Avaliação do programa saúde do escolar no município de Fortaleza

Abstract

The health Systems and Services’ evaluation, focused in many of the health politics and Services practices’ discussion moments, is considered still incipient in Brazil. The Scholar Health Programme (PSE), introduced in Fortaleza in 2002, allowed a research to be held with the aim of evaluating its effective implantation, having as reference the technical rules established by it. The study consisted of a normative evaluation which included the 2003 data analyses, by means of informations gathered from written reports and other institutional documents. The Donabedian Systemic Conception was used as theoretical referential for the evaluation. The difficulties pointed out concentred themselves in the infrastructure and the process areas, thus denouncing the programme implantation’s bad planning. The programme covered only 31.9% of the population, although it contributed to promote their access to the health Services. There were none interventions, by the health teams, that produced substantial changes in the morbidity scenery. The need for an attendance directed to the scholars from 1 to 14 years old is emphasized. The results contribute to the understanding of the complex factors inherent to the adequate performance of a health programme, as well as the importance of a programme’s systematic evaluation, which supports managers and politicians in decision- making and enable to identify possible difficulties and barriers and to develop recommendations for the practices’ correction with knowledge diffusion.