A construção da vigilância e prevenção das doenças crônicas não transmissíveis no contexto do Sistema Único de Saúde

Abstract

Brazil, following the world's trend, has been going through processes of demographic, epidemiological and nutritional transitions since the sixties, causing changes in the patterns of pathologic emergences, as a meaningful increase in the prevalence of chronic non-transmitted diseases (DCNT). Aiming to give a response to this challenge scene, the Brazilian Ministry of Health organized the DCNT surveillance. This article accomplishes a revision of the main actions implanting the national system of surveillance and prevention of DCNT. The main strategies put on action were: organizing an specific area in the Ministry of Health's Surveillance Secretariat, the Non-Transmitted Diseases and Agravations General Coordination (DANT); DANT surveillance induction in State and Municipality Health Secretariats, definition of monitoring indicators of these actions for the Integrated Programmed Pactuation (PPI) of health surveillance; human resource training; realization of inquiry to know the prevalence of risk factors in 15 State Capitals, and the Federal Capital, in 2003; establishing a base line to monitoring; definition of standard indicators to monitoring diseases and risk factors; advocacy along health management, showing the DCNT like a priority subject for the National Unified Health System (SUS); support for researchs to broaden the knowledge of the problem, and define strategies to conduce them; and realization of a national seminar for pactuation of the agenda of priorities in this area.