The QualiRede intervention: improving the performance of care continuum in HIV, congenital syphilis, and hepatitis C in health regions

ABSTRACT Introduction: Care continuum models have supported recent strategies against sexually transmitted diseases, such as HIV and Hepatitis C (HCV). Methods: HIV, HCV, and congenital syphilis care continuum models were developed, including all stages of care, from promotion/prevention to clinical control/cure. The models supported the intervention QualiRede, developed by a University-Brazilian National Health System (SUS) partnership focused on managers and other professionals from six priority health regions in São Paulo and Santa Catarina. Indicators were selected for each stage of the care continuum from the SUS information systems and from the Qualiaids and QualiAB facility’s process evaluation questionnaires. The indicators acted as the technical basis of two workshops with professionals and managers in each region: the first one to identify problems and to create a Regional Technical Group; and the second one to design action plans for improving regional performance. Results: The indicators are available at www.qualirede.org. The workshops took place in the regions of Alto Tietê, Baixada Santista, Grande ABC, and Registro (São Paulo) and of Foz do Rio Itajaí (Santa Catarina), which resulted in regional action plans in São Paulo, but not in Santa Catarina. A lack of awareness was observed regarding the new HIV and HCV protocols, as well as an incipient use of indicators in routine practices. Conclusion: Improving the performance of the care continuum requires appropriation of performance indicators and coordination of care flows at local, regional, and state levels of management.

Bibliographic Details

Main Authors:	Nemes,Maria Ines Battistella, Castanheira,Elen Rose Lodeiro, Alves,Ana Maroso, Adania,Carolina Simone Souza, Loch,Ana Paula, Monroe,Aline Aparecida, Souza,Rosa Alencar, Gianna,Maria Clara, Caminada,Sirlene, Farias,Norma Suely de Oliveira, Sousa,Paula de Oliveira e, Domingues,Carmen Silva Bruniera, Silva,Mariliza Henrique da, Cervantes,Vilma, Yamashiro,Juliana, Caraciolo,Joselita Maria de Magalhães, Silva,Fabiano Lima da, Nemes Filho,Alexandre, Jesus,Gabriel Lima de, Helena,Ernani Tiaraju de Santa, Albiero,José Francisco Gontan, Lima,Marcela Soares Silveira, Bellenzani,Renata, Kehrig,Ruth Terezinha, Vale,Felipe Campos do, Nunes,Luceime Olivia, Mendonça,Carolina Siqueira, Zarili,Thais Fernanda Tortorelli, Vilela,Mara Cristina, Dantas,Jean Carlos de Oliveira, Paula,Ivone de, Tayra,Ângela, Coelho,Débora Moraes, Santos,Glauber Palha dos, Quevedo,Dulce Castro, Silva,Marcia Aparecida da, Silva,Iraci Batista da, Nasser,Mariana Arantes, Andrade,Marta Campagnoni, Santos,Maria Altenfelder, Mercuri,Juliana, Trindade,Katia Valeska, Neves,Maria Aparecida Teixeira das, Toledo,Renata Villanueva Alves de, Almeida,Maria Cecília Rossi de, Lima,Iraty Nunes
Format:	Digital revista
Language:	English
Published:	Associação Brasileira de Saúde Coletiva 2019
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2019000200408
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