Line of care for adolescents and youth in the Unified Health System in the State of São Paulo

• Grant number: 16/15205-5
• Support type: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)
• Duration: December 01, 2016 - November 30, 2018
• Field of knowledge: Health Sciences - Collective Health
• Cooperation agreement: CNPq - PPSUS
• Principal Investigator: Mariana Arantes Nasser
• Grantee: Mariana Arantes Nasser
• Home Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Partner institutions: Centro Brasileiro de Análise Planejamento; Secretaria Estadual da Saúde de São Paulo
• Assoc. researchers: Adalto Alfredo Pontes Filho ; Arnaldo Sala ; Carolina Rogel de Souza ; Débora Hermann ; Elza Salvatori Berquó ; Fernanda Lopes Regina ; Jan Stanislas Joaquim Billand ; José Ricardo de Carvalho Mesquita Ayres ; Maria Altenfelder Santos ; Neusa Francisca de Jesus ; Regina Maria Mac Dowell de Figueiredo ; Sandra Mara Garcia
• Associated scholarship(s): 18/04863-7 - Evaluation of adolescent and youth health care, BP.TT

Abstract

This project was developed in partnership between the Prof. Samuel B. Pessoa Health Center of FMUSP, the State Program of Adolescent Health of SES-SP, the Coordination of Primary Care of SES-SP and CEBRAP, with the aim of building a line of care for health in adolescence and youth in the Unified Health System (Sistema Único de Saúde - SUS) in the state of São Paulo (SP). Lines of care correspond to the organization of attention to priority issues, with directionality from the Primary Health Care. In the state of SP, they have been discussed as a way of programmatic guidance on the process of decentralization and regional health planning, focusing on strategic groups and prevalent diseases. The relevance of organizing a line of care for adolescents and youth, as a population group and from the public health perspective, resides in criteria based on the magnitude of health problems, but especially on the social impact and permeability of this group to health promotion actions. Facing this challenge requires the pursuit of comprehensive health care, including the relationship between levels of attention and with other sectors in each region, interprofessional and interdisciplinary work, and the adoption of technologies for comprehensive care that consider adolescents and youth as participant subjects. The project phases are: A) Diagnosis on health care in adolescence and youth in SP, based on: literature review; identification of primary, secondary and tertiary level units in the state that provide care for adolescents and youth (care points); design and application of an online questionnaire with those units for survey of previous experiences in adolescent care. B) Initial proposal for the line of care and for recommendations of good practice based on discussions in focus groups with professionals, managers and adolescents and in a group of experts. C) Pilot experience of the line of care in the North Coast region, in partnership with the DRS, the CIR and care points identified in the region. D) Final revision of the line of care and of recommendations of good practice, resulting in two documents designed in digital format. E) Development of indicators for evaluating and monitoring the implementation of the line of care, including the development of a computerized system for periodic collection of indicators, based on the online questionnaire previously used. Proposals will be made for stablishing the line of care as a public policy in the context of the state of SP. The project will be referred to the Research Ethics Committee in the state of SP. In addition to the budget requested in the Notice PPSUS 2016, the project will rely on partial funding from the Pan American Health Organization (PAHO) provided through a current Cooperation Agreement with the State Program of Adolescent Health. Key-words: Adolescent Health Services; Comprehensive Health Care; Adolescent; Regional Health Planning; Primary Health Care; Unified Health System. (AU)