Análise dos indicadores do Programa de Monitoramento das Ações de Vigilância em Saúde – ProMAVS: contribuição para a proposta de criação do Observatório Epidemiológico do SUS/ UFJF

Abstract

Health surveillance proposes actions structured according to the health situation of the population in each territory and, for this, it requires qualified monitoring and evaluation processes to favor their performance. ProMAVS is a program implemented in the state of Minas Gerais, with the objective of continuing the implementation of a regionalized health surveillance system and effecting the decentralization of actions in the área. The objective is to analyze the processo f monitoring and evaluating the health indicators of ProMAVS carried out by the SRS/JF in order to support the structuring of the SUS Epidemiological Observatory. This is a descriptive study with a qualitative approach, in which na analysis of the ProMAVS results available for public consultation on the website of the Health Surveillance Portal of SES/MG was carried out in the period of the first quadrimester of 2017 and the third quadrimester of 2018. Afterwards, interviews were carried out from December 2020 to April 2021, using a semi-strutured script, with the technicians from the SRS/JF responsible for the monitoring and evaluation processo of the ProMAVS, and with the technicians from the municipalities in the coverage área of the SRS/JF. The lack of commitment of the municipal management, the shortage of human resources, the inconsistencies of the health information systems and the fragmentation of the Health Surveillance are configured as obstacles for the execution of actions by the municipalities. However, ProMAVS presents a set of indicators, some of which are epidemiological aspects and can be incorporated into the SUS Epidemiological Observatory, and its monitoring and evaluation process can contribute to more qualified information, helping managements in decision-making. Therefore, ProMAVS can contribute to the proposal of the SUS Epidemiological Observatory, providing information for strategic planning and decision making, with a view to providing quality care.