Institutionalization of health surveillance evaluation practices: improving the management through modeling of interventions
Keywords:
Health Evaluation; Institutionalization; Health SurveillanceAbstract
Introduction: In Brazil, the incorporation of evaluative theory in the National Health Surveillance System has been fostering management processes focused on the evaluation of results through modeling of health surveillance (HS) actions and construction of effectiveness indicators. In the state and municipal levels, it has been highlighted the project “Institutionalization of evaluative practices: the strategic management of health surveillance based on evidence” which proposes fostering strategies of evaluative practices in the management of HS. Objective: To present the results of the theoretical modeling of four Brazilian HS institutions. Method: An evaluability study based on Leviton et al., between July and December 2019, in the state HS institutions of Minas Gerais and Santa Catarina and in the municipal ones of Belo Horizonte and Florianópolis. The modeling was developed in four workshops, considering the role of technicians and managers of institutions who formed Local Steering Committees for development of logic models, under tutorial work of consultants. Results: The design of the health surveillance actions allowed to describe its components, the strategic actions and the expected effects. Despite the organizational diversity of the HS institutions, the following components prevailed in the four logical models: management; regulation; control and monitoring of health risk; communication and health education. Conclusions: From the modeling, users incorporated information about operationalization of the intervention. It is expected, thereafter, that they will be capable of influencing thinking, practices and rules of collective action of others in order to qualify decision-making and subsidize institutional process changes.
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