Evaluation of the degree of implementation of healthcare provided to patients with sexually transmitted infections (STIs) within the basic healthcare network of the town of Ilhéus, Bahia
T.M. Cordeiro1, K.M. França2, V.L. Luíza3
1Prefeitura Municipal de Ilhéus, Secretaria de Saúde/Coord. DST/Hepatites/Aids, Ilhéus, Brazil, 2Prefeitura Municipal de Ilhéus, Secretaria de Saúde/Coordenação de DST/Aids, Ilhéus, Brazil, 3Escola Nacional de Saúde Pública/FIOCRUZ, LASER, Rio de Janeiro, Brazil
Issues: Evaluative study on the degree of implementation of healthcare provided to patients with sexually transmitted infections (STIs) within the basic healthcare network of the town of Ilhéus, using conformity with the actions described in the Manual for the Control of STIs published by the Ministry of Health as a parameter.
Description: A logical model was elaborated in which the components involved in the organization of healthcare services for STI patients were systematized. A structured questionnaire and an observation script was developed for primary data collection. Secondary data were obtained from documents revision. Based on the data collected, an analysis was made of whether the organization of the healthcare provided follows the principles of decentralization and integrality, dimensions considered the most relevant in this study. A logical evaluation model was constructed in which decentralization was classified into two sub-dimensions: planning and the management of financial resources, while integrality was divided into four sub-dimensions: information, education and communication, healthcare practices, and actions for the promotion and recuperation of health, each of which received a score in accordance with its relevance to healthcare. A judgement matrix was used to define the degree of implementation, with specific scores classifying the services as: adequate, partially adequate, insufficient or incipient.
Lessons learned: The degree of implementation of STI healthcare in the town of Ilhéus was considered insufficient, although the different sub-dimensions achieved different results, and it should be emphasized that the sub-dimension of planning obtained the highest score and was considered adequate.
Next steps: These results indicate a need to review strategies that could improve implementation of the intervention under analysis, focussing on the components considered most critical.
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