Banca de DEFESA: Guilherme Almeida Elidio

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : Guilherme Almeida Elidio
DATE: 09/12/2025
TIME: 07:30
LOCAL: Plataforma Teams
TITLE:

“Primary Health Care and Epidemiological Surveillance: Perspectives for Integration within the Scope of the Brazilian Unified Health System”

KEY WORDS:

“Epidemiologic Surveillance Services; Primary Health Care; Unified Health System; Communicable Diseases; Health Policy”

PAGES: 100
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

“_The Covid-19 pandemic highlighted the urgent need to integrate epidemiological surveillance with Primary Health Care (PHC) services within the framework of the Unified Health System (SUS). Although PHC plays a strategic role as the entry point to the system, there is a fragmentation between health surveillance and primary care, compromising early detection and the effective control of diseases, especially in vulnerable populations. In this context, this thesis aimed to provide evidence supporting the importance of integrating epidemiological surveillance with PHC in the SUS in Brazil. The research was structured into six studies, organized in three main methodological designs. Initially, a descriptive study was conducted to characterize the epidemiological scenario of Compulsory and Immediate Notification Diseases and Conditions (CINDC) reported by the Basic Health Units (UBS) in Brazil in 2022. Next, four studies were conducted in the form of letters with critical analyses and reflections on the relevance of epidemiological surveillance for strengthening PHC policy. Finally, an evidence synthesis was developed to support the integration of health surveillance with PHC. The results indicate that, in 2022, all UBSs reported only nine out of the 32 compulsory and immediate notification diseases established by the Ministry of Health, with Tick-Borne Fever and Malaria being the most reported (Article 1). During the dengue outbreak in 2024, PHC stood out as a key ally of SUS, due to its extensive reach across the national territory (Article 2). It was also found that, in the city of São Paulo, between 2011 and 2022, 22.8% of hospitalizations for Conditions Sensitive to Primary Health Care (CSPHC) in children under one year could have been avoided; of these, 86% were caused by congenital syphilis, a condition that could have been prevented with strengthened epidemiological surveillance in UBSs (Article 3). Furthermore, it was determined that reinforced epidemiological surveillance in PHC is essential for the success of transmissible disease elimination programs, such as leprosy (Article 4). In public policy evaluations in South American countries, epidemiological surveillance was identified as a crucial component in assessing PHC implementation (Article 5). Finally, four public health policy options were identified to integrate health surveillance and PHC (Article 6). It is concluded that the integration of epidemiological surveillance with Primary Health Care is essential for enhancing SUS's ability to respond to epidemiological challenges. The current fragmentation limits the effectiveness of preventive actions and disease control, especially in vulnerable populations. Strengthening this integration enhances early detection, the implementation of intervention measures, and continuous monitoring of health conditions. Thus, investing in the integration of surveillance and PHC is a vital strategy for the sustainable development and improvement of the Brazilian health system.”

COMMITTEE MEMBERS:
Presidente - 404501 - DIRCE BELLEZI GUILHEM
Externa à Instituição - FLAVIA CASELLI PACHECO - MS
Externa à Instituição - GILMARA LIMA NASCIMENTO - SESDF
Interna - ***.616.438-** - MARIA RITA CARVALHO GARBI NOVAES - UnB
Externo à Instituição - SUDERLAN SABINO LEANDRO - SESDF