Intervenções de Promoção de Saúde apresentam caráter ampliado, envolvendo a colaboração e participação de diferentes atores e a utilização de múltiplas estratégias. Isto acrescenta complexidade às formas de medir o impacto das intervenções realizadas em termos de estrutura, processo e resultados. Este texto explora questões conceituais e proposições avaliativas focadas na intersetorialidade e na Promoção de Saúde, com base na experiência de Curitiba. A avaliação de processo, tomada como mensuração qualitativa das iniciativas de promoção de saúde na cidade, revelam a importância da participação social e coordenação intersetorial propiciada pelo poder público na condução das ações. O comprometimento dos vários atores envolvidos nos projetos intersetoriais coloca-se como questão crucial para a sustentabilidade das políticas públicas de promoção de saúde, apontando para a necessidade de formação de redes colaborativas, além de bases políticas e legislativas que permitam a continuidade das intervenções.

Caracterização diagnóstica dos serviços que atendem vítimas de acidentes e violências em cinco capitais brasileiras

This article characterizes the services providing care to victims in five Brazilian regions with high violence and accident rates. It analyzes care activities and strategies, the profile of the teams, the conditions of installations, equipment and supplies, integrated care and registration services and the opinion of health managers with respect to the needs and requirements for a better care to the victims. The sample is composed by 103 services: 34 from Recife, 25 from Rio de Janeiro, 18 from Manaus, 18 from Curitiba and 8 from Brasília. The still preliminary results indicate: lower number of services focusing on the elderly; scarce investment in preventive actions; the principal actions carried out are social assistance, ambulatory and hospital care and psychological assistance; patients received from Basic Health Units require attention of the communities and families; need for investment in capacity building programs for professionals; precarious registries, data handled manually. The wording of the National Policy for Reduction of Morbidity and Mortality from Accidents and Violence is not well-known and there is a lack of articulation among and inside sectors and between prehospital and emergency care services. Rehabilitation services are insufficient in all cities.

A participação de delegações do Cofen em dois eventos internacionais na nossa América Latina representa o efetivo interesse do Conselho Federal em estreitar os laços com a enfermagem latinoamericana, na busca de estratégias de ação que permitam a aproximação dos profissionais, tendo em vista medidas necessárias e relevantes para o desenvolvimento profissional da enfermagem e atenção qualificada à saúde da população.

Background Road accidents are an important cause of mortality in big cities in Brazil mainly in metropolitan areas like Curitiba. Aims/Objectives/Purpose This study aims to analyse epidemiological characteristics of victims and traffic accidents and identify space distribution of traffic accident's occurrences. Methods The analysis of traffic accident's space distribution (georeferencial) was accomplished to enlarge the knowledge of occurrence standard's and its distribution regularity related to each Regional Administrative Office, neighbourhood and streets of Curitiba. An index of accidents by population and an index of accidents by demographic density were generated to determine criteria risk of accidents in each neighbourhood and allowing comparability. To characterise victims and accidents, a descriptive and analytical epidemiological study was accomplished, based on an institutional secondary data base evaluation supplied by Epidemiology Centre of Curitiba's Municipal Health Office. Results/Outcomes The main findings reaffirm accident's predominance in the male young adult gender, but for each age group and each type of traffic user (pedestrian, cyclist, motorcyclist, driver, passenger) there are specificities which contribute to determine the risk of suffering a traffic accident and they need differentiated specific intervention strategies to become efficient. It's necessary to establish partnership with traffic related parts, registration standards, interaction among institutions which compose the system and to develop analyses and evaluation methodologies of generated data. Significance/Contribution to the Field This work supplies elements to the construction of a reliable information system which gives subsides to elaborate prevention and intervention actions, allowing better orientation of public policies of the sector.