37 resultados para Avaliacao de Programas e Projetos de Saude

em Repositório Institucional UNESP - Universidade Estadual Paulista "Julio de Mesquita Filho"


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Pós-graduação em Serviço Social - FCHS

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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OBJETIVOS: avaliar a qualidade do cuidado pré-natal desenvolvido na atenção primária, comparando os modelos tradicional e Estratégia Saúde da Família. MÉTODO: estudo de avaliação de serviço, pautado nas políticas públicas de saúde. Os dados foram obtidos por meio de entrevista com gerentes, observação nas unidades de saúde e análise de prontuários de gestantes, selecionados aleatoriamente. Diferenças nos indicadores de estrutura e processo foram avaliadas pelo teste qui-quadrado, adotando-se p<0,05 como nível crítico, cálculo dos odds ratio e intervalos de confiança de 95%. RESULTADOS: foram evidenciadas estruturas semelhantes em ambos os modelos de atenção. Indicadores-síntese de processo, criados neste estudo, e os indicados pelas políticas públicas apontaram situação mais favorável nas Unidades de Saúde da Família. Para o conjunto de atividades preconizadas para o pré-natal, o desempenho foi deficiente em ambos os modelos, embora pouco melhor nas Unidades de Saúde da Família. CONCLUSÃO: os resultados indicam a necessidade de ações para melhoria da atenção pré-natal nos dois modelos de atenção básica no município avaliado.

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Pós-graduação em Educação - IBRC

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Pós-graduação em Enfermagem (mestrado profissional) - FMB

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Este estudo de interpretação e valoração de paisagens e uma contribuição na área da Geografia para as pesquisas teóricas e aplicadas sobre educação ecológica, tendo a paisagem como ambiente de aprendizagem direcionada e incidental, através de experiências ambientais imediatas, tais como trilhas interpretativas e vivências na Natureza. Estas atividades visam uma estimulação pluri-sensorial, de busca do equilíbrio ecológico e emocional através do estabelecimento de laços afetivos com o meio ambiente, envolvendo o significado do reconectar-se com a Terra. Visa ainda contribuir para processos de sensibilização e conscientização ambiental a partir da visão ecológica, induzindo a mudanças atitudinais no sentido do desenvolvimento de condutas pro-ambientais mais conscienciosas, bem como subsidiar programas e projetos vinculados às políticas públicas direcionadas à conservação e valoração da paisagem natural e cultural.

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OBJECTIVE: to evaluate the structure, process and results of the Capillary Blood Glucose Self-monitoring Program in a Brazilian city. METHOD: epidemiological, cross-sectional study. The methodological framework of Donabedian was used to construct indicators of structure, process and outcome. A random sample (n = 288) of users enrolled and 96 health professionals who worked in the program was studied. Two questionnaires were used that were constructed for this study, one for professionals and one for users, both containing data for the evaluation of structure, process and outcome. Anthropometric measures and laboratory results were collected by consulting the patients' health records. The analysis involved descriptive statistics. RESULTS: most of the professionals were not qualified to work in the program and were not knowledgeable about the set of criteria for patient registration. None of the patients received complete and correct orientations about the program and the percentage with skills to perform conducts autonomously was 10%. As regards the result indicators, 86.4% of the patients and 81.3% of the professionals evaluated the program positively. CONCLUSION: the evaluation indicators designed revealed that one of the main objectives of the program, self-care skills, has not been achieved.

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This present work talk about the tourism and the historic evolution of this conception, also it brings some thoughts about the increase of the tourism activity in the all around the world. The territorial slash study is in Rancharia, the research the shows aspect of localization, description, natural and socials. During this work was introduced a study about the most important programs and projects that were initiate in the country by the public authorities with the focus in the tourism development, and also was noted the current tendency in the formation of intermunicipal consortium that has the aim to develop the activity of the regional tourism. It was presented the mains tourism attractions in the municipal district, such as, municipal watering- place. To develop this current work it was made some researches by the application of a formulary to the tourist, and the interview was made by representatives of the private and public sector, which was exposed their vision about the activity tourism development and the importance of the municipal district participation in the public politics that is turned to the tourism. The work concludes that the tourism activity could come to turn one alternative of job and lacework to the city, but is necessary that develop it in the base of the local tourism, that brings benefits to all the community involved in this process

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The humanization of childbirth implies the understanding of this event as an important experience, and requires the redefinition of human relationships from the review of the assistance project, the understanding of pregnant women condition and human rights. To evaluate child birth assistance using a score that was developed by Botucatu Cuesta Regional Management and Jurumirim Valley Collegiates. This is an epidemiological, descriptive study that is inserted in the field of evaluation of services, programs or health projects. The data has been obtained by direct observation of deliveries, emphasizing the humane care. Results: Approximately one third of the women gave birth in a tertiary hospital (34.1%) and it was their first babies (33%).24.8% of the women received prenatal care in high-risk services. 67.1% of the births were normal, and 84.7% had no companions in the delivery room. In 47.1% of the cases the delivery was performed by obstetrician who used anesthesia in 44.7% and episiotomy in 48.2% of the deliveries. More than half of the newborns were attended by the pediatrician in the delivery room and had a delivery graph completed. Although the present study shows that 67.1% of the births were normal, caesarean rate can be considered excessive, as the WHO points out that c-sections above 15% are unlikely to be justifiable. It is important to emphasize that the Ministry of Health has to have a commitment with all women to promote safe motherhood, even in cases when the pregnancy involves a risk for both the mother and the fetus. It is noteworthy that the created score allowed us to assess variables related to the humanization of childbirth and only average and quite similar situations among the three services were evidenced. We hope that with this study, managers and professionals that work in this area can be subsidized in order to offer effective humane assistance and quality service in the delivery

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Pós-graduação em Educação para a Ciência - FC

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)