AVALIAÇÃO DO PROGRAMA DE VIGILÂNCIA E CONTROLE DA ESQUISTOSSOMOSE NO MUNICÍPIO DE SÃO LUIS, MA

Abstract

Schistosomiasis is a parasitic disease, considered one of the greatest public health problems in Brazil. This is due to the complexity of the transmission of the disease, which depends on several factors involved as definitive and intermediate hosts, socioeconomic conditions, poor sanitation and low educational level of the population susceptible to infection. Starting in 1999 with the decentralization of the Schistosomiasis Control Program (PCE) responsibility of shares shall be the responsibility of municipalities shall be implemented by the Family Health Strategy. The city of St. Louis presents conducive to the development and spread of the disease in peripheral neighborhoods conditions. They are: unfavorable socioeconomic characteristics and the presence of B. glabrata snail in water collections. These data support the population's vulnerability to the spread of endemic disease, so it is important to conduct studies to evaluate the work of epidemiological surveillance. Considering this perspective, the present study is to evaluate the overall implementation of the surveillance and control of schistosomiasis in São Luís activities. Methodology used for the study is kind of evaluative and normative components in their structure and process. Data collection was conducted in the months from March to July 2014, using semi-structured questionnaires as a tool for health professionals who work surveillance and control of schistosomiasis. There was collected secondary data from the Information System of the Schistosomiasis Control Program (SISPCE) concerning epidemiological indicators. All data were consolidated and arrays of judgment that allowed measuring the degree of implementation of the Program. The results show that the degree of implementation is partially satisfying, as well as external organizational and political context, they present problems of operationalization. The centralization of services program, disarticulation of primary care, in addition to socioeconomic and environmental conditions of the municipality may increase the risk of spreading the disease. To achieve improvements in the functioning of the program is important to the managers and technicians understand that planning and continuous monitoring activities are fundamental for the achievement of satisfactory results.