OBJECTIVE to evaluate the implantation of the Notifiable Diseases Information System (SINAN) in Pernambuco, Brasil, 2014. METHODS This was an evaluation study based on primary data (interviews) and secondary data… Click to show full abstract
OBJECTIVE to evaluate the implantation of the Notifiable Diseases Information System (SINAN) in Pernambuco, Brasil, 2014. METHODS This was an evaluation study based on primary data (interviews) and secondary data (SINAN documents/data) provided by the State Health Department and its Regional Divisions in order to estimate the degree of SINAN implantation, comparing structure and process indicators with results achieved. RESULTS SINAN was found to be partially implemented at central level (77.2%); and at regional level (61.2%), ranging from 54.7 to 71.6%; the following components had been implemented: reporting/investigation (90.0%) and processing (84.1%); analysis/divulgation had been partially implemented (61.6%); while monitoring (53.4%) and management (56.8%) were incipient; there was a lack of planning and published information bulletins; 46.9% of municipalities closed compulsory reporting on time; 68.7% sent batches regularly, 3.0% of tuberculosis cases were duplicated. CONCLUSION SINAN was found to be partially implemented in Pernambuco due to shortcomings in monitoring and management, with negative influences on system results; its strengths related to reporting, investigation and data processing.
               
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