EFEITO DE UMA INTERVENÇÃO SOBRE A COMPLETITUDE DOS REGISTROS DE NOTIFICAÇÃO DE DOENÇAS EM MUNICÍPIO DO SUL DO BRASIL

O estudo visa avaliar a eficácia de uma intervenção para melhorar a qualidade da notificação em termos de completitude dos campos. A metodologia utilizada foi de tipo experimental randomizado e por clusters Serviços de saúde municipais – (SMS). Vinte e seis (26) SMS foram randomizados em bloco em dois grupos. O grupo intervenção incluiu 13 serviços e 69 trabalhadores, e o grupo controle o mesmo número de serviços e 70 participantes. Como desfecho, foi avaliada a completitude dos campos nas notificações realizadas por grupo. Não houve diferenças significativas nas características dos grupos antes da capacitação. A completitude do preenchimento dos campos não evidenciou mudança significativa após a intervenção (82,3% intervenção vs. 81,8% controle; p=0,8). Houve uma maior notificação no grupo intervenção. O estudo mostrou a necessidade de programar novas formas de capacitação mais eficazes, incentivando a conscientização dos trabalhadores sobre a importância da informação para a Vigilância Epidemiológica

Women's knowledge of methods for secondary prevention of breast cancer

<p></p><p>Abstract The objective of this study was to evaluate women's knowledge of methods for screening breast cancer. The study was done on a population of women aged 18 or over in the city of Rio Grande between April and November 2011. Interviewers used questionnaires on all of the women at selected households. Models were developed for every type of screening (self-examination of breasts, mammography, and clinical exams) that were analyzed through the use of Poisson regression. Out of the 1596 women interviewed, 1355 reported self-examination, 456, mammography, and only 191, clinical examination of the breast, performed by a health professional, as important for the prevention of breast cancer. White women with 11 years or more worth of schooling had a greater probability of having mammography exams and clinical examinations as methods for screening. We noted, linked to the aforementioned, that there was a linear tendency whereby there was a greater probability for those with high incomes to undergo one of the above interventions. The study noted that there was a need for more detailed information aimed at the population on prevention methods in order to avoid late diagnosis. We noted that non-white women with little education and on low incomes showed less knowledge of clinical examination methods and mammographies.</p><p></p

2010 A(H1N1) vaccination in pregnant women in Brazil: identifying coverage and associated factors

We studied vaccination coverage and its associated factors in the 2010 pandemic influenza vaccination of Brazilian pregnant women. A cross-sectional study of pregnant women who had given birth was performed in a municipality in southern Brazil, in 2010. Data about vaccination against A(H1N1) and sociodemographic characteristics, morbidities and prenatal care were collected. Statistical analysis was performed using a Poisson regression. Coverage was 77.4%. Most were vaccinated in the public sector (97.6%) and in the second trimester (47%). Associated factors that increased vaccination were marriage, older age, first income quartile, prenatal care and influenza before pregnancy. Education and skin color were not significantly associated with vaccination. The vaccination campaign was extensive and exhibited no inequality. Prenatal care was the factor that most affected vaccination coverage, reflecting its importance for vaccination campaign success