Oral Health Indicators of the Primary Attention within the State of CearÃ: a review Analisis

O monitoramento e a avaliaÃÃo nos serviÃos de saÃde sÃo etapas imprescindÃveis na implantaÃÃo das polÃticas de saÃde. InformaÃÃes em saÃde fidedignas sÃo relevantes para subsidiar o planejamento e a tomada de decisÃes. A EstratÃgia SaÃde da FamÃlia, entendida como o mecanismo de acesso primÃrio dos usuÃrios Ãs aÃÃes de saÃde, fornece, por meio dos Sistemas de InformaÃÃo, dados relativos à execuÃÃo de atividades em seu Ãmbito de atuaÃÃo. Este estudo objetivou analisar os indicadores de SaÃde Bucal do Pacto da AtenÃÃo BÃsica no Estado do CearÃ, verificando o percentual de cobertura populacional por equipes de SaÃde da FamÃlia (ESF) e SaÃde Bucal (ESB), a apresentaÃÃo dos indicadores de SaÃde Bucal na sÃrie histÃrica proposta e o modo como as informaÃÃes, que ensejam os indicadores, sÃo fornecidas pelos profissionais responsÃveis. O trabalho constituiu-se de duas fases. Na fase 1 compilou-se dados referentes à cobertura populacional das aÃÃes de SaÃde da FamÃlia e SaÃde Bucal e os indicadores de SaÃde Bucal do Pacto da AtenÃÃo BÃsica preconizados pelo MinistÃrio da SaÃde, no Ãmbito do Estado do CearÃ. Utilizou-se de informaÃÃes relativas à sÃrie histÃrica entre os anos de 2001 e 2007; no ano de 2001 o MinistÃrio da SaÃde iniciou repasse financeiro para os municÃpios, como incentivo para inserÃÃo de cirurgiÃes-dentistas nas equipes de SaÃde da FamÃlia no Brasil. Estes dados foram obtidos em sÃtio eletrÃnico do MinistÃrio da SaÃde e complementados pelos relatÃrios do NÃcleo de AtenÃÃo à SaÃde Bucal da Secretaria da SaÃde do Estado do CearÃ. Foram dispostos em tabelas do Programa Excel, sendo consideradas estatisticamente significantes as anÃlises cujo valor de p fosse menor do que 0,05. Tais dados foram processados no Programa SPSS. Na fase 2, utilizou-se um instrumento (questionÃrio) aplicado aos cirurgiÃes-dentistas atuantes na EstratÃgia SaÃde da FamÃlia do Estado, onde se indagou a respeito do conhecimento deles sobre os indicadores de SaÃde Bucal e como costumavam informar as aÃÃes de SaÃde Bucal que realizavam diariamente nas Unidades BÃsicas de SaÃde da FamÃlia (UBASF) e nos demais espaÃos sociais em que atuavam. Os dados da fase 1 foram analisados por intermÃdio de regressÃo linear e associaÃÃo entre variÃveis, cuja anÃlise demonstrou que houve crescimento percentual estatisticamente significante de cobertura populacional por equipes de SaÃde da FamÃlia e SaÃde Bucal.NÃo houve melhoria significante nos indicadores de SaÃde Bucal, evidenciando-se sua estagnaÃÃo no decorrer da sÃrie histÃrica. Observou-se que hà divergÃncias entre a interpretaÃÃo dos objetivos dos indicadores e o registro dos dados relativos Ãs aÃÃes de SaÃde Bucal pelos cirurgiÃes-dentistas atuantes na EstratÃgia SaÃde da FamÃlia e as orientaÃÃes do MinistÃrio da SaÃde, havendo a necessidade de serem implementadas medidas de capacitaÃÃo permanente para esclarecer aspectos relacionados aos indicadores de SaÃde Bucal.Monitoring and evaluation of health services are indispensable steps in the process of implementation of health policies. Trustworthy health information is relevant to subsidize the planning and the decision-making. Familyâs Health Strategy, understood as the primary access mechanism of the users to health actions, provides data related to the implementation of activities within its scope through the information systems. This study aimed to analyze the Oral Health Indicators of the Primary Attention Pact within the State of CearÃ, checking the percentage of the population assisted by the Familyâs Health Strategy and Oral Health Program, the presentation of Oral Health Indicators in the historical series proposed and how the information, which generates indicators, is provided by the professionals in charge. This work consisted of two stages. In stage 1 it was compiled data on the populationâs coverage of the actions of the Familyâs Health Strategy and Oral Health Program and the Oral Health Indicators of the Primary Care recommended by the Ministry of Health within the State of CearÃ. It was used information concerning the historical series between the years 2001 and 2007, when the Ministry of Health began to fund cities, as an incentive for inserting dentist surgeons in the Familyâs Health teams in Brazil. These data were obtained through the website of the Ministry of Health and complemented by the Oral Health Care Department of the Secretary of Health of the State of CearÃ. They were arranged in Excel charts and it was considered statistically significant the differential analyses whose p-value was less than 0.05. The data were processed in the program so-called SPSS (Statistical Package for the Social Sciences). In stage 2, it was used an instrument (questionnaire) applied to dentist surgeons who participate in the Familyâs Health Strategy in CearÃ, where they were asked about their knowledge about the Oral Health Indicators and how they used to inform the Oral Health actions that they carried out daily in the Basic Units of Health Family and some other social spaces where they worked in. The stage 1 data were analyzed using linear regression and association between variables. It was verified that there was percentage growth of populationâs coverage of the historical series of the Familyâs Health Teams and Oral Health was statistically relevant. There was no statistically significant improvement in the Oral Health indicators, giving evidence of the stagnation of the members during the historical series. It was noticed that there are misunderstandings about the interpretation of the indicators and in the registry of the data related to the Oral Health actions by dentist surgeons operating in the Familyâs Health Strategy and orientation of Ministry of Health, with the necessity of implementation of measures of permanent training to clarify aspects concerning the Oral Health Indicators