https://repositorio.ufba.br/handle/ufba/549 Thu, 14 May 2026 15:14:37 GMT 2026-05-14T15:14:37Z https://repositorio.ufba.br/handle/ri/44473 Avaliação normativa no Núcleo Técnico-Científico do Telessaúde Bahia no contexto da pandemia de COVID-19. Silva, Kaline Lemos Vilasbôas, Ana Luiza Queiroz Telehealth emerged as a strategy to provide support to Primary Health Care professionals, aiming to enhance the work of health teams through continuing education initiatives; expand the population’s access to specialized services; and reduce patient referrals to other levels of health care through clinical and diagnostic support actions. The objective of this research was to evaluate the service developed by the Telehealth Center of Bahia in Primary Health Care, within the context of the COVID-19 pandemic, from the perspective of state managers, in light of national and state regulations and documents. This is a descriptive, evaluative study with a qualitative approach, using document analysis and semi-structured interviews as data sources. The research enabled the construction of a logical model of the Telehealth Center of Bahia, which revealed that, in the evaluation of its components, clinical support scored lower compared to structural components and continuing education support. It was identified that teleeducation and tele-diagnosis activities are implemented; however, telecardiology and teledermatology services reach less than 50% of Bahia’s municipalities. The physical infrastructure of health units, particularly the absence or insufficiency of ICT equipment and internet connectivity, was cited as the main difficulty in utilizing telehealth services. The study also highlighted the Telehealth Center of Bahia’s weakness in monitoring and evaluating its activities. The public health emergency caused by COVID-19 brought changes to health practices and transformed discussions about telehealth services. The regulation of Telehealth stands out as an important milestone for the use, expansion, and visibility of ICT-mediated health services. The telehealth Center of Bahia developed several strengthening actions for Primary Health Care during the COVID-19 crisis, ranging from tele-education and telediagnosis offerings to manager meetings, document preparation, and classes and courses tailored to the urgent demands of the pandemic. Additionally, the study revealed the regulation of new telehealth service modalities during the COVID-19 period, such as teleconsultation and specialized teleconsulting. Universidade Federal da Bahia. Instituto de Saúde Coletiva Dissertação Thu, 27 Feb 2025 00:00:00 GMT https://repositorio.ufba.br/handle/ri/44473 2025-02-27T00:00:00Z https://repositorio.ufba.br/handle/ri/44472 Entre o executivo e o legislativo: fundo público e as disputas políticas na apreciação do orçamento da saúde (2019-2022). Silva, Jéssica Soares da Soares, Catharina Leite Mattos This dissertation analyzes the disputes surrounding public funding in the Health Budget between 2019 and 2022, in a scenario marked by the deepening of neoliberalism, the political reconfiguration under the Bolsonaro government, and the impacts of the Covid-19 pandemic. Grounded in a critical Marxist theoretical framework, the research mobilizes the concepts of hegemony, power bloc, public funding, and competing health projects to examine the dynamics between the Executive and Legislative branches in defining the budgetary priorities of the Unified Health System (SUS). The qualitative methodology, supported by quantitative data, includes documentary analysis of stenographic notes from the Joint Budget Committee, congressional resolutions, and databases such as SIOPS. The categorization of parliamentary debates and the identification of the agents involved reveal that parliamentary amendments have become one of the main instruments of political negotiation, redirecting resources and shaping the health budget according to hegemonic interests. Constitutional Amendment 95/2016, by establishing the spending cap, imposed a rigid limit on the expansion of health funding, deepening the structural underfunding of the SUS (Brazilian Unified Health System). However, this restriction did not apply to spending on public debt servicing, directly benefiting financial capital. With the impossibility of expanding primary expenditures, parliamentary amendments gained centrality in the allocation of resources, becoming decisive mechanisms in the dispute over public funds. This dynamic strengthened the influence of the Legislative branch over the health budget, while compromising the predictability of funding and intensifying budgetary fragmentation. The results demonstrate that the shaping of the health budget is not determined solely by fiscal constraints, but reflects the dispute between antagonistic projects: one universalist, which defends robust public funding and state provision of services, and another restrictive and focused, which promotes the commodification and financialization of health. The analysis by the Joint Budget Committee shows that budgetary choices operate in consolidating the hegemony of factions within the power bloc linked to financial capital and the private health sector, favoring a model that subordinates the right to health to the logics of capitalist accumulation. Thus, the health budget is configured as a central arena of class struggle, in which the allocation of public funds expresses the correlation of forces and the limits imposed by financial domination in the capitalist state. Universidade Federal da Bahia. Instituto de Saúde Coletiva Dissertação Fri, 11 Apr 2025 00:00:00 GMT https://repositorio.ufba.br/handle/ri/44472 2025-04-11T00:00:00Z https://repositorio.ufba.br/handle/ri/44471 Padrões alimentares e asma atópica e não atópica em adultos do ProAR: um estudo caso-controle. Silva, Ianne Tayrine Martins da Matos, Sheila Maria Alvim de INTRODUCTION: Asthma is a chronic inflammatory airway disease with different phenotypes, such as atopic and non-atopic asthma, which have been extensively studied due to differences in their mechanisms. Its high global prevalence and socioeconomic impact are exacerbated by difficulties in controlling the disease, especially in developing countries, where barriers to access to healthcare contribute to high hospitalization and mortality rates. Evidence suggests that, in addition to genetic and environmental factors, dietary patterns with high consumption of ultra-processed foods may worsen asthma symptoms; however, the relationship between dietary patterns and asthma phenotypes in adults is still poorly studied. OBJECTIVE: To evaluate the association between dietary patterns and atopic and non-atopic asthma in adults from the ProAR study. METHODOLOGY: This is a case-control study with adults treated at ProAR, residents of Salvador and Lauro de Freitas-BA, which included the application of a Food Frequency Questionnaire. A descriptive analysis of the sociodemographic characteristics of the studied population was performed. Dietary patterns were identified through principal component factor analysis. RESULTS: This study identified a high frequency of consumption of ultra-processed foods (99.3%) in the total population and identified seven dietary patterns, including the "Westernized/industrialized" pattern with the consumption of these foods in the atopic asthma group. CONCLUSION: This study identified a Westernized/industrialized dietary pattern in individuals with atopic asthma, highlighting the impact of ultra-processed foods on asthma. The findings reinforce the importance of dietary interventions and public policies for better disease control. Universidade Federal da Bahia Dissertação Mon, 31 Mar 2025 00:00:00 GMT https://repositorio.ufba.br/handle/ri/44471 2025-03-31T00:00:00Z https://repositorio.ufba.br/handle/ri/44470 Saúde mental e trabalho: vivências dos agentes de combate às endemias em Salvador, Bahia. Santos, Iago Batista dos Esperidião, Monique Azevedo The Endemic Disease Control Agents (ACE) are professionals responsible for working on the front lines of controlling diseases that threaten public health, such as dengue, Zika, Chikungunya, and other arboviruses. These agents are exposed to various occupational risks and stressors in their daily activities, showing greater susceptibility to occupational stress and emotional exhaustion. The objective of this dissertation was to analyze the experiences of pleasure and suffering in the work context of Endemic Disease Control Agents (ACE) in the city of Salvador, Bahia, identifying the professionals’ conceptions, experiences, and defensive strategies used to cope with the suffering arising from their work. To this end, the dissertation is presented in the format of a scientific article entitled: “Problems should stay behind one’s front door, but what happens when the problem is in the workplace: between pleasure and psychological suffering among ACE workers.” The methodological strategy adopted was qualitative in nature, with an exploratory and descriptive approach, using the focus group technique with 24 (twenty-four) ACE workers operating in the Dealth Districts of the capital of Bahia. For data analysis, the theoretical framework of Work Psychodynamics was applied. The investigation revealed that psychological suffering emerged strongly, being associated with institutional devaluation, structural precariousness (notably the lack of infrastructure and Personal Protective Equipment – PPE), work overload, urban violence, and situations of moral and sexual harassment. In contrast, pleasure at work did not arise from institutional recognition but rather from the gratification generated by direct contact with the community and a sense of social usefulness. In light of the precarious working conditions, the agents developed collective defensive strategies such as solidarity and mutual support among colleagues, which function as essential mechanisms for protecting mental health. Based on the evidence presented, the final considerations of this dissertation consist of health recommendations aimed at promoting and protecting the health of these workers. Universidade Federal da Bahia Dissertação Thu, 11 Dec 2025 00:00:00 GMT https://repositorio.ufba.br/handle/ri/44470 2025-12-11T00:00:00Z