https://repositorio.ufba.br/handle/ufba/523 2026-04-18T07:49:33Z https://repositorio.ufba.br/handle/ri/44393 Análise da eficácia dos sistemas de medição de desempenho dos contratos de parceria público-privada de serviços hospitalares do estado da Bahia. Souza, Moisés Oliveira Barros, Sandra Garrido de The purpose of this study is to evaluate the effectiveness of performance measurement systems of public-private partnerships for emergency and urgent care hospital services in the State of Bahia, whose contractual instruments are based on results: the Hospital do Subúrbio, regulated by Administrative Concession Contract No. 030/201O and the Hospital Metropolitano, through Public Bidding Notice 08/2021. The documentary analysis proposed by the study aimed to identify, based on the documents related to contract formalization and execution, the affinity of the partnership relationships with the assumptions of the principal-agent current on Agency Theory - Existence of information systems, Uncertainty of results, Risk aversion of the agent, Risk aversion of the principal, Conflict of interest between principal and agent, Programmability of tasks and Measurability of results - using as reference the verification elements of the analysis matrix. Based on documentary analysis and literature review, the work proposes a reflection on the risks inherent to public-private partnership relationships in a context of informational asymmetry characteristic of results-based contracts, exacerbated by the inadequate design of performance indicators. From a theoretical perspective, despite the intrinsic and extrinsic limitations of the research, the study considers that public-private partnership relationships are permeated by elements that characterize the assumptions of the principal-agent current, which makes the process of managing PPP contracts more complex, requiring the improvement of project planning and structuring techniques, referenced by a performance measurement system capable of effectively assessing the performance of the private partner in relation to management practices. Universidade Federal da Bahia Dissertação 2025-06-27T00:00:00Z https://repositorio.ufba.br/handle/ri/44391 Núcleo hospitalar de epidemiologia: um estudo de avaliabilidade em dois hospitais gerais do estado da Bahia no ano de 2025. Santos, Carmem Luciana Cardoso Martins Miranda, Samilly Silva Epidemiological Surveillance aims to quickly and effectively detect diseases and conditions of public health concern, acting in a timely manner and producing accurate information to assist health managers in the decision-making process. The Hospital Epidemiology Center (NHE) is a strategy that promotes epidemiological surveillance actions in hospital settings. However, there is a lack of literature on the implementation and implementation of NHEs, as well as studies mapping the causality actions involved in the products developed, or even NHE monitoring and evaluation actions. Therefore, this research aims to develop an evaluability study of NHEs from two General Hospitals in the State of Bahia. To this end, an exhaustive review of public regulations and related literature was conducted. A semi-structured interview guide was then applied to a convenience sample of key informants. Data analysis was performed using the Bardin technique. The investigation demonstrated that the NHE policy in the State of Bahia has clearly defined objectives, as it was possible to construct the NHE Logical Model based on its description. Furthermore, it developed, based on its products and results, an Indicator Matrix considering the contributions of key stakeholders. Thus, it was possible to infer that NHEs are capable of undergoing future evaluation actions. However, we must consider the contributions of key stakeholders involved in the development of this strategy, which aims to promote health surveillance. Universidade Federal da Bahia Dissertação 2025-12-16T00:00:00Z https://repositorio.ufba.br/handle/ri/44390 Comunicação digital para agropecuárias gestantes sobre os riscos da exposição a agrotóxicos. Machado, Fabrine Cerqueira Cremonese, Cleber Introduction: Pesticides are synthetic chemical substances used in various phases of the agricultural process, with the aim of modifying the composition of fauna and flora in order to eliminate unwanted organisms. Brazil is one of the world's largest consumers of these substances, and their use for commercial purposes and in subsistence agriculture has been compromising people's health. Pesticides can be related to the appearance of various diseases, which makes exposure to these products dangerous for vulnerable groups, especially pregnant women. Residues of these substances are found in the umbilical cord, in breast milk, and are absorbed by the fetus through the placenta, potentially leading to miscarriages, malformations, low birth weight, and problems in fetal development. Therefore, creating strategies to minimize these risks is of great importance. In this sense, the sharing of information is necessary and should be based on clear and accessible communication, finding in digital technologies the reinforcement of social networks and the support of education as important tools. Objective: To develop digital communication content to guide/inform pregnant women in agriculture about the risks of exposure to pesticides during pregnancy. Method: The videocast was distributed in three episodes, presented in an interview format conducted by a moderator/presenter, who asked guiding questions answered by expert guests on the topic. The content was recorded using the Google Teams video conferencing application and, after editing, the material was uploaded to a YouTube account entitled "Pregnant Women X Pesticides." The videocast is intended for pregnant agricultural workers exposed to pesticides, which does not exclude access by family members, healthcare professionals, or anyone interested in the subject. Results: The videos were recorded on pre-arranged days and times with the guests, using the Google Teams platform. The first episode featured a nurse who discussed the main changes in a woman's body during pregnancy. The second episode featured a doctor who explained the concept of pesticides, their applicability, and the risks associated with them to human health. Finally, in the third video, the interviewee discussed the risks of exposure for pregnant women and their babies, as well as presenting some possible strategies to reduce or eliminate these risks. Final Considerations: The proposal consisted of creating a simple and objective product capable of reaching pregnant women in agricultural areas exposed to pesticides. To this end, digital content was chosen, considering the wide accessibility of this format. Three videos were developed, in videocast format, addressing topics related to pregnancy and the risks of pesticide exposure. This study aimed to give visibility to this population group, while prioritizing the exchange of qualified information that can serve as a tool for care, awareness, and empowerment. Universidade Federal da Bahia. Instituto de Saúde Coletiva Dissertação 2025-12-16T00:00:00Z https://repositorio.ufba.br/handle/ri/44380 Vigilância da febre maculosa brasileira na Bahia, 2013 - 2023. Ribeiro Júnior, Edson Mota, Eduardo Luiz Andrade Brazilian spotted fever (BSF) is an infectious disease characterized by fever, ranging from mild and atypical forms to severe manifestations, and, if not properly treated, can have a lethality rate of 85.0%. Caused by bacteria of the genus Rickettsia, it is transmitted through the saliva of an infected tick. In Brazil, the most important vector is the tick of the genus Amblyomma. The methodology employed allowed for the identification of registered BSF cases in Bahia between 2013 and 2023, using the Notifiable Diseases Information System (SINAN), Laboratory Environment Manager (GAL), and Mortality Information System (SIM). A descriptive analysis was carried out through an ecological and observational epidemiological study concerning confirmed BSF cases recorded between 2013 and 2023 in Bahia. Results: A total of 176 cases of RMSF were reported, of which 80 were discarded, 51 closed, 28 had no data, and 17 were confirmed, of these 9 by clinical-laboratory criteria and 8 by clinical-epidemiological criteria. Among the reported cases, there was a predominance of males (57.0%) and the most affected age group was 30 to 49 years (21.0%), with a history of contact with ticks. Between July and September, 38.6% of the cases occurred, with August standing out (13.6%). The field 'probable place of infection' had 75.6% incompleteness; among the recorded cases, 12.5% occurred at home, 9.1% at work, 2.8% during leisure, and 1.7% in other settings. The urban area accounted for 61.4% of the notifications, with the Eastern macro-region responsible for 30.7% of the records. The most common signs and symptoms were: fever (81.3%), headache (60.8%), and myalgia (54.5%). Regarding the progression of cases, 51.0% evolved to cure, although the field shows 47.0% incompleteness. As for differential diagnosis (83.5%) and level of education (42.0%) showed incompleteness. FMB was not a direct cause of any death, but two were reported for other causes. Regarding contact with animals, 72.2% reported exposure to ticks, 39.8% to dogs and cats, and 13.6% to cattle. Conclusion: This study revealed that FMB is an important public health concern in the state of Bahia, which has been neglected due to the lack of a specific technical area to monitor it and produce knowledge for the state health surveillance network. State epidemiological surveillance has been able to detect the condition, but only partially, due to many incomplete entries in the SINAN notification and investigation forms, especially in the fields of disease progression, differential diagnosis, probable place of infection, and final classification, which therefore prevented a coherent outline of the epidemiological profile of FMB in Bahia. The analysis also revealed a considerable severity of the disease, as it is distributed across all nine macro-regions of the state. When comparing cases confirmed by SINAN with GAL, no cases were ratified by laboratory analysis according to the Ministry of Health protocol, despite there being two published scientific articles reporting studies of confirmed cases in the state: one in Chapada Diamantina in 2007 and another in the municipality of Ilhéus in 2017. That said, the need for the implementation of active surveillance for FMB in the state of Bahia becomes evident, as well as the qualification of healthcare professionals regarding suspicion, notification, investigation, and timely management of FMB, in order to provide more consistent data that enable more effective assistance to the population as well as characterization of the epidemiological profile of the disease in the state. Universidade Federal da Bahia. Instituto de Saúde Coletiva Dissertação 2025-12-18T00:00:00Z