title: [Epidemiologic surveillance in the plan for intensification of malaria control actions in the state of Mato Grosso: a case study].
abstract: The objective of this study is to analyze the epidemiologic surveillance in the Malaria Control Actions Intensification Plan (PIACM) in the 18 cities of the state of Mato Grosso, from 1999 to 2002. An evaluative research of the type implantation analysis was conducted. The analysis was carried out using a logic model considering 4 dimensions - external and political context, organizational context, implementation and effectiveness - and 5 evidence bases, 3 of primary data and 2 of secondary data. The cities are called CASE. The data were collected using semi-structured questionnaires. The implementation of the PIACM actions was found adequate in only 5,6% of CASES. The effectiveness of the actions was adequate in only one CASE and none of the CASES showed adequate contextual characteristics. The principal factors affecting the implementation were: frequent changes of the local health managers and professionals, fragmented and sporadic training and health promotion and prevention actions limited to the primary care team. In conclusion, structural problems and lack of articulation of epidemiologic surveillance hamper the full development of the PIACM actions.
authors.affiliation: Coordenadoria de Vigilância Epidemiológica, Secretaria de Estado de Saúde de Mato Grosso, Cuiabá, MT, 78050-970. noemidgalvao.mt@terra.com.br
authors.forename: Noemi Dreyer
authors.initials: ND
authors.lastname: Galvão
authors.forename: Edna Massae
authors.initials: EM
authors.lastname: Yokoo
authors.forename: Marina Atanaka
authors.initials: MA
authors.lastname: Dos Santos
authors.forename: Sonia
authors.initials: S
authors.lastname: Natal
mesh_terms: D001938:Brazil / Q000453:epidemiology; D006801:Humans; D008288:Malaria / Q000453:epidemiology* / Q000517:prevention & control*; D011159:Population Surveillance / Q000379:methods*; D015397:Program Evaluation