Satisfação e percepção do usuário do SUS sobre o serviço público de saúde

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

Municipalização das ações de vigilância sanitária em Marília - SP

Pós-graduação em Saúde Coletiva - FMB

The first Brazilian municipal initiative of payments for environmental services and its potential for soil conservation

It has become evident that policies aimed at mitigating the growing water resources and water use conflicts in Brazil are crucial. The municipality of Extrema in Minas Gerais state in Brazil pioneered the first Brazilian municipal PES initiative (Conservador das Aguas program), based on the relationship between forests and the benefits they provide. This study aimed to assess soil loss in the Posses sub-basin, where the Conservador das Aguas program began. Additionally, we aimed to determine the potential that this PES initiative has for soil conservation, as well as to minimize the soil losses as a function of forest area size and location in order to propose a technical approach for implementing PES. In this sense, considering the prescribed conservation practices, land use situation, and soil cover in the Posses sub-basin, we analyzed the effectiveness of the Conservador das Aguas program before and after implementation in relation to reduced soil loss under 36 different land use and soil cover scenarios. We used a geographic information system (GIS) for spatializing and producing different information plans and the Revised Universal Soil Loss Equation (RUSLE) for estimating soil loss. As a result, we found that minimization of soil loss may be obtained by adopting pasture conservation practices. Additionally the expected average soil loss in the Posses sub-basin under conditions of land use and soil cover, before and after implementing the water conservation program was 30.63 and 7.06 Mg ha(-1) year(-1), respectively. (C) 2014 Elsevier B.V. All rights reserved.

Saúde do trabalhador na atenção básica: análise a partir de uma experiência municipal

Este texto apresenta um relato da experiência de implantação de ações de saúde do trabalhador nos serviços de atenção básica no município de Amparo, no estado de São Paulo, ocorrida durante a gestão do período 2001 a 2008, visando contribuir na premente necessidade do SUS de implantação das ações de saúde do trabalhador. A análise realizada pelas autoras, protagonistas na gestão do processo, ressalta alguns dos elementos-chave para a efetiva implantação de ações de saúde do trabalhador na rede de atenção básica. Dentre eles, a Estratégia Saúde da Família (ESF), ao lado de outros elementos - como o modelo de matriciamento com ação pedagógica contínua e participação nos colegiados de gestão, a educação permanente e o protagonismo dos trabalhadores da saúde -, mostrou-se um facilitador do processo. Como elementos estruturantes da construção efetivada, apontam-se o modelo de gestão colegiada adotado pela secretaria e a forma de implantação do Centro de Referência de Saúde do Trabalhador no município. Todo esse arranjo promoveu uma interlocução permanente entre as equipes de saúde, da atenção básica e da referência especializada que foi indispensável para a experiência ocorrida.

Assessment of the diet of 0- to 6-year-old children in municipal schools in a Brazilian city

Diet control is one of the important factors in the prevention of dental caries because food functions as substratum for fermentation and, consequently, for the formation of the organic acids that demineralize the tooth surface. This study aims to descriptively assess school diet and the associated caries-preventive methods applied to children in all municipal nursery schools of a Brazilian city (Aragatuba/SP). For this, a questionnaire with open and closed questions was used. The results showed that all schools serve school meal, which is composed mainly of sugar, carbohydrates, and proteins. The students enjoy the meal very much because for most of them, the meal served at school is the only source of food. It was observed that 90% of the schools offer other kinds of food besides the main school meal. The snacks served such as cakes, white hominy, and milk fudge are composed of sweet and highly cariogenic foods. It was also verified that in 13.30% of the schools, the daily supervised dental hygiene, an important procedure that should not be neglected, is not carried out. This procedure introduces the children to healthy habits that are added to those acquired in the family environment. It was concluded that the school diet is potentially cariogenic and, in association with the lack of daily dental hygiene, this potential may become even higher.

Absence motivated by illness: A non-concurrent prospective study of physical education teachers in the municipal education system of the city of Campinas, São Paulo, Brazil

The object of this investigation was to identify and analize aspects of the health status related to absenteism in physical education teachers in the municipal education system of the city of Campinas, Brazil, as related to the medical leave program. The non-concurrent prospective study was accomplished by means of a comparison with teachers who work only in the classroom, refering to a three year period. In the variables of greatest interest, the Pearson non-parametric chi-square (X2) statistical test was adopted. Calculations of relative risk and level of confidence were made using the Epi-info computer program. Significant differences were observed in the following diagnostic groups favoring the not exposed group: i) Supplementary Classification of factors that exercise influence over the health status and access to health services and ii) Digestive system illness; while the physical education teachers showed a significant difference in: i) diseases of the musculoskeletal and connective tissue system and ii) Injuries and poisoing. Possible explications for some of the adverse effects as well as the protective ones that were observed include physical activity as a way of life along with being a physical education teacher and on the other side, peculiar behavior of epidemiological descriptive characteristics, like sex and age, within the socio-economic context of the country. © Copyright Moreira Jr. Editora.

A educação municipal e a relação público X privado: um estudo de caso em Fernão - SP

Pós-graduação em Educação - FFC

Mensuração da disponibilização de informações e do nível de interação dos ambientes informacionais digitais da administração municipal com a sociedade

Pós-graduação em Ciência da Informação - FFC

Arranjos institucionais entre o poder público municipal e instituições privadas para oferta de vagas na educação infantil

This paper features a research of the partnerships/agreements between the municipal public services and the private sphere to the offer of vacancies in Early Education, in the large counties of São Paulo. The study allowed us to identify different arrangements between the municipal public service and private institutions, which 30 of the 54 large counties of São Paulo turn to the services from partnerships as a mean to attend the local demand, including the institutions with lucrative purposes, being different of the traditional forms of partnerships instituted in Early Education. The text is based on the literature analysis about the theme and the information collected during the research from phone calls to municipal administrators, municipal official sites and government sites.

Análise retrospectiva da implantação do serviço de inspeção municipal de Rio Verde – GO e de microrganismos patogenicos em produtos cárneos

Pós-graduação em Medicina Veterinária - FCAV

Contribuições para a proposta de uma política municipal de pagamento por serviços ambientais: o caso de Botucatu/SP

Environmental services are the ones done by the nature, that supports both the life and the environment. Payments for Environmental Services (PES) are financial transfers by beneficiaries of environmental services for the ones who provide such services due to conservation practices. Botucatu is a city in São Paulo State with a great potential for PES. Therefore, this paper develops a comparative study of PES projects in Federal and State ranges, aiming to analyze, select and propose criteria in order to contribute to the creation of a PES policy for the city.

Potencial de contribuição e importância socioambiental dos 'catadores autônomos' de Rio Claro (SP) para o programa de coleta seletiva municipal

The Urban Solid Residues are the rests of human activity, popularly known by trash and considered by population like useless, undesirable and disposable. On the other hand, for the waste pickers, solid residues are the beginning of a cycle: they see in the other's people trash the only income, an economic value. Currently, in brazilian cities, one million collectors act, alone or in cooperatives, socially excluded by the work they do. The National Policy of Solid Residues (PNRS), instituted in 2010, established guidelines to the execution of integrated residues management, with should be practiced by city halls and other governmental institutions. This policy has, besides other things, goals of residues reduction and inclusion of waste pickers in the mechanism of selective collect and recycling. However, this and other public policies created for residue management are benefic only for cooperated waste pickers. That could negatively affect most of this class, since 90% are waste pickers working in a precarious way on the country's streets. This study has for objective show that most of waste pickers that work in a precarious way on the brazilian territory has a huge potential for the solid residues recycling chain and how they should be valued for the environmental services they provide, so they can be included with dignity on the society, ensuring economic and social benefits for this workers. The methodology adopted was based on the amount of residue collected by the 44 cooperated members of the Rio Claro‟s waste pickers cooperative to estimate the potential of collect and recycling did by 210 autonomous waste pickers who are active on city streets. It was observed that the cooperative collects the equivalent of 10.2% of all recyclable residues generated by city population. However, with the potential that these autonomous waste pickers have, which together could contribute 465 tonnes of solid residues per month, or 5,570 tons a year...