Challenges for the formulation, implantation and implementation of a National Health Surveillance Policy in Brazil

Guimarães, Raphael Mendonça; Meira, Karina Cardoso; Paz, Elisabete Pimenta Araújo; Dutra, Viviane Gomes Parreira; Campos, Carlos Eduardo Aguilera

doi:10.1590/1413-81232017225.33202016

Brasil

home Sumário navigate_before Anterior Atual Seguinte navigate_next

home Sumário

ARTICLE • Ciênc. saúde colet. 22 (5) • May 2017 • https://doi.org/10.1590/1413-81232017225.33202016 linkcopy

Challenges for the formulation, implantation and implementation of a National Health Surveillance Policy in Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This article examines the evolution of health surveillance policies as actions, models and systems, as well as contributing to the debate about the constitution of the National Health Surveillance Policy (PNVS). The article discusses conceptual elements regarding the notion of health surveillance and its evolution in Brazil and a trajectory is provided in relation to the construction of care models, particularly after the creation of the Unified Health System (SUS). The possibility of using the framework of public policies based on evidence, and methods for analyzing health situations, such as spatial analysis and time series, are highlighted. To conclude, questions are raised regarding the effective creation of the PNVS, and the challenges that the federal executive faces in driving this process.

Public health; Health surveillance; Evidence-based public policy; Federal sphere

Year	Event
1889	Promulgation of the first Regulation of the Health Services of Ports in order to prevent the arrival of epidemics and enable the safe exchange of goods. Institution of the quarantine of ships.
1904	The ‘Revolt of the Vaccine’, a popular rebellion against mandatory vaccination
1940s	Programs were organized in the form of national services charged with controlling prevalent diseases such as yellow fever, malaria, tuberculosis and bubonic plague.
1968	Establishment of a regular reporting system to monitor the epidemiological situation of a group of diseases by the Epidemiological Research Center (CIE) of the Public Health Services Foundation (FSESP)
1975	Creation of the National Epidemiological Surveillance System.
1976	Creation of the National Health Surveillance Secretariat within the Ministry of Health.
1980s	Intensification of the process of changes. Creation of the SUS.
1990s	Reorganization of the area of epidemiology and disease control, with the abolition of the National Epidemiology Center (CENEPI) and the creation of the Secretariat of Health Surveillance.
1999	Definition of the national health surveillance system and implementation of the technical area of surveillance in environmental health.
2002	Organization of decentralized and regionalized health surveillance in the workplace.
2004	Publication of Directive GM/MS No. 1,172 and improvement of the decentralization process in relation to health surveillance actions.
2007	Publication of Directive GM/MS No. 1,956/07, which transferred the health management of workers from the Secretariat of Health Care to the Secretariat of Health Surveillance.
2009	Publication of Directive GM/MS No. 3,252/09, which approved guidelines for executing and financing health surveillance actions at the federal, state, federal district and municipal level, as well as defining health surveillance as a permanent analysis of the health situation of the population
2013	Publication of Directive GM/MS No. 1,378, which extends the scope of health surveillance actions, enhancing the decentralization process together with states and municipalities, in accordance with the Pact for Health.

vertical_align_top file_download show_chart

more_horizclose
- image
- translate
- link
- article
- vertical_align_top
- file_download
- show_chart
- image
- translate
- link
- article

location_on

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

rss_feed Acompanhe os números deste periódico no seu leitor de RSS

Acessibilidade / Reportar erro

[TFN1001] Source: Waldman9; Bertolli Filho14; Scliar15.