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[Participatory development of descriptors for evaluation of violence and accident prevention centers in Brazil]
Suely Ferreira Deslandes1, Marcela Pinto Lemos
1Instituto Fernandes Figueira, Departamento de Ensino, Rio de Janeiro, RJ, Brasil. desland@iff.fiocruz.br
Objective:
To explain the participatory model used to develop descriptors for evaluating the Accident and Violence Prevention Centers created by the Ministry of Health of Brazil to initiate and follow-up on public policies that reduce morbidity and mortality due to external causes.
Method:
The nominal group technique was the main strategy employed. Participants included 13 representatives from centers in the states of Rio de Janeiro and Espírito Santo.
Results:
Eleven descriptors were identified for evaluation, with five being selected as priorities: situation analysis; intra- and intersectoral processes; monitoring of municipal accident and mortality data; political, financial, and administrative support (autonomy); and establishment of a work team (composition, dedication, and technical skills).
Conclusions:
The participatory model revealed both a step toward identity-developing for the centers, as well as the history of the health sector's actions in this area. The process also highlighted old barriers that must be overcome if effective actions against violence are to be taken by the country.
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