transmission.
Guidelines to be used by the team of health care staff were published and distributed to health workers. A detailed proposal for a simplified system of surveillance for prion diseases was developed and mandatory reporting introduced. Additional effort is necessary to increase vCJD case detection, thus making it necessary to establish a partnership with health care services for best identification of suspected cases and dissemination of information to all involved in the service dealing with vCJD investigation.
Materials derived from ruminants are used as components in the production of medicines, cosmetics and other health related products. For import of such products, ANVISA the National Health Regulatory Agency has established several legal requirements based on the potential degree of infectivity of animal tissue being imported and the risk attributed to the country of origin, defined by the number of infected cases identified in the region.
At this time however, there was no surveillance protocol in place. The implementation of the system is currently directed towards the timely discovery of possible cases of Creutzfeldt-Jakob CJD Disease and its variant vCJD ; aiming to reduce under-reporting of prion diseases in Brazil; to better understand the epidemiological profile of this illness throughout the country; to enable epidemiological, clinical and laboratory investigation of reported cases; to adopt individual and collective protective measures upon detection of new cases of such diseases; and to deploy possible prevention and control measures in the event of cases being identified within Brazilian territory.
At the beginning of , the Technical Advisory Group for Human Prion Diseases GTA-Prions put forward the following components of the surveillance system: a notification form with case definitions of the clinical categories of prion diseases; a protocol for epidemiological, clinical and laboratory investigation of notified cases; the description of epidemiological, clinical and laboratorial information flows within the system; the definition of the reference clinics where the system will be implemented, and the identification of laboratories that are equipped to carry out the tests proposed in the protocol.Despite the elaboration of the Base Document, discussion on the Health Surveillance Policy in the country has not progressed throughout Go to page 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 Cien Saude Colet ; 19 These grades were consolidated based on a scale of values that represent the standards for questions or statements regarding the expected quality of health surveillance structure, processes and results.
Before its publication, a situational diagnosis was conducted on the PIC offered by SUS in Brazilian municipalities to identify the most common and viable practices. References 1.
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