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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: Este estudo teve por objetivo avaliar o grau de implanta\u00e7\u00e3o da resposta \u00e0 emerg\u00eancia da microcefalia associada ao v\u00edrus Zika em Pernambuco, Brasil. Trata-se de um estudo avaliativo normativo realizado no epicentro inicial da emerg\u00eancia em sa\u00fade p\u00fablica internacional, ocorrida entre outubro de 2015 e julho de 2017. Elaborou-se um modelo l\u00f3gico da interven\u00e7\u00e3o sob an\u00e1lise, contendo os componentes Gest\u00e3o, Vigil\u00e2ncia e Assist\u00eancia em suas dimens\u00f5es de estrutura, processo e resultado, a partir de publica\u00e7\u00f5es t\u00e9cnicas e normativas institucionais, al\u00e9m de uma matriz de indicadores correspondente para julgamento. Coletaram-se dados a partir da aplica\u00e7\u00e3o de question\u00e1rio, observa\u00e7\u00e3o direta e consulta a documentos oficiais. Os resultados mostraram implanta\u00e7\u00e3o parcial (74,9%) da resposta \u00e0 emerg\u00eancia de microcefalia pela Secretaria Estadual de Sa\u00fade, com a dimens\u00e3o processo atingindo 75% do esperado, e a estrutura, 74,5%. A Vigil\u00e2ncia foi o \u00fanico componente avaliado como implantado (81%), ainda que com car\u00eancia de investimentos regionais e laboratorial, e a Gest\u00e3o (74,2%) e a Assist\u00eancia (68,8%), parcialmente implantadas, com insufici\u00eancias nos quesitos referentes a recursos humanos e estrutura f\u00edsica, planejamento e avalia\u00e7\u00e3o. Conclui-se que o grau de implanta\u00e7\u00e3o da resposta \u00e0 emerg\u00eancia em sa\u00fade p\u00fablica internacional de microcefalia associada ao v\u00edrus Zika foi avaliado como implanta\u00e7\u00e3o parcial, com diferentes n\u00edveis entre os componentes da interven\u00e7\u00e3o, sobressaindo-se a Vigil\u00e2ncia em compara\u00e7\u00e3o \u00e0 Gest\u00e3o e Assist\u00eancia. As inconformidades sinalizam a necessidade de investimentos para o enfrentamento de futuras emerg\u00eancias em sa\u00fade p\u00fablica, com vistas a interven\u00e7\u00f5es mais oportunas e adequadas.<\/jats:p>","DOI":"10.1590\/0102-311x00271020","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T17:53:00Z","timestamp":1631209980000},"source":"Crossref","is-referenced-by-count":3,"title":["Avalia\u00e7\u00e3o da implanta\u00e7\u00e3o da resposta \u00e0 emerg\u00eancia de sa\u00fade p\u00fablica de microcefalia no Estado de Pernambuco, Brasil"],"prefix":"10.1590","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4286-0378","authenticated-orcid":false,"given":"Lucilene Rafael","family":"Aguiar","sequence":"first","affiliation":[{"name":"Universidade de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4497-8898","authenticated-orcid":false,"given":"Paulo Germano de","family":"Frias","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Professor Fernando Figueira,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7123-8089","authenticated-orcid":false,"given":"Louisiana Regadas de Macedo","family":"Quinino","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2537-1476","authenticated-orcid":false,"given":"Democrito de Barros","family":"Miranda-Filho","sequence":"additional","affiliation":[{"name":"Universidade de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2017-000656","article-title":"Strengthening global health security by embedding the International Health Regulations requirements into national health systems","volume":"3","author":"Kluge H","year":"2018","journal-title":"BMJ Glob Health"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.15448\/1984-7289.2016.3.23418","article-title":"Governan\u00e7a em sa\u00fade global no contexto das doen\u00e7as infecciosas emergentes","volume":"16","author":"Grisotti MM","year":"2016","journal-title":"Civitas - 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