Oficina para Implantação do Pacto pela Saúde no Rio Grande do Sul Maio -2006

Oficina para Implantao do Pacto pela Sade no Rio Grande do Sul

Maio -2006

Poltica Nacional da Ateno Bsica

Pacto pela Sade

Pacto pela Vida(Ateno Bsica)Pacto em Defesa do SUSPacto de Gesto

Portaria GM n399 de fev de 2006

Poltica Nacional da Ateno BsicaPrincpios geraisResponsabilidades de cada esfera de governoInfra-estrutura e recursos necessriosCaractersticas do processo de trabalhoAtribuies dos profissionaisDiretrizes para educao permanenteRegras de financiamento

Definir e implantar o modelo de ateno bsica em seu territrioRegular os contratos de trabalhoManter a rede de unidades bsicas de sade em funcionamento (gesto e gerncia)Co-financiar as aes de ateno bsicaAlimentar os sistemas de informao nacionaisAvaliar o desempenho das equipes de ateno bsica sob sua superviso.

Responsabilidade Municipal

Acompanhar a implantao e execuo das aes de ateno bsica em seu territrioSer co-responsvel, junto ao MS, quanto a utilizao dos recursos da AB pelos municpios Coordenar a execuo das polticas de qualificao de recursos humanos em seu territrioCo-financiar as aes de ateno bsicaApoiar a execuo das estratgias de avaliao da ateno bsica em seu territrio.Responsabilidade Estadual

Elaborar as diretrizes da poltica nacional de ateno bsica em sade.Co-financiar o sistema de ateno bsicaOrdenar a formao dos recursos humanos Propor mecanismos para a programao, controle, regulao e avaliao da ateno bsica

Responsabilidade Federal

Sade da CrianaSade da MulherSade do IdosoControle da HAS e DMControle da TB e eliminao da HansenaseSade BucalEliminao da desnutrio infantil

reas estratgicas de atuao

Poltica Nacional da Ateno BsicaPORTARIA N 648, DE 28 DE MARO DE 2006 Aprova a Poltica Nacional de Ateno Bsica, estabelecendo a reviso de diretrizes e normas para a organizao da Ateno Bsica para o Programa Sade da Famlia (PSF) e o Programa Agentes Comunitrios de Sade (PACS).


Portaria n649 de maro de 2006Define valores de financiamento para o ano de 2006, com vistas estruturao de Unidades Bsicas de Sade para as equipes Sade da Famlia, como parte da Poltica Nacional de Ateno Bsica.

Portaria n650 de maro de 2006Define valores de financiamento do PAB fixo e varivel mediante a reviso de diretrizes e normas para a organizao da Ateno Bsica, para a estratgia de Sade da Famlia e para o Programa de Agentes Comunitrios de Sade, institudos pela Poltica Nacional de Ateno Bsica


Poltica Nacional da Ateno BsicaPortaria n822, de abril de 2006Altera critrios para definio de modalidades das ESF dispostos na Poltica Nacional de Ateno Bsica.

Portaria n822

Plan1

Anexo 1Anexo II

Barros CassalSalto do JacuSo GabrielSo NicolauTu p a n c i r e t

Benjamin Constant do SulSanta Brbara do SulSo JernimoSarandiUruguaiana

Total = 2 municpiosSantana do LivramentoSo Luiz GonzagaTa p e sVa c a r i a

So BorjaSo Miguel das MissesTrindade do SulVi a m o

Total = 16 municpios

Plan2

Plan3

Define princpios gerais para ateno bsica e coloca a Sade da Famlia como estratgia de mudana do modelo de ateno;

Muda a nomenclatura da Sade da Famlia de programa para estratgia;

Define claramente os papis das Secretarias Municipais , Secretarias Estaduais e do DF, e do Ministrio da Sade;

Define que os recursos financeiros do bloco da ateno bsica podem ser gastos em qualquer ao da AB descrita nos planos municipais de sade

Alteraes em curso na AB

Define como princpios gerais da Sade da Famlia ter carter substitutivo em relao a rede tradicional, atuar proativamente em territrio definido com planejamento de acordo com o diagnstico situacional e integrado na comunidade;

Reduz a populao adscrita por ESF para mdia de 3.000 hab com mximo de 4.000;Limita em 12 o nmero de ACS por equipes e 750 pessoas por ACSExtingue as faixas de cobertura para repasse PAB varivel;Reduz as modalidades de transferncias do PAB Varivel


Define a obrigatoriedade de curso introdutrio para todas as equipes, aumentando o incentivo inicial de 10 para 20 mil para ESF e 6 para para 7 mil para ESB;

Define como responsabilidade das SES o treinamento introdutrio e a educao permanente em municpios abaixo de 100 mil hab. e para municpios acima de 100 mil hab. responsabilidade SMS;Transferir recursos PROSADE e residncia de famlia e comunidade


Define indicadores de acompanhamento do Pacto da Ateno Bsica de 2006;- media anual de consultas mdicas bsicas por habitante;

- proporo de nascidos vivos de mes com 4 ou mais consultas de pr-natal;

- Razo de CCO pela populao de mulheres de 25 a 59 anos;

- cobertura de 3 dose de tetravalente maior ou igual a 95%.


Reafirma que a alimentao dos Sistemas Nacionais de Informao so condicionantes para transferncia dos recursos do PAB fixo e varivel;

Define critrios de suspenso e bloqueio de repasses do PAB fixo e varivel


Concretizar a integralidade da ateno na prticaResponsabilizao de todos os gestores e trabalhadores municipais para viabilizao de um projeto estruturante;CORPORATIVISMOOtimizao da utilizao dos recursos disponveis com insero da SF nas redes de servios; OS RISCOS DA DUPLICAO DA REDEPriorizao poltica do investimento financiamento das trs esferas de governo

Consolidao da AB/SF - desafios

Implantao dos instrumentos de gesto disponveis (SIAB, PPI, Pacto da Ateno Bsica, AMQ, PROGRAB);Capacitao, formao e contratao de recursos humanos;O RECONHECIMENTO DOS MDICOS DE FAMLIA A QUALIFICAO CLINICA E EM SADE COLETIVAMUDANAS NA RESIDNCIA MDICAA DESPRECARIZAO DO TRABALHOAvaliao e acompanhamento permanente;MONITORAMENTO E AVALIAOAmpliao necessria do controle social.

EM RESUMO QUALIFICAO DA ESTRATGIA

Consolidao da AB/SF - desafios

Trabalhos publicados - SF

Cada 10% a mais de cobertura de SF reduz em 4,5% a TMI. Constitui-se no segundo fator mais significativo na reduo da TMI, ficando atrs apenas do nvel de instruo materno.O maior percentual de evoluo de cobertura do PSF foi observado no agrupamento de municpios com menor renda.


Grfico1

6.559679037111.614583333315.827797649522.344107084612.2702003327

7.074065188310.939741750413.6535700320.081665439511.5903948617

9.087695733611.336254107313.821880297318.716785482812.3584571833

6.86599789229.27772943312.119064493315.589407744910.0387603185

6.34362327248.23487544489.818445896913.50413467228.8583851991

5.93927814937.91292837189.037328094310.89336293357.8929474327

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Brasil

ANOS

%

Proporo de bitos em menores de 1 ano de idade por causas mal definidas segundo estrato de cobertura do PSF. Brasil, 1998-2003.

BRASIL

ANO1994199519961997199819992000200120022003

NUMERADOR G1196220642571175915331430

DENOMINADOR G1299102917728291256192416624077

NUMERADOR G2200718301863138611571076

DENOMINADOR G2172801672816434149391405013598

NUMERADOR G3123910461060855676598

DENOMINADOR G3782876617669705568856617

NUMERADOR G4342230002888219018291423

DENOMINADOR G4153151493915430140481354413063

ANO< 20%20 |-- 50%50 |-- 70%>=70%Brasil

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

19986.5611.6115.8322.3412.27

19997.0710.9413.6520.0811.59

20009.0911.3413.8218.7212.36

20016.879.2812.1215.5910.04

20026.348.239.8213.508.86

20035.947.919.0410.897.89

9.4631.8742.9051.2535.67

0.427.1010.3513.278.07

-7.845.8113.7410.135.54

-28.46-3.62-1.236.80-6.63

24.4518.1612.3216.7118.77

7.6111.2418.9813.3811.76

6.373.917.9619.3310.90

ANO< 20%20 |-- 50%50 |-- 70%>=70%Brasil

19940.0000.0000.0000.0000.000

19950.0000.0000.0000.0000.000

19960.0000.0000.0000.0000.000

19970.0000.0000.0000.0000.000

19981.1041.4681.7512.0511.555

19991.1911.3831.5111.8431.468

20001.5301.4331.5291.7181.566

20011.1561.1721.3411.4311.272

20021.0681.0411.0861.2401.122

20031.0001.0001.0001.0001.000

BRASIL

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Brasil

ANOS

%

Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Brasil 1998/2002

Cobertura Brasil

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Brasil

ano

RT da Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Brasil 1998/2002

NORTE

TABELA DE COBERTURA - BRASIL RENDA G1

ANO< 20%20-50%50-70%> 70%NPOP

n%pop%n%pop%n%pop%n%pop%

19940000000000

19950000000000

19960000000000

19970000000000

19980000000000

19990000000000

20000000000000

20010000000000

20020000000000

20030000000000

Cobertura Norte

ANO1994199519961997199819992000200120022003

NUMERADOR G1389425450377405371

DENOMINADOR G1261428613030309828013046

NUMERADOR G2444377413309329288

DENOMINADOR G2292330753012267726182503

NUMERADOR G39681126797758

DENOMINADOR G3479468611511540515


DENOMINADOR G4607601639679586630

ANO< 20%20 |-- 50%50 |-- 70%>=70%Norte

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199814.8815.1920.0413.5115.26

199914.8512.2617.318.9913.38

200014.8513.7120.6210.3314.47

200112.1711.5415.468.5411.82

200214.4612.5714.269.2213.22

200312.1811.5111.266.6711.34

18.1524.2543.8150.6525.72

3.044.579.6611.124.98

0.1819.2913.6433.4912.37

0.02-11.84-19.15-14.95-8.16

18.0615.8225.0317.3018.33

-18.82-8.877.77-7.88-11.85

15.768.4421.0227.6514.21

ANO< 20%20 |-- 50%50 |-- 70%>=70%Norte

19940.0000.0000.0000.0000.000

19950.0000.0000.0000.0000.000

19960.0000.0000.0000.0000.000

19970.0000.0000.0000.0000.000

19981.2221.3201.7802.0261.346

19991.2201.0661.5371.3481.180

20001.2191.1921.8311.5491.276

20010.9991.0031.3731.2811.042

20021.1871.0921.2661.3821.166

20031.0001.0001.0001.0001.000

Cobertura Norte

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Norte

ANOS

%

Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Norte 1998/2002

NORDESTE

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Norte

ano

RT da Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Norte 1998/2002

Cobertura Nordeste


ANO< 20%20-50%50-70%> 70%NPOP


19940000000000

19950000000000

19960000000000

19970000000000

19980000000000

19990000000000

20000000000000

20010000000000

20020000000000

20030000000000

SUDESTE

ANO1994199519961997199819992000200120022003

NUMERADOR G16447301224699558476

DENOMINADOR G1500152265717515952815315

NUMERADOR G21031916996721555546

DENOMINADOR G2554853585664518048964765

NUMERADOR G3866667679576432410

DENOMINADOR G3376538073699358834723400

NUMERADOR G4292725262457180915201173

DENOMINADOR G4895486939347846683898026

ANO< 20%20 |-- 50%50 |-- 70%>=70%Nordeste

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199812.8818.5823.0032.6923.50

199913.9717.1017.5229.0620.96

200021.4117.5818.3626.2921.93

200113.5513.9216.0521.3716.99

200210.5711.3412.4418.1213.91

20038.9611.4612.0614.6212.11

30.4538.3447.5755.2948.46

2.458.6911.4414.7811.95

-8.478.0023.8311.1110.80

-53.27-2.86-4.779.54-4.60

36.7220.8512.5518.7122.51

22.0218.5622.4915.2018.15

15.24-1.083.0819.3412.91

ANO< 20%20 |-- 50%50 |-- 70%>=70%Nordeste

19940.0000.0000.0000.0000.000

19950.0000.0000.0000.0000.000

19960.0000.0000.0000.0000.000

19970.0000.0000.0000.0000.000

19981.4381.6221.9072.2371.940

19991.5601.4921.4531.9881.731

20002.3911.5351.5221.7991.810

20011.5131.2151.3311.4621.403

20021.1800.9891.0321.2401.148

20031.0001.0001.0001.0001.000

SUDESTE

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Nordeste

ANOS

%

Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Nordeste 1998/2002

Cobertura Sudeste

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Nordeste

RT da Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. NordesteBrasil 1998/2002

SUL


ANO< 20%20-50%50-70%> 70%NPOP


19940000000000

19950000000000

19960000000000

19970000000000

19980000000000

19990000000000

20000000000000

20010000000000

20020000000000

20030000000000

Cobertura Sul

ANO1994199519961997199819992000200120022003

NUMERADOR G1610628650494411408

DENOMINADOR G1165991567714510127611186811490

NUMERADOR G2334372326254162148

DENOMINADOR G2517149064575409736653640

NUMERADOR G317522417715410289

DENOMINADOR G3238122422189191117621696

NUMERADOR G4217282240202157126

DENOMINADOR G4316430462899259323122402

ANO< 20%20 |-- 50%50 |-- 70%>=70%Sudeste

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

19983.676.467.356.864.89

19994.017.589.999.265.82

20004.487.138.098.285.76

20013.876.208.067.795.17

20023.464.425.796.794.24

20033.554.075.255.254.01

3.3737.0528.6023.5218.02

0.157.674.203.413.14

-9.01-17.39-35.94-34.99-19.02

-11.836.0319.0710.581.01

13.5813.000.345.9010.32

10.5428.7028.1712.8317.89

-2.548.019.3522.755.51

ANO< 20%20 |-- 50%50 |-- 70%>=70%Sudeste

19940.0000.0000.0000.0000.000

19950.0000.0000.0000.0000.000

19960.0000.0000.0000.0000.000

19970.0000.0000.0000.0000.000

19981.0351.5891.4011.3071.220

19991.1281.8651.9041.7651.452

20001.2621.7531.5411.5781.437

20011.0901.5251.5361.4851.289

20020.9751.0871.1031.2951.058

20031.0001.0001.0001.0001.000

Cobertura Sul

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Sudeste

ANOS

%

Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Sudeste 1998/2002

CENTRO-OESTE

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Sudeste

RT da Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Sudeste 1998/2002

Cobertura Centro-Oeste


ANO< 20%20-50%50-70%> 70%NPOP


19940000000000

19950000000000

19960000000000

19970000000000

19980000000000

19990000000000

20000000000000

20010000000000

20020000000000

20030000000000

ANO1994199519961997199819992000200120022003

NUMERADOR G1236208178130127150

DENOMINADOR G1392037023418306928722860

NUMERADOR G211510484758270

DENOMINADOR G2234021932087185218061672


DENOMINADOR G3589516523482488447


DENOMINADOR G4174416591644141413461169

ANO< 20%20 |-- 50%50 |-- 70%>=70%Sul

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

19986.024.918.838.086.33

19995.624.747.365.305.43

20005.214.028.995.665.24

20014.244.054.775.874.56

20024.424.547.793.944.61

20035.244.194.705.474.96

12.8814.8146.7932.2821.64

1.932.743.593.574.40

6.673.5016.5834.3914.27

7.3115.13-22.03-6.653.46

18.66-0.6246.90-3.7612.93

-4.39-12.12-63.1932.92-0.98

-18.617.7939.67-39.04-7.69

ANO< 20%20 |-- 50%50 |-- 70%>=70%Sul

19940.0000.0000.0000.0000.000

19950.0000.0000.0000.0000.000

19960.0000.0000.0000.0000.000

19970.0000.0000.0000.0000.000

19981.1481.1741.8791.4771.276

19991.0711.1331.5680.9691.094

20000.9930.9611.9131.0331.056

20010.8080.9671.0161.0720.920

20020.8431.0851.6570.7190.929

20031.0001.0001.0001.0001.000

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Sul

ANOS

%

Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Sul 1998/2002

00000

00000

00000

00000

00000

00000

1,93

2,74

3,59

3,57

4,40

RT da Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Sul 1998/2002


ANO< 20%20-50%50-70%> 70%NPOP


19940000000000

19950000000000

19960000000000

19970000000000

19980000000000

19990000000000

20000000000000

20010000000000

20020000000000

20030000000000

ANO1994199519961997199819992000200120022003


DENOMINADOR G1177617111616153213441366


DENOMINADOR G2129811961096113310651018


DENOMINADOR G3614628647563623559


DENOMINADOR G4846940901896911836

ANO< 20%20 |-- 50%50 |-- 70%>=70%Centro-Oeste

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

19984.676.398.146.505.98

19994.275.105.735.324.92

20004.274.014.793.554.13

20013.852.384.094.243.56

20022.382.724.334.943.37

20031.832.363.582.152.30

60.8463.1356.0666.8861.48

15.9516.2614.4214.3916.91

8.7120.2429.6118.1817.75

-0.0821.2916.4233.2315.96

9.8040.6414.74-19.4113.72

38.18-14.27-6.09-16.475.37

23.1313.4217.4556.4131.75

ANO< 20%20 |-- 50%50 |-- 70%>=70%Centro-Oeste

19940.0000.0000.0000.0000.000

19950.0000.0000.0000.0000.000

19960.0000.0000.0000.0000.000

19970.0000.0000.0000.0000.000

19982.5542.7122.2763.0192.596

19992.3312.1631.6022.4702.135

20002.3331.7031.3391.6501.795

20012.1041.0111.1421.9701.548

20021.3011.1551.2112.2941.465

20031.0001.0001.0001.0001.000

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Centro-Oeste

ANOS

%

Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Centro-Oeste 1998/2002

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Centro-Oeste

RT da Proporo de bitos por causas mal definidas em menores de 1 ano, por local de Residncia, segundo percentual de cobertura do PSF. Centro-Oeste 1998/2002


ANO< 20%20-50%50-70%> 70%NPOP


19940000000000

19950000000000

19960000000000

19970000000000

19980000000000

19990000000000

20000000000000

20010000000000

20020000000000

20030000000000


Grfico1

43.078055964741.82561307941.721854304639.546247818540.9458730444

41.605301914639.100817438740.397350993442.164048865641.4313972307

50.8836524348.637602179851.82119205349.354275741749.901096925

61.487481590659.400544959161.423841059665.375218150163.208056105

58.983799705460.899182561360.927152317969.877835951165.0602409639

54.860088365255.858310626758.609271523264.153577661460.1870167236

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Brasil

ANOS

Homogeneidade da cobertura vacinal por tetravalente em menores de 1 ano de idade segundo estratos de cobertura do PSF. Brasil, 1998-2003.

BRASIL

ANO19941995199619971998199920002001200220032004

NUMERADOR G1585565691835801745

DENOMINADOR G1135813581358135813581358

NUMERADOR G2307287357436447410

DENOMINADOR G2734734734734734734

NUMERADOR G3252244313371368354

DENOMINADOR G3604604604604604604

NUMERADOR G4113312081414187320021838

DENOMINADOR G4286528652865286528652865

ANO< 20%20 |-- 50%50 |-- 70%>=70%Brasil

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199843.0841.8341.7239.5540.95

199941.6139.1040.4042.1641.43

200050.8848.6451.8249.3549.90

200161.4959.4061.4265.3863.21

200258.9860.9060.9369.8865.06

200354.8655.8658.6164.1560.19

20040.000.000.000.000.00

-27.35-33.55-40.48-62.22-46.99

-5.73-6.85-7.80-10.97-8.75

3.426.513.17-6.62-1.19

-22.30-24.39-28.28-17.05-20.44

-20.84-22.13-18.53-32.46-26.67

4.07-2.520.81-6.89-2.93

6.998.283.808.197.49

0.000.000.000.000.00

ANO< 20%20 |-- 50%50 |-- 70%> 70%Brasil

1994

1995

1996

1997

19980.7850.7620.7610.7210.746

19990.7580.7000.6890.6570.688

20000.9280.8710.8840.7690.829

20011.1211.0631.0481.0191.050

20021.0751.0901.0401.0891.081

20031.0001.0001.0001.0001.000

20040.0000.0000.0000.0000.000

BRASIL

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Brasil

ANOS

Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Brasil, 1999/2003

NORTE

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

> 70%

Brasil

ano

RT da Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Brasil, 1999/2003

NORDESTE

ANO19941995199619971998199920002001200220032004


DENOMINADOR G1155155155155155155


DENOMINADOR G2939393939393




DENOMINADOR G4146146146146146146

ANO< 20%20 |-- 50%50 |-- 70%>=70%Norte

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199816.1326.8830.9146.5830.07

199914.8429.0336.3654.7933.41

200018.0624.7341.8263.0136.97

200131.6139.7840.0058.9043.21

200238.7143.0149.0963.7049.00

200349.6852.6965.4572.6059.69

20040.000.000.000.000.00

-234.78-81.48-80.00-32.50-78.67

-36.88-19.17-16.68-7.65-15.69

8.00-8.00-17.65-17.65-11.11

-21.7414.81-15.00-15.00-10.67

-75.00-60.874.356.52-16.87

-22.45-8.11-22.73-8.14-13.40

-28.33-22.50-33.33-13.98-21.82

0.000.000.000.000.00

ANO< 20%20 |-- 50%50 |-- 70%> 70%Norte

1994

1995

1996

1997

1998

19990.2990.5510.5560.7550.560

20000.3640.4690.6390.8680.619

20010.6360.7550.6110.8110.724

20020.7790.8160.7500.8770.821

20031.0001.0001.0001.0001.000

20040.0000.0000.0000.0000.000

NORDESTE

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Norte

ANOS

Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Norte, 1999/2003

SUDESTE

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

> 70%

Norte

ano

RT da Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Norte, 1999/2003

SUL

ANO19941995199619971998199920002001200220032004

NUMERADOR G17783105159152168

DENOMINADOR G1332332332332332332

NUMERADOR G2576578104116109

DENOMINADOR G2208208208208208208

NUMERADOR G361799096121116

DENOMINADOR G3189189189189189189

NUMERADOR G4309455441620717666

DENOMINADOR G4106310631063106310631063

ANO< 20%20 |-- 50%50 |-- 70%>=70%Nordeste

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199823.1927.4032.2829.0728.13

199925.0031.2541.8042.8038.06

200031.6337.5047.6241.4939.84

200147.8950.0050.7958.3354.63

200245.7855.7764.0267.4561.72

200350.6052.4061.3862.6559.10

20040.000.000.000.000.00

-102.41-67.69-46.84-46.37-55.28

-21.01-14.71-10.63-11.51-12.63

-7.79-14.04-29.51-47.25-35.32

-26.51-20.00-13.923.08-4.69

-51.43-33.33-6.67-40.59-37.11

4.40-11.54-26.04-15.65-12.97

-10.536.034.137.114.25

0.000.000.000.000.00

ANO< 20%20 |-- 50%50 |-- 70%> 70%Nordeste

1994

1995

1996

1997

1998

19990.4940.5960.6810.6830.644

20000.6250.7160.7760.6620.674

20010.9460.9540.8280.9310.924

20020.9051.0641.0431.0771.044

20031.0001.0001.0001.0001.000

20040.0000.0000.0000.0000.000

SUL

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Nordeste

ANOS

Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Nordeste, 1999/2003

CENTRO-OESTE

19981998199819981998

0.4940476190.59633027520.68103448280.68318318320.6440037771

0.6250.71559633030.7758620690.66216216220.6742209632

0.94642857140.95412844040.82758620690.93093093090.9244570349

0.90476190481.06422018351.04310344831.07657657661.044381492

11111

< 20%

20 |-- 50%

50 |-- 70%

> 70%

Nordeste

ano

RT da Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Nordeste, 1999/2003

ANO19941995199619971998199920002001200220032004

NUMERADOR G1345299360379361307

DENOMINADOR G1521521521521521521

NUMERADOR G2146125158157160140

DENOMINADOR G2252252252252252252

NUMERADOR G31017812613010493

DENOMINADOR G3207207207207207207

NUMERADOR G4347306425439451384

DENOMINADOR G4688688688688688688

ANO< 20%20 |-- 50%50 |-- 70%>=70%Sudeste

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199866.2257.9448.7950.4456.29

199957.3949.6037.6844.4848.44

200069.1062.7060.8761.7764.09

200172.7462.3062.8063.8166.25

200269.2963.4950.2465.5564.51

200358.9355.5644.9355.8155.40

20040.000.000.000.000.00

-2.68-12.00-19.23-25.49-14.36

-1.49-3.79-8.53-7.52-4.73

13.3314.3822.7711.8213.95

-20.40-26.40-61.54-38.89-32.30

-5.280.63-3.17-3.29-3.37

4.75-1.9120.00-2.732.62

14.9612.5010.5814.8614.13

0.000.000.000.000.00

ANO< 20%20 |-- 50%50 |-- 70%> 70%Sudeste

1994

1995

1996

1997

1998

19990.9740.8930.8390.7970.874

20001.1731.1291.3551.1071.157

20011.2351.1211.3981.1431.196

20021.1761.1431.1181.1741.165

20031.0001.0001.0001.0001.000

20040.0000.0000.0000.0000.000

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Sudeste

ANOS

Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Sudeste, 1999/2003

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

> 70%

Sudeste

ano

RT da Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Sudeste, 1999/2003

ANO19941995199619971998199920002001200220032004

NUMERADOR G1122147181224205173

DENOMINADOR G1318318318318318318

NUMERADOR G256547811110378

DENOMINADOR G2135135135135135135



NUMERADOR G4276251325502490444

DENOMINADOR G4650650650650650650

ANO< 20%20 |-- 50%50 |-- 70%>=70%Sul

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199838.3641.4851.1642.4641.88

199946.2340.0043.0238.6241.13

200056.9257.7851.1650.0052.82

200170.4482.2286.0577.2376.62

200264.4776.3070.9375.3872.25

200354.4057.7870.9368.3163.58

20040.000.000.000.000.00

-17.69-44.44-64.86-76.89-54.60

-5.70-13.82-17.38-18.04-13.95

-20.493.5715.919.061.81

-23.13-44.44-18.92-29.48-28.43

-23.76-42.31-68.18-54.46-45.06

8.487.2117.572.395.71

15.6124.270.009.3911.99

0.000.000.000.000.00

ANO< 20%20 |-- 50%50 |-- 70%> 70%Sul

1994

1995

1996

1997

1998

19990.8500.6920.6070.5650.647

20001.0461.0000.7210.7320.831

20011.2951.4231.2131.1311.205

20021.1851.3211.0001.1041.136

20031.0001.0001.0001.0001.000

20040.0000.0000.0000.0000.000

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Sul

ANOS

Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Sul, 1999/2003

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

> 70%

Sul

ano

RT da Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Sul, 1999/2003

ANO19941995199619971998199920002001200220032004







NUMERADOR G4133116131226251238

DENOMINADOR G4318318318318318318

ANO< 20%20 |-- 50%50 |-- 70%>=70%Centro-Oeste

19940.000.000.000.000.00

19950.000.000.000.000.00

19960.000.000.000.000.00

19970.000.000.000.000.00

199846.8850.0043.2841.8243.20

199940.6334.7844.7836.4837.80

200050.0043.4844.7841.1942.55

200171.8858.7073.1371.0770.19

200271.8860.8782.0978.9377.11

200362.5073.9171.6474.8473.43

20040.000.000.000.000.00

-53.85-112.50-60.00-105.17-94.29

-13.45-21.28-15.71-22.83-20.66

13.3330.43-3.4512.7812.50

-23.08-25.000.00-12.93-12.57

-43.75-35.00-63.33-72.52-64.97

0.00-3.70-12.24-11.06-9.85

13.04-21.4312.735.184.76

0.000.000.000.000.00

ANO< 20%20 |-- 50%50 |-- 70%> 70%Centro-Oeste

1994

1995

1996

1997

1998

19990.6500.4710.6250.4870.515

20000.8000.5880.6250.5500.579

20011.1500.7941.0210.9500.956

20021.1500.8241.1461.0551.050

20031.0001.0001.0001.0001.000

20040.0000.0000.0000.0000.000

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

>=70%

Centro-Oeste

ANOS

Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Centro-Oeste, 1999/2003

00000

00000

00000

00000

00000

00000

< 20%

20 |-- 50%

50 |-- 70%

> 70%

Centro-Oeste

ano

RT da Homogeneidade por cobertura vacinal por tetravalente em menores de 1 ano de idade, por Local de Residncia, para grupos de municpios segundo percentual de cobertura do PSF. Centro-Oeste, 1999/2003

Grfico Brasil

46.625.48

52.631.915.2

54.135.720.5

55.53926.6

58.444.434.9

5945.336.4

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESB Brasil - 2001 a Maro/2006

Dados Brasil

Evoluo da Cobertura Populacional (em %) - ACS / PSF/ ESB

Brasil - 2001 a Maro/2006

ACSPSFESB

200146.625.48.0

200252.631.915.2

200354.135.720.5

200455.539.026.6

200558.444.434.9

Mar-0659.045.336.4

Grfico S (2)

39.624.27.5

45.930.714.4

48.634.620.5

50.238.926

52.843.233.2

53.544.434.4

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESBRegio Sul - 2001 a Maro/2006

Grfico S

39.624.27.5

45.930.714.4

48.634.620.5

50.238.926

52.843.233.2

53.544.434.4

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESBRegio Sul - 2001 a Maro/2006

Dados S


Regio Sul - 2001 a Maro/2006

ACSPSFESB

200139.624.27.5

200245.930.714.4

200348.634.620.5

200450.238.926.0

200552.843.233.2

Mar-0653.544.434.4

Grfico SE

2416.81.9

31.322.65.9

33.226.59.2

35.42913.5

38.232.118.2

39.233.419.6

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESB Regio Sudeste - 2001 a Maro/2006

Dados SE


Regio Sudeste - 2001 a Maro/2006

ACSPSFESB

200124.016.81.9

200231.322.65.9

200333.226.59.2

200435.429.013.5

200538.232.118.2

Mar-0639.233.419.6

Grfico CO

53.23317.4

57.63926.4

56.139.929.8

60.241.636.8

61.745.845

60.943.243.1

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESB Regio Centro-Oeste - 2001 a Maro/2006

Dados CO


Regio Centro-Oeste - 2001 a Maro/2006

ACSPSFESB

200153.233.017.4

200257.639.026.4

200356.139.929.8

200460.241.636.8

200561.745.845.0

Mar-0660.943.243.1

Grfico NE

73.837.816.2

78.945.328

80.350.536.8

80.554.946.4

84.364.360.4

84.965.862.8

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESB Regio Nordeste - 2001 a Maro/2006

Dados NE


Regio Nordeste - 2001 a Maro/2006

ACSPSFESB

200173.837.816.2

200278.945.328.0

200380.350.536.8

200480.554.946.4

200584.364.360.4

Mar-0684.965.862.8

Grafco N

80.423.34.8

83.13011

82.731.315.4

80.634.219.4

83.540.428.8

82.540.730.4

ACS

PSF

ESB

(%)

Evoluo da Cobertura Populacional (%) de ACS, PSF e ESB Regio Norte - 2001 a Maro/2006

Dados N


Regio Norte - 2001 a Maro/2006

ACSPSFESB

200180.423.34.8

200283.130.011.0

200382.731.315.4

200480.634.219.4

200583.540.428.8

Mar-0682.540.730.4

Grfico CO

67.246486689387.381391568191.400305600686.636099654493.002739046291.6234813564

63.093676249773.462335521679.554865749778.066695620485.1078862582.7075580519

59.852648231671.636850856473.052342777372.034935358477.973320443677.86299896

40.464849508951.30104345956.90239923162.078458543367.482672047967.4396254897

42.627120431850.271373078554.474765291954.265951720456.312327337157.3355151454

24.172502740624.916272055724.488648624127.261701306630.11467004829.4806769943

10.62118308115.780043434717.689852991711.109614866729.288984648529.2889846485

13.663893425213.220260521811.505276469115.841330526817.129859804110.3082342184

2001

2002

2003

2004

2005

2006

1.000 hab.

(%)

Evoluo do Percentual de Cobertura Populacional das ESFDistribudo por Porte Populacional - Regio Centro-Oeste - 2001 a Maro/2006

Grfico NE

76.75861182683.897045780786.289653633489.636743533697.015185601297.2863306342

61.022249657570.073879582275.103140460979.598823679892.177982355292.7720069897

46.27295611854.652482927260.73281760666.758028989381.376140391682.8581222527

41.642259648849.243022006155.817484210157.279038348272.433921832374.2712783384

43.664441504948.877025088353.042165997455.409932693962.577272263966.3102264322

39.820433914849.146582732255.753853937257.957790784864.29372757865.0079590226

32.947073637239.863444057245.418085944454.928436193257.012441902458.6498749597

13.649864676820.639650453423.964872979932.605406625235.686577096835.8086036502

2001

2002

2003

2004

2005

2006

1.000 hab.

(%)

Evoluo do Percentual de Cobertura Populacional das ESFDistribudo por Porte Populacional - Regio Nordeste - 2001 a Maro/2006

Grfico N

51.419480834472.773951281577.392323582981.812165591888.597777064588.9624205445

40.260651880952.477803655556.116330776458.762640937470.631977689876.2453379577

26.40036538931.543269178932.540895125843.578028516953.634297770655.2218925483

19.576051720226.236105728726.549611775630.603259200641.667132631342.6540606049

23.398115778125.137164923725.348717065626.051744806233.896872503537.0053193269

37.001833118346.167424808246.42449269944.628325564845.795079174443.4615719553

18.621199402120.811928743522.6877509127.173406557329.04028181732.7740323363

16.397148031826.410673547528.959753696329.092406808629.332839922824.1635279692

2001

2002

2003

2004

2005

2006

1.000 hab.

(%)

Evoluo do Percentual de Cobertura Populacional das ESF Distribudo por Porte Populacional - Regio Norte - 2001 a Maro/2006

Grfico SE

57.520361978563.690432131870.868433038470.616370382674.072050423675.2056612242

44.63411301947.807424318557.598000313360.007838150168.642513729670.1917955001

39.242337728443.185843539749.178019335151.884300719257.086987556459.0884696468

26.468205162930.514674909636.374091285239.000983628243.727457032544.9183314857

19.085503958323.241370837127.983511861734.106114646435.158918288435.6166590023

11.049057297615.920831840919.502512625724.889782745528.773078087929.9655861064

13.019260144514.745570881918.884613057921.356472732322.55372953723.8157029257

8.059598722117.035342306619.242425898220.20259182922.796085921124.2625008049

2001

2002

2003

2004

2005

2006

1.000 hab

(%)

Evoluo do Percentual de Cobertura Populacional das ESFDistribudo por Porte Populacional - Regio Sudeste - 2001 a Maro/2006

Grfico S

57.016346734570.186687345678.528214324381.471405611184.921481967184.8603674731

45.215951743956.379810778365.854554170.40399658975.806587361375.0287637506

32.219079693843.569072523249.85581622653.523960908262.436835960864.5903068329

20.482884070628.578826660932.233129738237.669778309743.805221879144.2254727579

18.994892423623.544246787728.019630769930.81367889634.578040754935.6535727145

11.82003212515.569835419819.292037893325.395510471627.385754238929.455607757

23.089674443625.856618901727.151385305234.739999819636.209104289638.6288057696

15.443295745619.592240871318.457398712219.246208909523.410593293523.6356951521

2001

2002

2003

2004

2005

2006

1.000 hab.

(%)

Evoluo do Percentual de Cobertura Populacional das ESFDistribudo por Porte Populacional - Regio Sul - 2001 a Maro/2006

Grfico Brasil

61.997685673.024806179.086596580.346965585.189746985.4506099

51.055346259.126356966.691835869.877713279.085721979.7568193

41.764966849.564043354.757382459.50255269.839893671.4442096

31.916178638.670303543.971270946.751258956.650716557.896237

28.296626532.808185436.819472640.501852644.71193946.6101254

19.066872224.684431528.864180333.158528237.011405837.9985059

18.226190921.165302824.686062928.288420130.306470332.02092

10.673195118.210599820.067945623.047477225.593972325.5527891

2001

2002

2003

2004

2005

2006

1.000 hab.

(%)

Evoluo do Percentual de Cobertura Populacional das ESFDistribudo por Porte Populacional - Brasil - 2001 a Maro/2006

Brasil

= 500

200162.0051.0641.7631.9228.3019.0718.2310.67

200273.0259.1349.5638.6732.8124.6821.1718.21

200379.0966.6954.7643.9736.8228.8624.6920.07

200480.3569.8859.5046.7540.5033.1628.2923.05

200585.1979.0969.8456.6544.7137.0130.3125.59

200685.4579.7671.4457.9046.6138.0032.0225.55

Sul

= 500

200157.0245.2232.2220.4818.9911.8223.0915.44

200270.1956.3843.5728.5823.5415.5725.8619.59

200378.5365.8549.8632.2328.0219.2927.1518.46

200481.4770.4053.5237.6730.8125.4034.7419.25

200584.9275.8162.4443.8134.5827.3936.2123.41

200684.8675.0364.5944.2335.6529.4638.6323.64

Sudeste

= 500

200157.5244.6339.2426.4719.0911.0513.028.06

200263.6947.8143.1930.5123.2415.9214.7517.04

200370.8757.6049.1836.3727.9819.5018.8819.24

200470.6260.0151.8839.0034.1124.8921.3620.20

200574.0768.6457.0943.7335.1628.7722.5522.80

200675.2170.1959.0944.9235.6229.9723.8224.26

Norte

= 500

200151.4240.2626.4019.5823.4037.0018.6216.40

200272.7752.4831.5426.2425.1446.1720.8126.41

200377.3956.1232.5426.5525.3546.4222.6928.96

200481.8158.7643.5830.6026.0544.6327.1729.09

200588.6070.6353.6341.6733.9045.8029.0429.33

200688.9676.2555.2242.6537.0143.4632.7724.16

Nordeste

= 500

200176.7661.0246.2741.6443.6639.8232.9513.65

200283.9070.0754.6549.2448.8849.1539.8620.64

200386.2975.1060.7355.8253.0455.7545.4223.96

200489.6479.6066.7657.2855.4157.9654.9332.61

200597.0292.1881.3872.4362.5864.2957.0135.69

200697.2992.7782.8674.2766.3165.0158.6535.81

Centro-Oeste

= 500

200167.2563.0959.8540.4642.6324.1710.6213.66

200287.3873.4671.6451.3050.2724.9215.7813.22

200391.4079.5573.0556.9054.4724.4917.6911.51

200486.6478.0772.0362.0854.2727.2611.1115.84

200593.0085.1177.9767.4856.3130.1129.2917.13

200691.6282.7177.8667.4457.3429.4829.2910.31

Brasil Maro - 2006

regiaocodigomunicpioPopulaoACSPop. Cob. ACS% Cob.ACSESFPop. Cob. ESF% Cob.ESFImplantados Mod1Implantados Mod2Pop.Cob. ESB% Cob. ESFQualificadosno SIABImplantadosESB

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ACNorte1200138BUJARI691810575083.11650766121345049.869904596710690099.7398091934011

ACNorte1200179CAPIXABA71458460064.38068579432690096.571028691410690096.5710286914011

ACNorte1200203CRUZEIRO DO SUL7417417474174100175865079.0708334457604140055.8147059617061

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APNorte1600808VITORIA DO JARI978024978010049780100209780100021

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Oficina para Implantação do Pacto pela Saúde no Rio Grande do Sul Maio -2006

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Transcript of Oficina para Implantação do Pacto pela Saúde no Rio Grande do Sul Maio -2006