20 Years of the National Program for the Prevention and Control of Viral Hepatitis: Historical Process and Contributions to Management
DOI:
https://doi.org/10.21118/apgs.v15i3.14344Abstract
Research Objective: To analytically organize historical aspects of the National Program for the Prevention and Control of Viral Hepatitis (PNHV) regarding management strategies for coping with viral hepatitis in the Unified Health System (SUS).
Theoretical Framework: Reference that supports the management of health systems and services to expand possibilities of analysis in view of the legitimacy of the actions proposed by government agents in relation to the PNHV.
Methodology: A document analysis study of the sociopolitical and historical context, with a temporal cut, since the creation of the PNHV (2002-2021), based on documents within the scope of the legal frameworks. The analysis allowed us to group the findings into two sections: Implementation of public policy for hepatitis care and Strategies to support management in the fight against viral hepatitis.
Results: There have been advances, especially in the last decade, regarding the extension of vaccination to the population, construction of guidelines to support the decentralization of care, with attempts to organize a more integrated care network. There is a pressing need to broaden the dialogue on the conduct of management to strengthen guidelines that articulate a health care network respecting the principles of the SUS.
Originality: Production is presented that summarizes important legal frameworks and makes it possible to reflect on the management of the SUS in the fight against hepatitis, but also presents management strategies to enhance the PNHV.
Theoretical and Practical Contributions: It marks a political context of the PNHV performance and summarizes considerations that can contribute to expanding the capillarity of health services in the care network, analyzing the organizational model, in addition to pointing out the need for investment in the number of qualified professionals, that is, aspects that will require strong management action to achieve the goals agreed in the 2030 agenda.
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