Revista Brasileira de Epidemiologia ()

The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions

  • Maria Ines Battistella Nemes,
  • Elen Rose Lodeiro Castanheira,
  • Ana Maroso Alves,
  • Carolina Simone Souza Adania,
  • Ana Paula Loch,
  • Aline Aparecida Monroe,
  • Rosa Alencar Souza,
  • Maria Clara Gianna,
  • Sirlene Caminada,
  • Norma Suely de Oliveira Farias,
  • Paula de Oliveira e Sousa,
  • Carmen Silva Bruniera Domingues,
  • Mariliza Henrique da Silva,
  • Vilma Cervantes,
  • Juliana Yamashiro,
  • Joselita Maria de Magalhães Caraciolo,
  • Fabiano Lima da Silva,
  • Alexandre Nemes Filho,
  • Gabriel Lima de Jesus,
  • Ernani Tiaraju de Santa Helena,
  • José Francisco Gontan Albiero,
  • Marcela Soares Silveira Lima,
  • Renata Bellenzani,
  • Ruth Terezinha Kehrig,
  • Felipe Campos do Vale,
  • Luceime Olivia Nunes,
  • Carolina Siqueira Mendonça,
  • Thais Fernanda Tortorelli Zarili,
  • Mara Cristina Vilela,
  • Jean Carlos de Oliveira Dantas,
  • Ivone de Paula,
  • Ângela Tayra,
  • Débora Moraes Coelho,
  • Glauber Palha dos Santos,
  • Dulce Castro Quevedo,
  • Marcia Aparecida da Silva,
  • Iraci Batista da Silva,
  • Mariana Arantes Nasser,
  • Marta Campagnoni Andrade,
  • Maria Altenfelder Santos,
  • Juliana Mercuri,
  • Katia Valeska Trindade,
  • Maria Aparecida Teixeira das Neves,
  • Renata Villanueva Alves de Toledo,
  • Maria Cecília Rossi de Almeida,
  • Iraty Nunes Lima

DOI
https://doi.org/10.1590/1980-549720190010.supl.1
Journal volume & issue
Vol. 22, no. suppl 1

Abstract

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ABSTRACT Introduction: Care continuum models have supported recent strategies against sexually transmitted diseases, such as HIV and Hepatitis C (HCV). Methods: HIV, HCV, and congenital syphilis care continuum models were developed, including all stages of care, from promotion/prevention to clinical control/cure. The models supported the intervention QualiRede, developed by a University-Brazilian National Health System (SUS) partnership focused on managers and other professionals from six priority health regions in São Paulo and Santa Catarina. Indicators were selected for each stage of the care continuum from the SUS information systems and from the Qualiaids and QualiAB facility’s process evaluation questionnaires. The indicators acted as the technical basis of two workshops with professionals and managers in each region: the first one to identify problems and to create a Regional Technical Group; and the second one to design action plans for improving regional performance. Results: The indicators are available at www.qualirede.org. The workshops took place in the regions of Alto Tietê, Baixada Santista, Grande ABC, and Registro (São Paulo) and of Foz do Rio Itajaí (Santa Catarina), which resulted in regional action plans in São Paulo, but not in Santa Catarina. A lack of awareness was observed regarding the new HIV and HCV protocols, as well as an incipient use of indicators in routine practices. Conclusion: Improving the performance of the care continuum requires appropriation of performance indicators and coordination of care flows at local, regional, and state levels of management.

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