A implantação do Sistema de Vigilância de Doenças Crônicas Não Transmissíveis no Brasil, 2003 a 2015: alcances e desafios

Abstract

ABSTRACT:Objective: To describe the implantation of the Surveillance System for Noncommunicable Diseases (NCDs) in the Unified Health System (Sistema Único de Saúde) and the challenges in maintaining it. Methods: A literature review was carried out the information contained in federal government directives between 2003 and 2015 was consulted. Results: A comprehensive risk and protection factor surveillance system was implemented. It is capable of producing information and providing evidence to monitor changes in the health behavior of the population. Among the advances cited are the organization of epidemiological surveys, such as the Surveillance System for Risk Factors and Protection for NCD (Sistema de Vigilância de Fatores de Risco e Proteção para DCNT -Vigitel), the National School Health Survey (Pesquisa Nacional de Saúde do Escolar -PeNSE), and the National Health Survey (Pesquisa Nacional de Saude) from 2013, which enabled the most extensive health diagnosis of the Brazilian population. In 2011, the NCD National Plan 2011-2022 established targets for reducing risk factors and NCD mortality. Conclusion: The information gathered from the NCD surveillance system can support the implementation of sectoral and intersectorial strategies, which will result in the implementation of the Brazilian Strategic Action Plan for the prevention and control of NCDs, as well as the monitoring and evaluation of their results periodically. Finally, it can be a very important tool to help Brazil achieve the goals proposed by the 2030 Agenda for Sustainable Development and the Global Plan to Tackling NCDs.

Mental health profile of the elderly community: a cross-sectional study

“…It is estimated that by 2030 the total number of population will reach 223,126,917, and 17.98% represents the number of people aged 60 and over (2) , showing a current and future increase in the number of elderly people in Brazil. This setting is presented as a result of decreased fertility rates and increased population's life perspective, which reflects changes in the causes of death profile, which was previously marked by communicable diseases, and Chronic Noncommunicable Diseases prevail today (CNCD) (3) .…”

“…Disturbances related to alcohol and other licit drugs are also common (3,6) . Dementia affects between 1% and 8% in the elderly population, constituting an important public health problem and promoting behavioral and psychological changes in this population (3) .…”

Fatores de risco cardiovascular em uma população rural brasileira

“…Thus, considering the extensive costs of CVDs, the higher prevalence of these diseases in rural workers and the shortage of population-based studies developed with rural workers, this study aims to estimate the prevalence of the main cardiovascular risk factors and their associ-ated factors in a sample of Brazilian rural workers. Corroborating the strategic actions defined by the Ministry of Health to address chronic noncommunicable diseases in Brazil 17 , data from this study may contribute to surveillance actions, collaborating in the planning, implementation and evaluation of public policies for this population.…”

Determinação do indivíduo referência de um restaurante universitário da cidade do Salvador – Bahia

“…Ressalta-se a preocupação com esses dados diante do aumento da prevalência dessas doenças, já que estudos clínicos e epidemiológicos têm demonstrado a existência de forte associação entre fatores ambientais e comportamentais e as DCNT. Além disso, mundialmente essas doenças são consideradas as principais causas de morte e responsáveis pela redução da qualidade de vida, pois em decorrência de suas consequências as atividades de lazer e trabalho passam a ser mais restritas repercutindo na vida econômica, familiar, comunitário e social [19,20] .…”

“…Conhecer os hábitos alimentares dos grupos populacionais assume relativa importância considerando que uma dieta adequada e equilibrada reduz os gastos públicos com o tratamento de doenças causadas pelas deficiências nutricionais [20] Fausto [38] revela que quando não se dispõe de dados sobre o perfil da clientela que é atendida, o planejamento dietético deve ser realizado com base em estimativas de peso, altura, idade e nível de atividade física obtidas em estudos realizados na região. Sendo que para o planejamento dietético, é necessário dispor de informações no que diz respeito à faixa etária, peso corporal e nível de atividade física.…”