Events, Evolution, Controversies in the Implementation of a Health Surveillance Qualification Program

Abstract

The objective is to describe the implementation and development of the Training Program for Health Surveillance Actions (2013-2018), which focuses on improving the performance of health surveillance. It is an evaluation research with a qualitative method. Key informants were interviewed, and documents and literature were analyzed. The analysis enabled the construction of the timeline, the retrieval of the chronology of the events that marked the development of the program, its implementation, and the identification of innovations and controversies. The authors identified three organizational axes: conception/formulation, implementation/monitoring, evaluation/communication. They found that the program went beyond the traditional approach to surveillance and met regional diversities. There were controversies about the responsibility for monitoring the program's actions, whether they belonged to the technical areas related to the indicators or to the management of the program at the Ministry of Health.