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Local Planning: An Experience of a Primary Care Centre in Florianópolis, Brazil

Author(s): C. M. S. Moutihno, Jr1
Affiliation(s): 1Public Health Department, Municipal Health, Florianópolis, Brazil
Keywords: Primary Care, health planning, Family Health Strategy
Background:

The project of health planning at the Primary Health Center Lagoa da Conceição, in Florianópolis (Brazil) emerged as a need to change a model of care assistance, based on the spontaneous demand and a limited scope in the practice of health (passive attitude) for a model of Family Health Strategy, with shares epidemiological data on a defined territory and organizes a supply of services, expanding the community’s access to health services (pro-active attitude). The planning tool enabled changes on the organization for the work process in the primary care of the Family Health Teams (FHT).

Summary/Objectives:

The indicators available have been raised using SIAB (Information System in Primary Attention), SIM (Information System in Mortality), SINASC (Information System of Births), and HIPERDIA (Information System of hypertensive and diabetic people). There were used the following indicators:
1– Medical care / team resolution: consultations pop / year, the average time, total resolution, average visits / family.
2– Women/Children: exclusive breastfeeding, pregnant beginning the 1st quarter, pregnant medical/nursery care in the month, pregnant <20 years, low weight at birth, pregnant with more than 4 and 7 consultations in the prenatal, procedures Papanicolau / pop fem.
3– Hypertensive/ Diabetic people: lifting risk of disease DAC in 10 years, using of Framingham Score.
The objectives were:
1– Work with a common goal for the actors involved in the planning (FHT); stimulate work as a team
2– Develop the diagnosis of the current situation, with survey data; study of the data and dynamics of monitoring / update-dynamic planning
3– Improve health indicators of the population.

Results:
Lessons learned:

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