Projeto "Sífilis Não": o apoio a estados na integração das ações de vigilância em saúde e atenção primária à saúde

Abstract

Introduction: One of the biggest challenges for the Brazilian Public Health System (in Portuguese, Sistema Único de Saúde – SUS), until today, is the integration of Health Surveillance (HS) and Primary Health Care (PHC) actions within all the scope of management. The inclusion of institutional researchers with the national and interfederative project for rapid response and confrontation of syphilis, called “Sífilis Não” Project (in Portuguese Projeto “Sífilis Não”), during the years 2020 and 2021, in the state health secretaries, brought up the theme of integration of PHC and HS as an institutional support strategy for implementing this theme in Brazilian states. The supporters developed activities in the 26 states and Federal District from syphilis, urban arboviruses, immunization and covid-19 discussions, that were selected by Health Surveillance Department (in Portuguese Secretaria de Vigilância em Saúde), with National Council of State Health Secretaries (CONASS) and National Council of Municipal Health Secretaries (CONASEMS). Objective: the objective of this study is to present the results of the institutional support carried out in the 26 states and Federal District during the “Sífilis Não” Project, describing the activities performed by the supporters, successful experiences that occurred in the Brazilian states and presentation the monitoring of activities carried out. Methodology: the present study was a kind of “action research” and part of the actions that one decides to take to improve the practice. The “action research” process happened in stages: the first one happened when planning actions when the supporters started the activities in the territory; the second one during the implementation process of action, after the work plan discussion with the local management, in this moment started the record of activities carried out; the third phase, consisted of an analysis of the developed actions by the supporters; the last phase was the construction of the monitoring panel that aims to present data of what was produced by the supporters in the Brazilian states. Results: 8.648 activities performed by the supporters in the 26 states and the Federal District was analyzed, with 4.500 activities carried out by HS researchers and 4.148 from PHC researchers. In the state of Tocantins happened the biggest number of activities carried out during the project, a total of 833 activities to support the process of integrating surveillance and primary care actions occurred in this place. It was selected 26 successful experiences, distributed in all support systems. The experiences demonstrate the work carried out by the supporters in the Brazilian states. The monitoring panel was built and updated during the period of activities carried out. Final considerations and Conclusions: The supporters had been present in all the Brazilian states and the Federal District and succeeded in initiating actions aimed at strengthening the integration of HS PHC in these places. The process showed the need to clearly define an integration policy with the definition of standardized indicators for this purpose.