A multiprofessional perspective on the principal barriers to universal health coverage and universal access to health in extremely poor territories: the contributions of nursing

Objective: to investigate the knowledge of managers and health professionals, social workers and education professionals regarding the principal barriers to universal health coverage and universal access to health on the part of the extremely poor population; and to point to the contributions made by nursing for the promotion of this right. Method: a qualitative study whose reference was, for ensuring the right to health, the reorientation of the Brazilian Unified Health System (SUS) towards universal coverage and access in these territories. Interviews were held with 27 members of the multi-professional team of a municipality with high social vulnerability. The data were worked on using thematic content analysis. Results: the following were ascertained as the principal barriers to universal health coverage and access to health: failures in the expansion and strengthening of the services; absence of diagnosis of the priority demands; shortage of technology, equipment, and material and human resources; poor local infrastructure; and actions with low resolutive power and absence of interdepartmental policies. Within the multi-professional team, nursing acts in the SUS in unique health actions and social practices in these territories, presenting an in-depth perspective on this harsh reality, being able to contribute with indispensable support for confronting these disparities in universal health coverage and universal access to health. Conclusion: nursing's in-depth understanding regarding these barriers is essential for encouraging the processes reorienting the SUS, geared towards equality in the right to health

Environmental change and the dynamics of parasitic diseases in the Amazon

Submitted by Nuzia Santos ([email protected]) on 2015-06-29T15:27:30Z No. of bitstreams: 1 2014_011.pdf: 1493093 bytes, checksum: dcedafa1b87e84afdd23eb58fba15bb5 (MD5)Approved for entry into archive by Nuzia Santos ([email protected]) on 2015-06-29T15:27:38Z (GMT) No. of bitstreams: 1 2014_011.pdf: 1493093 bytes, checksum: dcedafa1b87e84afdd23eb58fba15bb5 (MD5)Approved for entry into archive by Nuzia Santos ([email protected]) on 2015-06-29T15:31:17Z (GMT) No. of bitstreams: 1 2014_011.pdf: 1493093 bytes, checksum: dcedafa1b87e84afdd23eb58fba15bb5 (MD5)Made available in DSpace on 2015-06-29T15:31:17Z (GMT). No. of bitstreams: 1 2014_011.pdf: 1493093 bytes, checksum: dcedafa1b87e84afdd23eb58fba15bb5 (MD5) Previous issue date: 2014Fundação Oswaldo Cruz. Centro de Pesquisa René Rachou. Belo Horizonte, MG, BrazilFundação Oswaldo Cruz. Centro de Pesquisa René Rachou. Belo Horizonte, MG, BrazilEscola de Saúde Pública de Minas Gerais. Belo Horizonte, MG, BrazilThe Amazonian environment is changing rapidly, due to deforestation, in the short term, and, climatic change is projected to alter its forest cover, in the next few decades. These modifications to the, environment have been altering the dynamics of infectious diseases which have natural foci in the, Amazonian biome, especially in its forest. Current land use practices which are changing the, epidemiological profile of the parasitic diseases in the region are road building; logging; mining; expansion of agriculture and cattle ranching and the building of large dams. Malaria and the cutaneous, leishmaniasis are the diseases best known for their rapid changes in response to environmental, modifications. Others such as soil-transmitted helminthiases, filarial infections and toxoplasmosis, which have part of their developmental cycles in the biophysical environment, are also expected to, change rapidly. An interdisciplinary approach and an integrated, international surveillance are needed, to manage the environmentally-driven changes in the Amazonian parasitic diseases in the near futur

Climate change and adaptation of the health sector: The case of infectious diseases

Submitted by Nuzia Santos ([email protected]) on 2016-07-07T13:13:51Z No. of bitstreams: 1 ve_C_Cavalcanti_ Climate_CPqRR_2015.pdf: 496009 bytes, checksum: 583fd27517e70b4546b2d892e185e28b (MD5)Approved for entry into archive by Nuzia Santos ([email protected]) on 2016-07-07T13:15:50Z (GMT) No. of bitstreams: 1 ve_C_Cavalcanti_ Climate_CPqRR_2015.pdf: 496009 bytes, checksum: 583fd27517e70b4546b2d892e185e28b (MD5)Made available in DSpace on 2016-07-07T13:15:50Z (GMT). No. of bitstreams: 1 ve_C_Cavalcanti_ Climate_CPqRR_2015.pdf: 496009 bytes, checksum: 583fd27517e70b4546b2d892e185e28b (MD5) Previous issue date: 2015Made available in DSpace on 2016-07-08T18:43:30Z (GMT). No. of bitstreams: 3 ve_C_Cavalcanti_ Climate_CPqRR_2015.pdf.txt: 22448 bytes, checksum: bdabd49ccbb3396f88678a982c4c1de2 (MD5) ve_C_Cavalcanti_ Climate_CPqRR_2015.pdf: 496009 bytes, checksum: 583fd27517e70b4546b2d892e185e28b (MD5) license.txt: 2991 bytes, checksum: 5a560609d32a3863062d77ff32785d58 (MD5) Previous issue date: 2015Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Laboratório de Educação em Saúde e Ambiente. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Laboratório de Educação em Saúde e Ambiente. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Centro de Pesquisa Rene Rachou. Laboratório de Educação em Saúde e Ambiente. Belo Horizonte, MG, Brasil.Infectious diseases form a group of health problems highly susceptible to the influences of climate. Adaptation to protect human population health from the changes in infectious disease epidemiology expected to occur as a consequence of climate change involve actions in the health systems as well as in other non-health sectors. In the health sector strategies such as enhanced and targeted epidemiological and entomological surveillance and the development of epidemic early warning systems informed by climate scenarios are needed. Measures in other sectors such as meteorology, civil defense and environmental sanitation will also contribute to a reduction in the risk of infection under climate change

A multiprofessional perspective on the principal barriers to universal health coverage and universal access to health in extremely poor territories: the contributions of nursing

Objective: to investigate the knowledge of managers and health professionals, social workers and education professionals regarding the principal barriers to universal health coverage and universal access to health on the part of the extremely poor population; and to point to the contributions made by nursing for the promotion of this right. Method: a qualitative study whose reference was, for ensuring the right to health, the reorientation of the Brazilian Unified Health System (SUS) towards universal coverage and access in these territories. Interviews were held with 27 members of the multi-professional team of a municipality with high social vulnerability. The data were worked on using thematic content analysis. Results: the following were ascertained as the principal barriers to universal health coverage and access to health: failures in the expansion and strengthening of the services; absence of diagnosis of the priority demands; shortage of technology, equipment, and material and human resources; poor local infrastructure; and actions with low resolutive power and absence of interdepartmental policies. Within the multi-professional team, nursing acts in the SUS in unique health actions and social practices in these territories, presenting an in-depth perspective on this harsh reality, being able to contribute with indispensable support for confronting these disparities in universal health coverage and universal access to health. Conclusion: nursing's in-depth understanding regarding these barriers is essential for encouraging the processes reorienting the SUS, geared towards equality in the right to health

Visceral leishmaniasis: situation diagnosis from the perspective of disease control in Brazil

Submitted by Nuzia Santos ([email protected]) on 2019-11-20T18:03:47Z No. of bitstreams: 1 Visceral leishmaniasis.pdf: 353569 bytes, checksum: 5f9fe6a32578e7c2f80fd2de2b28965f (MD5)Approved for entry into archive by Nuzia Santos ([email protected]) on 2019-11-20T18:06:51Z (GMT) No. of bitstreams: 1 Visceral leishmaniasis.pdf: 353569 bytes, checksum: 5f9fe6a32578e7c2f80fd2de2b28965f (MD5)Made available in DSpace on 2019-11-20T18:06:51Z (GMT). No. of bitstreams: 1 Visceral leishmaniasis.pdf: 353569 bytes, checksum: 5f9fe6a32578e7c2f80fd2de2b28965f (MD5) Previous issue date: 2018Fundação Oswaldo Cruz. Instituto Rene Rachou. Grupo de Estudos Transdisciplinares em Saúde e Ambiente. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Rene Rachou. Grupo de Estudos Transdisciplinares em Saúde e Ambiente. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Rene Rachou. Grupo de Estudos em Leishmanioses. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Rene Rachou. Grupo de Estudos em Leishmanioses. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Rene Rachou. Grupo de Estudos em Leishmanioses. Belo Horizonte, MG, Brasil.Leishmaniasis is a group of neglected diseases that are highly prevalent worldwide, mainly in the developing world, and can take on severe forms. They are transmitted to the man by the bite of phlebotomines, existing a range of animal reservoirs, among which the dog is considered the main urban host. In this context, leishmaniasis, mainly the visceral form, has been urbanized in Brazil, reaching large urban centers throughout the country. In addition, recently, new areas previously unaffected started to present autochthonous cases of human visceral leishmaniasis. The expansion of the disease to new areas has demonstrated the failure of the measures recommended by national health agencies and calls for a new control model in which popular awareness and environmental management are priority actions

The influence of rainfall variability in default distribution of cases leptospirosis in general Minas Gerais, the period 1998 – 2012

Submitted by Nuzia Santos ([email protected]) on 2016-07-06T11:59:05Z No. of bitstreams: 1 ve_Flavia_Dutra_Influencia_CPqRR_2015.pdf: 1695013 bytes, checksum: a1a08458d79a6cec6eecaf0c5481f5fb (MD5)Approved for entry into archive by Nuzia Santos ([email protected]) on 2016-07-06T12:05:18Z (GMT) No. of bitstreams: 1 ve_Flavia_Dutra_Influencia_CPqRR_2015.pdf: 1695013 bytes, checksum: a1a08458d79a6cec6eecaf0c5481f5fb (MD5)Made available in DSpace on 2016-07-06T12:05:18Z (GMT). No. of bitstreams: 1 ve_Flavia_Dutra_Influencia_CPqRR_2015.pdf: 1695013 bytes, checksum: a1a08458d79a6cec6eecaf0c5481f5fb (MD5) Previous issue date: 2015Made available in DSpace on 2016-07-14T19:10:31Z (GMT). No. of bitstreams: 3 ve_Flavia_Dutra_Influencia_CPqRR_2015.pdf.txt: 66643 bytes, checksum: 0cee878e4a1dc5503226fef3b7ab0d05 (MD5) ve_Flavia_Dutra_Influencia_CPqRR_2015.pdf: 1695013 bytes, checksum: a1a08458d79a6cec6eecaf0c5481f5fb (MD5) license.txt: 2991 bytes, checksum: 5a560609d32a3863062d77ff32785d58 (MD5) Previous issue date: 2015Universidade Federal de Minas Gerais. Programa de Pós-Graduação em Geografia. Belo Horizonte, MG, Brasil.Universidade Federal de Minas Gerais. Instituto de Geociências. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Belo Horizonte, MG, Brasil.Centro de Investigaciones Científicas y Transferencia de Tecnología a la Producción de CICyTTP. Argentina.Instituto Federal de Santa Catarina. Florianopolis, SC, Brasil.A leptospirose é endêmica e tem ampla distribuição no Brasil tornando-se epidêmica em períodos chuvosos, que ocasionam inundações em áreas de aglomeração populacional, sem infraestrutura de saneamento e com alta infestação de roedores, principalmente nas regiões metropolitanas. Considerando a crescente frequência dos episódios de inundações nos últimos anos no Brasil e em Minas Gerais, este estudo busca compreender as associações entre a variabilidade da precipitação e influência desta no padrão de distribuição espacial da leptospirose no Estado de Minas Gerais entre 1998 a 2012. A análise epidemiológica descritiva dos dados permitiu concluir que a doença nos municípios com grande população tem um caráter endêmico, embora sujeita a oscilações epidêmicas, enquanto que nos municípios com menor população a ocorrência predomina sob a forma de surtos epidêmicos, com grande concentração de casos em determinados anos com altas taxas de incidência. As sete maiores taxas de incidência anual da série ocorreram em municípios com menos de 85 mil habitantes. Inversamente, na Região Metropolitana de Belo Horizonte (RMBH), a mais populosa do Estado, os municípios de Belo Horizonte, Betim, Contagem e Ibirité, as taxas anuais de incidência não ultrapassam o valor de 3,2/100.000, com exceção do ano epidêmico de 2003, em Betim (8,6/100.000). A espacialização da doença no Estado mostrou uma distribuição sensível à variabilidade espaçotemporal. Além dos condicionantes sociais e ambientais, relacionados à doença, principalmente nas áreas urbanas, acredita-se que esse fenômeno possua um componente climático que explique os momentos de expansão e retração da leptospirose, bem como, influencia notadamente sua intensidade nos períodos chuvosos.Leptospirosis which is endemic and has wide distribution in Brazil becomes epidemic during rainy periods, followed by cause flooding in areas without sanitation infrastructure with high infestation of rodents, primarily in metropolitan areas. Considering the increasing frequency of episodes of flooding in recent years in Brazil and in Minas Gerais, this study seeks to understand the associations between rainfall variability and its influence of the spatial distribution pattern of leptospirosis in the state of Minas Gerais from 1998 to 2012. Descriptive epidemiological analysis of the data showed that municipalities with larger populations the disease has an endemic character though subject to epidemic oscillations, whereas in municipalities with smaller populations the occurrence predominates in the form of epidemic outbreaks with high concentration of cases certain years with high incidence rates. The seven highest annual incidence rates of the series occurred in municipalities with fewer than 85,000 inhabitants. Conversely, in the most populous metropolitan area in the state (RMBH), the cities of Belo Horizonte, Betim, and Ibirité municipalities, the annual incidence rates do not exceed the value of 3,2/100.000, with the exception of the epidemic year 2003 in Betim (8,6/100,000). The distribution of the disease in the state was a pattern sensitive to the spatio-temporal variability. In addition to social and environmental factors related to the presence of the disease, especially in urban areas constraints, it is believed that this phenomenon has a climate component to explain the moments of expansion and contraction of leptospirosis, as well as influence notably its potential (intensity), during the rainy season