[Analysis of the implantation of the healthcare network for victims of accidents and violence following the guidelines of the National Policy for the Reduction of Morbidity and Mortality from Violence and Accidents].
In this article we problematize the results of an investigation entitled 'Diagnostic Analysis of the National Policy for Reduction of Morbidity and Mortality from Accidents and Violence (PNRMVA)' and present some thoughts for discussion. Based on a quantitative and qualitative analysis of the implantation of this policy in five Brazilian state capitals--Recife, Rio de Janeiro, Manaus, Curitiba and Brasília and vicinities--along with the participation of local academic institutions we performed a diagnosis of the situation. The article presents evaluative information regarding: the profile of morbidity and mortality from accidents and violence; the adequacy of mobile and fixed pre-hospital emergency services, hospital services and rehabilitation services to preventing the described epidemiological profile; the training of the professionals dealing with these traumas; surveillance and monitoring of violence and accidents as well as support for studies and investigations into the issue. Aimed at proposing a debate, the article concludes raising questions about the advances made in the implementation of the policy, about the fragilities of the system and about the possibilities for an efficient implementation of the PNRMVA guidelines.
Centro Latino-Americano de Estudos sobre Violência e Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Rio de Janeiro. cecilia@claves.fiocruz.br
Maria Cecília de Souza
MC
Minayo
Suely Ferreira
SF
Deslandes
D000056:Accident Prevention; D001938:Brazil; D019058:Community Networks / Q000458:organization & administration*; D017408:Guidelines as Topic; D006291:Health Policy; D006801:Humans; D014754:Violence / Q000517:prevention & control*; D014947:Wounds and Injuries / Q000209:etiology / Q000401:mortality / Q000517:prevention & control* / Q000628:therapy