| State Contingency Plan to Fight the New Coronavirus - SARS-Co-V2. 2nd edition. June 2020 . |
PHC axis: support and guidance on prevention and control measures for the COVID-19 virus; guidance to multidisciplinary teams for the implementation of the Clinical Management Protocol for the New Coronavirus (SARS CoV2) in Primary Health Care/MoH; guidance to health professionals in caring for historically excluded and more vulnerable populations; reorientation of the assistance provided by the municipal health teams for the necessary interventions according to the case progression; identification of strategies for the acquisition and distribution of supplies and PPE, as well as its rational use; guidance on the follow-up and monitoring of patients in home isolation in partnership with local health surveillance teams; holding WEB meetings with topics related to the New Coronavirus; referral of Telehealth to meet demands related to coping with the Coronavirus. PHC units as one of the gateways to care for suspected cases but they are not part of the assistance network for coping with the pandemic. |
http://www.saude.ba.gov.br/wp-content/uploads/2020/06/Plano-de-Continge%CC%82ncia-Coronav%C3%ADrus-Bahia-2020-2606.pdf |
| State Contingency Plan to Fight SARS CoV-2.3rd edition, 2nd review. June 2021. |
PPHC Axis: holding Collegiate of Primary Care Coordinators on the topic, using telehealth tools and other videoconferencing tools; articulation with municipalities that have cases of COVID-19, supporting health management, based on the guidelines for the organization of Primary Care-PC, in the fight against SARS-CoV-2; technical review of Procedures and Manuals for Health Professionals in coping with the coronavirus in the state of Bahia; survey and consolidation, by municipality and health region, of the number of Family Health Units and Basic Health Units that are points of Care in the Network for COVID-19 care; sharing and matrix support of municipalities in relation to legislation, protocols, regulations, among other technical products that guide municipal management for the organization of Primary Care; survey and consolidation of actions carried out by municipalities to face SARS-CoV-2; Permanent Education activities aimed at PC professionals working in the care of COVID-19; mobilization of the Municipal Health Secretariats on the importance of filling out the B- Form/IS instrument for the active search of COVID-19 cases; referral to the Health Telesharing Program with Primary Care in the state of Bahia as a strategy to resume, expand and strengthen the care offered by Primary Care in municipalities during and after the COVID-19 pandemic, through the remote use of Information and Communication Technologies - ICTs; production of educational activities and information materials through Telehealth to support professionals in coping with the Coronavirus; guidance on the possibility of using Information and Communication Technologies to monitor and meet the demands related to coping with SARS-CoV-2; identification of strategies for the acquisition and distribution of supplies and Personal Protective Equipment - PPE, as well as their rational use; Guidance on how to properly fill out the fields in the Individual Registration on e-SUS, aiming to qualifying health care (Social Name; Race/Skin Color; Is a member of a Traditional People or Community; Uses Medicinal Plants and Homeless Citizen); preparation of an informative technical note on COVID-19 for Primary Health Care workers in the municipalities of the state of Bahia; qualification of Community Health Agents to act in the face of the demands of the territory emerging from the return to school activities in the context of COVID-19. PHC units as one of the gateways to care for suspected cases but they are not part of the assistance network for coping with the pandemic. |
http://www.saude.ba.gov.br/wp-content/uploads/2021/07/Plano-estadual-de-contingencia-SARS-COV2_Com-Linhas.pdf |
| Bahia Health Secretariat. Primary Care Board. Standard Operating Protocol N. 001. Service flow for suspected cases of COVID-19. Salvador, 03/17/2020 |
“Standardization of actions for the early detection of people characterized as suspected cases of infection with the new SARSCoV-2 coronavirus; initial management; activating transport and referral of suspected cases to the referral unit in a timely and safe manner; registration of clinical information, international travel history or contact with a suspected or confirmed case; investigation and recording of close contact data; carrying out immediate notification; adoption of measures to prevent severe cases and deaths; and guidance to the population on preventive measures”. It indicates the biosafety measures to protect users and professionals of basic health units. |
http://www.saude.ba.gov.br/wp-content/uploads/2020/03/POP-Fluxo-de-atendimento-de-casos-suspeitos-de-COVID-19_17-03-2020_BAHIA.pdf |
| Bahia Health Secretariat. Strategies for mitigating social distancing measures during the fight against COVID-19 in the state of Bahia in 2020. 1st edition, Salvador, July 2020. |
“The SUS-Bahia care model adopts Primary Care as a gateway and has the characteristic of being capillarized, reaching 82.21% coverage in the state of Bahia, expanding the possibilities of disseminating health promotion strategies, monitoring and early detection of new cases. It is important to consider the different strategies that Primary Care can adopt together with health surveillance teams, expanding the capacity to detect, monitor and contain new cases and their contacts. It should be noted that through the 'Monitor Covid' application and the implementation of Form B for the active search for COVID-19 cases, Primary Care will be able to screen cases in its assigned area, detecting them early and referring them to the medium and high-complexity services when necessary. Also, the notification and treatment of mild cases would happen at an early stage, improving the sensitivity of the surveillance system”. “The active search for cases through the identification of individuals at symptom onset will favor the implementation of timely isolation measures, adequate monitoring of cases and identification of health conditions, including those related to work. To think about the population’s health care requires the mobilization of actors who work in health surveillance and primary care, aiming to prevent disease worsening and consequent hospitalization. The Health Units, once articulated, increase the health surveillance capacity of the SUS, acting in health promotion and prevention, providing care, testing and isolation, thus avoiding the collapse of the health system”. |
http://www.saude.ba.gov.br/wp-content/uploads/2020/10/Estrategias-para-a-Flexibilizacao-das-Medidas-de-Distanciamento-Social.pdf |
| CIB Resolution n. 107/2020 |
“It approved the Health Telesharing Program with Primary Care in the State of Bahia, expecting to resume, expand and strengthen the care offered by Primary Health Care in the municipalities, during and after the COVID-19 pandemic, through the use of remote Information and Communication Technologies (ICTs). The Telesharing Program comprises two integrated offers: specialized Teleconsulting (exchange of information and opinions between health professionals with the aim of clarifying doubts based on scientific evidence) and Teleconsulting with the intention of referral (discussion of a case in which the Primary Care professional requesting the consultation intends to refer the person assisted in their Health Unit to receive care at the specialized referral service). The Program offers specialized teleconsulting in different medical specialties such as: Angiology, Cardiology, Endocrinology, Pediatric Endocrinology, Stomatology, Gastroenterology, Gynecology, Hepatology, Immunology, Infectious Diseases, Mastology, Occupational Medicine, Nephrology, Neurology, Nutrology, Oncology, Orthopedics, Pediatrics, Proctology , Psychiatry, Rheumatology, Urology”. |
http://www5.saude.ba.gov.br/portalcib/images/arquivos/Resolucoes/2020/RES_CIB_107_2020.pdf |
| CIB Resolution n. 112/2020 |
"Provides guidelines for the organization of primary care, in the follow-up and monitoring of cases of COVID-19, promoting guidance for the monitoring of cases of COVID-19 by primary care, approving the follow-up flow and sending the municipal consolidated data weekly". |
http://www5.saude.ba.gov.br/portalcib/images/arquivos/Resolucoes/2020/RES_CIB_112_2020.pdf |
| COVID-19 State Vaccination Plan |
“This plan brings together institutional political actors relevant to the implementation of actions in the locoregional territory, such as the Regional Health Centers (NRS), Primary Care Boards (DAB), Municipal Health Secretariats, Sanitary District of Indigenous Health (Dsei/Bahia) and the collegiate instances of SUS management and agreement, such as COSEMS, CIB, CIR, and social control, such as CES and CMS (...)Considering the places with the greatest population flow and with the aim of facilitating access to vaccination, the municipalities, together with the state, will define the best strategy to vaccinate the population, in a quick and timely manner, in the vaccination rooms of the health units and at mobile vaccination clinics (...) Vaccination against COVID-19 may require different strategies, due to the possibility of offering different vaccines, for different age groups/groups and considering the reality of each municipality. When preparing local micro-programs, the following aspects should be considered to define vaccination strategies: vaccination of health workers: requires joint work between Primary Health Care, Urgency and Emergency care, especially for those who work in exclusive units for COVID-19 care; vaccinating the elderly: house-to-house vaccination can be a strategy in response to those who have limited mobility or are bedridden; drive-thru vaccination in urban centers; Organization of the primary health unit on different vaccination fronts, aiming to avoid crowds (consider the disposition and circulation of these people in the health units and/or external vaccination clinics). |
http://www.saude.ba.gov.br/wp-content/uploads/2022/03/Versa%CC%83o-atualizado-11-03-22-Plano-Vacinacao-COVID-19-CIVEDI-DIVEP-8-edicao.pdf |
