SU Recife 1 |
"[...] what makes the differential is the commitment of the people who are part of the nucleus [...]. We observed that some changes, both in patient selection and in the form of collection, influenced the quality of the collection and we started to have more positivity [...]."
|
"[...] the team makes the motivation, one person motivating the other.Financial incentive does not exist.We seek, every time that there is a qualification, to involve the whole team, which is for everyone to feel important [ ...]. "
|
""The ones on duty were removed without any prior communication and without any substitution [...]. We are simply not informed, and no one cares how this can affect the progress of the program."
|
SU Recife 2 |
"They have never invested anything in influenza, as far as I know. In fact, we are asking for an internet to work, which is the least, because I make the report at home [...]."
|
"[...] we were even having a problem with the issue of the ones on duty [...] but we are talking to them and explaining, because many do not even know that this is done [...]"
|
"If it is a problem related to the conflicts of people, I have autonomy to solve. But, once I need inputs, I do not have autonomy, because I depend on the secretariat."
|
SU Recife 3 |
"[...] So far, what we have received was simply a notice board. There is nothing. Tthere is no refrigerator [...] There is no space, no professional, [...] I use my 4G internet, I create my connection with my netbook, and, then, I log into the system."
|
"[...] now there is a nurse who will be staying here every day, a day labourer, we are bringing in another nurse technician just to try to compile the Nepi data, leaving only one for HICC [...]."
|
"For some things, I really have autonomy. For others I need someone hierarchically superior. For example, health professionals who work in the vanguard doing the notifications, during the weekends [...]."
|
SU Jaboatão dos Guararapes |
"[...] came the bench, the vacuum, the clamp [...] the priority within the unit, of the HES, is the search. Within that search, we have to be committed to influenza."
|
"[...] we had an employee, who gave in to the laboratory to help with the collection ... [...] the major problem is the quantity of people at the time of the search so that we can make the collection."
|
"There are things we can do with the head of the section ... Now, there are other things, for example, the notifications, we wanted the doctors to do it, but we did not get it."
|
SU Paulista |
"Today we work exactly like since the first moment [...] The unit has not received any benefits since its implementation until today."
|
"[...] I think there has to have a nucleus here in the hospital that it does not exist. [...] if the collecting is really about to start, that person will help me in some way that I didn’t know [...]" .
|
"[...] It depends a lot on the problem itself. If this problem involves the financial part, we know how to solve it, but we are dependent on the MHS."
|
US Olinda |
"[...] I found the service stopped [...] there was a room, the equipment, the supplies, and the person who was trained to do the activity did not correspond to what he had committed to. [...] I think that, at the beginning [...], there was an effort to assemble because of the incentive [...]."
|
"We involved Nepi from here, which had no involvement, so Nepi could make a capture. We made a little flux."
|
"[...] autonomy has to do with the management and the support to take action, but, there, it is the conviction at the tip of a history of years in the public service, that things are like that and they are anyway".
|
MHD Recife |
"[...] influenza, itself, was not a major public health problem [...] there were other problems of a much greater magnitude, and they needed a much more immediate response [...] Because there was no priority, they have not used this resource."
|
"Our work here, as a central level, is much more about articulation and analysis ... When I arrived and saw this need to focus on influenza, talking to the bigger staff, we saw that we needed to have someone just for influenza. [...]. "
|
"[...] I have a management that gives me freedom and understands the importance of this surveillance [...] On the other hand, this surveillance happens inside a SU that, in turn, is subordinated to another executive secretariat, which is the health care."
|
MHD Jaboatão dos Guararapes |
"[...] we were able to structure a room inside the hospital, equipping it with a refrigerator, with a computer, with air conditioning [...]".
|
"We always try during the discussions [...], in surveillance in general, [...] to open the eyes of professionals, of the general population, the importance of surveillance as a whole."
|
"I can (use the resource). [...] it is little, [...] but it can keep this structure, even though it is a state hospital, that allows us to give this support."
|
MHD Paulista |
"[...] we got a space, the professionals to work [...] In 2013, we lost a material purchasing process [...] In 2014, we returned, there was exchange of professionals, other discussions [....] political problems that have disrupted us [...]. "
|
"[...] First he presented the superintendence [...], articulating with the secretary, because we were going to take a space of the SU. To make everyone aware [...], even for the unit personnel not to have the barrier, see that it is something that has to do with the management, not with surveillance."
|
"I can have the knowledge of the problem ... But the solution does not depend on me alone, no. [...] I alone can say, detect, [...] but solve it alone without a laboratory, without the involvement of the secretariat itself, I find it difficult. "
|
MHD Olinda |
" [...] it has material, room, refrigerator, computer, everything ready for operation. The problem is human resources [...] I do not see much interest from the municipality with IS [...] I think they do not see it as a public health problem."
|
"[...] until now, the Nepi, [...] the impression given was that this was a second "plan" activity, because it was not part of the routine of the unity. [...] we want surveillance to happen effectively and that this technician makes part of it ... "
|
"[...] it is difficult the bureaucracy because it is public money and they can not dispose it the form they think it’s better. But, what comes specifically to the technical areas is used within them. I don’t have this difficulty [...] it’s more the operationalization of this. "
|
SDH |
"[...] each municipality indicated the sentinel unit, discussing in conjunction with the state [...] then there was a project and an agreement, a term of commitment, which was signed by the municipality's health secretary."
|
"I followed the construction of the influenza surveillance in the state because it did not exist like that, in fact."
|
"Now, there are situations where autonomy is not in any of those who are there. It is something above. So, sometimes, we have the construction, but not the resoluteness. [...]"
|