Título:	Dengue surveillance system in Brazil : a qualitative study in the Federal District
Autor(es):	Angelo, Marco Ramalho, Walter Massa Gurgel, Helen da Costa Belle, Nayara Pilot, Eva
ORCID:	https://orcid.org/ 0000-0002-4250-6742 https://orcid.org/ 0000-0003-4207-9055 https://orcid.org/ 0000-0003-3112-4447
Assunto:	Vigilância epidemiológica Dengue Saúde pública Subnotificação Doenças tropicais Pesquisa qualitativa Doenças infecciosas Geografia da saúde
Data de publicação:	20-Mar-2020
Editora:	MDPI
Referência:	ANGELO, Marco et al. Dengue surveillance system in Brazil: a qualitative study in the Federal District. International Journal of Environmental Research and Public Health, v. 17, n. 6, 2062, 2020. DOI: https://doi.org/10.3390/ijerph17062062. Disponível em: https://www.mdpi.com/1660-4601/17/6/2062. Acesso em: 13 jan. 2022.
Abstract:	Dengue’s increasing trends raise concerns over global health and pose a challenge to the Brazilian health system, highlighting the necessity of a strong surveillance system to reduce morbidity, mortality, and the economic burden of this disease. Although the Brazilian surveillance system reports more dengue cases than any other country, recent studies suggest that non-reported cases are the majority. The aim of the study is to explore the strengths and weaknesses of the Brazilian surveillance system, particularly looking at the functioning of data collection and reporting. This was done through qualitative semi-structured interviews with 17 experts in dengue surveillance, supported by quantitative data from the official notification system. To select the interviewees, purposive and theoretical sampling were used. Data were analyzed through thematic analysis. The research highlighted that a lack of human and technological resources in healthcare units and surveillance departments slows down the notification process and data analysis. Due to a lack of integration in the private sector, the surveillance system fails to detect the socioeconomic profile of the patients. Investments in public healthcare, human and technological resources for surveillance and better integration in the private healthcare system, and vector surveillance may improve dengue surveillance.
Licença:	© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
DOI:	https://doi.org/10.3390/ijerph17062062
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