Avaliação do Programa de Controle da Doença de Chagas no estado do Ceará : período de gestão federal, 1975 a 2002

Abstract

The Chagas’ disease control program (CDCP) was implemented in Ceará state on 1975. However, there hasn’t been a systematic evaluation of the program activities and its impact on vector control. This research aimed to evaluate the structureprocess and impact of the CDCP in the federal management period, from 1975 to 2002. We conducted an evaluational study through the survey of information collected in the CDCP activities annual reports by the Fundação Nacional de Saúde (FUNASA – national health foundation) in Ceará from 1975 to 2002 and through open non-structured interviews with program managers. The indicators assessed were: indexes of dispersion (positive locations), vectorial infestation (at domiciliary units and inside domiciliary environments), locations and domiciliary units coverage in research activities and spraying, and main captured species. The methodology of CDCP applied at Ceará state was presented by a description of the program activities. The main species were: Triatoma brasiliensis, Triatoma pseudomaculata, Panstrongylus megistus, Rhodnius nasutus and Panstrongylus lutzi. We conclude that during the 27 years of activities of the CDCP, there was a high coverage of the program activities in the whole state. There was a significant reduction in the infestation index in some municipalities, although there has been no significant impact on the dispersion of the vectors.