Ricardo Alexandre Arcêncio

Universidade de Ribeirão Preto

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Thaís Zamboni Berra

Universidade de São Paulo

115

Antônio Carlos Vieira Ramos

Universidade do Estado de Minas Gerais

114

Mellina Yamamura

Universidade Federal de São Carlos

Luíz Henrique Arroyo

Universidade Brasil

Pedro Fredemir Palha

Universidade de Ribeirão Preto

Juliane de Almeida Crispim

Serviço Nacional de Aprendizagem Industrial

Ione Carvalho Pinto

Universidade do Estado de Minas Gerais

Yan Mathias Alves

Universidade de São Paulo

Luana Seles Alves

Universidade Federal de Lavras

Regina Célia Fiorati

Universidade de São Paulo

Cooperative Institutions

Universidade de São Paulo

262

Universidade de Ribeirão Preto

200

Universidade Brasil

Universidade Federal do Rio Grande do Norte

Universidade Estadual de Londrina

Universidade Federal de Pelotas

Hospital Universitário da Universidade de São Paulo

Universidade Federal de Minas Gerais

Universidade Nova de Lisboa

Fundação Oswaldo Cruz

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Equipe Projeto "Termômetro Social COVID-19 II: Impactos pós-pandemia nas populações vulnerabilizadas no interior do Brasil" - CNPq

Figshare (2023)

Ricardo Alexandre Arcêncio

Este link permite o acesso a equipe de pesquisa que constitue o projeto intitulado "Termômetro Social COVID-19 II: Impactos pós-pandemia nas populações vulnerabilizadas no interior do Brasil". Abaixo segue o resumo do projeto:A pandemia da COVID-19 acabou por elevar as disparidades socioeconômicas, demográficas, étnico-raciais e de acesso aos serviços de saúde, principalmente nas populações vulnerabilizadas, que enfrentaram maior exposição e susceptibilidade a doença, às condições precárias de moradia, insegurança alimentar, falta de acesso aos serviços de saúde, dentre outras aspectos. Assim, visando dar continuidade a uma ampla pesquisa intitulada “Termômetro Social - COVID-19 no Brasil”, este projeto visa analisar os impactos pós-pandemia da COVID-19 nas populações vulnerabilizadas no Brasil. Estruturou-se um projeto dividido em três fases, sendo estas: 1) por meio da análise espacial será feita a identificação dos municípios dos interiores do país críticos para COVID-19, considerando como critérios de escolha fazer parte do cluster de risco para casos e/ou óbitos por COVID-19 e/ou possuir acima de 50% da população com incompletude vacinal contra COVID-19; 2) nos municípios do interior selecionados na Fase 1, serão realizadas pesquisas de campo junto às populações vulnerabilizadas: migrantes internacionais, refugiados e apátridas; residentes em favelas e comunidades; populações em situação de rua e pessoas em assentamentos ou remanescentes de quilombos (quilombolas); 3) será realizada a consulta a stakeholders, no sentido de angariar capital político de modo a adotar estratégias, aconselhamento, consolidação dos dados e translação do corpus de evidências às políticas públicas e aos serviços de saúde. O projeto busca trazer evidências para gestão e mitigação dos impactos pós-pandemia da COVID-19, principalmente à compreensão dos prejuízos inerentes aos determinantes sociais e à saúde das populações vulnerabilizadas nos diferentes municípios brasileiros, além de fornecer subsídios para a formulação de políticas públicas e aos serviços de saúde mais efetivas e direcionadas, e promovendo ainda um trabalho cooperativo entre pesquisadores e sociedade civil.

2019-20 coronavirus outbreak

10.6084/m9.figshare.24216453.v2

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[Areas with declining vaccination coverage for BCG, poliomyelitis, and MMR in Brazil (2006-2016): maps of regional heterogeneity].

Luíz Henrique Arroyo Antônio Carlos Vieira Ramos Mellina Yamamura Teresinha Heck Weiller Juliane de Almeida Crispim

Immunization is known to be one of the most successful and cost-effective health interventions, resulting in the eradication and control of various diseases in the world. However, Brazil has experienced a worrisome drop in vaccination coverage, associated with the resurgence of various previously controlled or eradicated diseases. This study thus conducted a situational diagnosis weighing Brazil's different regions and time trends in vaccination coverage in order to identify areas with reduction in vaccination coverage for BCG, poliomyelitis, and MMR. This ecological study collected data on the number of children up to one year of age who had been vaccinated with these three vaccines from 2006 to 2016, according to municipality (county). Data were obtained from the Brazilian Health Informatics Department. A spatial scan was performed, analyzing spatial variations in the time trends for vaccination coverage. Downward trends were seen in the number of immunizations in Brazil, with reductions of 0.9%, 1.3%, and 2.7% per year for BCG, poliomyelitis, and MMR, respectively. Significant decreases were also seen in all five major geographic regions with time trends in the reduction of vaccination coverage. The study evidenced an important reduction in vaccination coverage in recent years, with major heterogeneity between municipalities. Thus, focused attention and strategic planning in keeping with each local area's characteristics are necessary to address both the reduction of vaccination coverage and the resurgence of vaccine-preventable diseases in Brazil.

Polio Vaccination

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Meta-evaluation in Primary Health Care Evaluative Studies: a Scoping Review

Research Square (Research Square) (2022)

Osvaldo de Góes Bay Cícera Renata Diniz Vieira Silva Rayssa Horácio Lopes Cláudia dos Santos Martiniano Miguel Fuentealba-Torres

Abstract Background: The evaluation of health policies and programs expanded in both practical and theoretical-methodological fields, with a strong influence on health system quality, decisions of managers, sustainability, and improvement of the primary care services. However, guaranteeing the qualification and credibility of the evaluation processes using meta-evaluations is a huge challenge for evaluators. This review aimed to map meta-evaluation use in Primary Health Care evaluative studies. Methods: We conducted a scoping review based on the Joanna Briggs Institute manual and guided by PRISMA Extension for Scoping Reviews (PRISMA-ScR). A systematic and comprehensive three-step search was performed in January and February 2021 in multidisciplinary health science databases and gray literature. No limits concerning publication dates were set. Data extraction and eligibility were performed by two independent authors and interpreted using thematic analysis. The themes were collated, and a narrative summary of the findings reported. Results: There were 11,641 potential studies identified from the search, finally, 23 studies were included in the analysis. Four thematic groups were identified: search results; characteristics of the included studies; meta- evaluation type, involved stakeholders, and Evaluative standards applied; potentialities and challenges in the meta-evaluation primary health care. Most were summative meta-evaluations focusing on health programs and primary care management and followed the quality standards of the Joint Committee on Standards for Educational Evaluation. We observed low involvement of service users and active participation of managers, health professionals, researchers like stakeholders. We also highlight the importance of formative and democratic meta-evaluations expanding the use of evaluations. Conclusion: Results showed the potential and challenges of using meta-evaluation in primary health care during or when the evaluations have been completed. Highlighted the importance of permanent and systematic analysis of the quality of evaluations. Meta-evaluators have the technical responsibility of the evaluation process, stimulus to the action of those involved, and decision-making capacity. There is a paucity of published literature on meta-evaluation in primary health care. Hence, further studies are recommended to qualify the processes and results of the evaluations capable of contributing to the improvement and qualification of public policies and health practices.

Grey Literature

Thematic Analysis

10.21203/rs.3.rs-1282037/v1

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Trends and forecasts of leprosy for a hyperendemic city from Brazil’s northeast: Evidence from an eleven-year time-series analysis

PLoS ONE (2020)

Antônio Carlos Vieira Ramos Dulce Gomes Marcelino Santos Neto Thaís Zamboni Berra Ivaneliza Simionato de Assis

This study's objective was to estimate the temporal trends of leprosy according to sex and age groups, as well as to estimate and predict the progression of the disease in a hyperendemic city located in the northeast of Brazil. This ecological time-series study was conducted in Imperatriz, Maranhão, Brazil. Leprosy cases diagnosed between 2006 and 2016 were included. Detection rates stratified by sex and age groups were estimated. The study of temporal trends was accomplished using the Seasonal-Trend Decomposition method and temporal modeling of detection rates using linear seasonal autoregressive integrated moving average model according to Box and Jenkins method. Trend forecasts were performed for the 2017–2020 period. A total of 3,212 cases of leprosy were identified, the average incidence among men aged between 30 and 59 years old was 201.55/100,000 inhabitants and among women in the same age group was 135.28/100,000 inhabitants. Detection rates in total and by sex presented a downward trend, though rates stratified according to sex and age presented a growing trend among men aged less than 15 years old and among women aged 60 years old or over. The final models selected in the time-series analysis show the forecasts of total detection rates and rates for men and women presented a downward trend for the 2017–2020 period. Even though the forecasts show a downward trend in Imperatriz, the city is unlikely to meet a significant decrease of the disease burden by 2020.

Trend analysis

Seasonality

10.1371/journal.pone.0237165

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Research, Innovation, and National Production of Strategic Inputs for Tuberculosis Elimination in Brazil: Contributions from the REDE-TB

Revista da Sociedade Brasileira de Medicina Tropical (2023)

Ricardo Alexandre Arcêncio Érica Chimara José Roberto Lapa e Silva Júlio Croda Anna Cristina Calçada Carvalho

Knowledge Production

10.1590/0037-8682-0518-2023

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COVID-19 Social Thermometer Project: transnational articulations to approach populations in situations of social vulnerability

Revista Brasileira de Enfermagem (2023)

Heriederson Sávio Dias Moura Regina Célia Fiorati Ricardo Alexandre Arcêncio

of COVID-19 is an infectious disease that has significantly impacted different contexts around the world, directly and/or indirectly, and on a larger scale in poor and/or developing countries (1) .We do not know for sure the cumulative effects of COVID-19 on populations (mental disorders, insomnia, anxiety, thrombosis, cognition deficit, memory problems, etc.) after exposure to infection by the SARS-CoV-2 virus, mainly populations in a situation of social vulnerability (PSSV), which were the most affected, in addition to being those who do not know how they have managed to obtain resources and/or technologies to mitigate these effects and protect themselves against new episodes of infection and/or reinfection.It is a fact that unhealthy conditions of high population density and substandard areas, such as slums, have been important niches for the high rate of transmissibility and infection by the virus (2) , mainly due to lack of access to the structure of social, economic and cultural opportunities that provide resources, putting certain groups at a disadvantage (3-4) .Thus, it became relevant to investigate how COVID-19 has impacted PSSV, given that, in Brazil, the number of people in extreme poverty has been increasing, especially after the adoption of austerity policies and cuts in Social Protection Programs.

Thermometer

Social vulnerability

Vulnerability

2019-20 coronavirus outbreak

Betacoronavirus

10.1590/0034-7167.202376suppl201

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Short-duration treatment for latent tuberculosis in migrants: VDOT monitoring in Manaus, AM.

Revista da Sociedade Brasileira de Medicina Tropical (2024)

Yan Mathias Alves Sônia Vivian de Jezus Thaís Zamboni Berra Vânia Maria Silva Araújo Ethel Leonor Nóia Maciel

10.1590/0037-8682-0530-2023

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Effect of social development in reducing tuberculosis mortality In northeastern Brazil areas

The Journal of Infection in Developing Countries (2020)

Ana Angélica Rêgo de Queiroz Thaís Zamboni Berra Alexandre Tadashi Inomata Bruce Maria Concebida da Cunha Garcia Danielle Talita dos Santos

Introduction: Tuberculosis (TB) is the primary cause of death among infectious diseases affecting groups in extreme poverty. Social improvements could reverse this situation in Brazil. This study aims to demonstrate the spatial relationship between social development (SD) and TB mortality in Natal, a city in northeastern Brazil. Methodology: Ecological study. The study population comprised TB deaths recorded in the Mortality Information System between 2008 and 2014. The units of analysis were 59 human development units (HDUs). Raw and smoothed mortality rates were calculated using the global empirical Bayes method. Primary components analysis was used to develop the SD indicators. An association between TB mortality and SD was verified using multiple linear regression analysis. Spatial autocorrelation was verified using models with global spatial effects. Analyses were performed using Statistica version 12.0, ArcGIS version 10.2, Statistical Package for the Social Sciences version 20.0, and OpenGeoDa 1.0.1. The significance level was established at 5% (p < 0.05). Results: The TB mortality rate with non-random spatial distribution ranged between 0.52 and 8.90 per 100,000 inhabitants. The spatial lag model was chosen because it presented the highest log-likelihood value, lowest AIC, and highest R2. A negative association was found between TB mortality and SD (R2 = 0.207; p = 0.03). Conclusions: The results show a negative association between TB mortality and the high SD indicator. This study can support decision-making in terms of collective projects within public health in order to link the health field to other sectors, aiming for social well-being and human development.

Ecological study

10.3855/jidc.12196

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Citations (2)

Social determinants of health and unfavourable outcome of tuberculosis treatment in the prison system

Figshare (2022)

Melisane Regina Lima Ferreira Rúbia Laine de Paula Andrade Pedro Augusto Bossonário Regina Célia Fiorati Ricardo Alexandre Arcêncio

Abstract This article aims to analyze the unfavorable outcome of tuberculosis treatment among the population deprived of liberty by social determinants of health. This retrospective cohort was conducted in the states of Rondônia and São Paulo, Brazil, with inmates with tuberculosis notified between 2008 and 2017. Data were collected from SINAN and TB-WEB and analyzed by relative risk (RR) and confidence intervals (95%CI), which tested the association between the dependent variable (unfavorable outcome (deaths from tuberculosis and other causes, and primary and non-primary lost to follow-up) vs. favorable outcome (cure)) and the structural and intermediary determinants of health. One hundred fifty-eight unfavorable outcomes were registered in Rondônia and 2,227 in São Paulo. For Rondônia, this outcome was associated with gender (RR 3.09; 95%CI 1.03-9.27) and AIDS (RR 2.46; 95%CI 1.63-3.71). In São Paulo, aged over 30 years (RR 1.36; 95%CI 1.26-1.47), AIDS (RR 3.08; 95%CI 2.81-3.38), alcohol abuse (RR 1.54; 95%CI 1.35-1.76), diabetes (RR 1.70; 95%CI 1.27-2.28) and self-administered treatment (RR 2.55; 95%CI 2.27-2.86) were risk factors for the unfavorable outcome. The study contributes with elements to the risk stratification of people with tuberculosis in prison units and, thus, improves health care towards a favorable outcome.

10.6084/m9.figshare.21556899

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Acesso dos doentes de hanseníase na atenção primária à saúde: potencialidades, fragilidades e desafios

Hansenologia Internationallis hanseníase e outras doenças infecciosas (2016)

Natalia Marciano de Araujo Jéssica Maia Storer Emily Alice Burin Maria Cristina Ferreira Fontes Ricardo Alexandre Arcêncio

Objetivo: A investigação do acesso por meio de publicações científicas, evidenciando suas potencialidades, fragilidades e desafios, traz a possibilidade de desvendar os nós-críticos do sistema de saúde, a fim de alcançar a eliminação da hanseníase. Método: revisão integrativa de estudos indexados nas bases de dados MEDLINE, LILACS e BIREME, considerando artigos em Português, Inglês e Espanhol, no período de 1993 a junho de 2016. Atenderam aos critérios de seleção 15 artigos. Resultados: apontam que o acesso ao diagnóstico e tratamento da doença apresenta potencialidades, como disponibilização de medicamentos e vínculo com os profissionais de saúde, porém também exige mudanças operacionais pela equipe da saúde frente às Ações de Controle da Hanseníase, a fim de suprir as fragilidades e desafios em conjunto com o compromisso político da Atenção Primária à Saúde, dos quais podem-se destacar o preparo dos profissionais de saúde frente à doença, o diagnóstico precoce e a descentralização. Todas essas informações encontram-se em um quadro que condensa as potencialidades e desafios, assim como uma tabela contemplando as fragilidades encontradas. Conclusão: os municípios necessitam empregar esforços em prol das ações preconizadas pelo Ministério da Saúde em busca da eliminação da Hanseníase.

10.47878/hi.2016.v41.34985

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