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MEDISAN

On-line version ISSN 1029-3019

Abstract

FONSECA DURAN, Viviana; MIRANDA REYES, Sergio Carlos; SARDUY CASASAYAS, Maiyolet  and  MUNIZ SAVIN, Zuzel. Quality of the implementation of the Surveillance and Control Program of Other Culicids. MEDISAN [online]. 2012, vol.16, n.7, pp. 1033-1043. ISSN 1029-3019.

A research on health systems and services was conducted to evaluate the quality of implementation of the Surveillance and Control Program of other culicids in "XX Aniversario" and "Armando García Aspurú" health areas of Santiago de Cuba municipality in the period 2009-2010. The sample consisted of 28 natural breeding sites, 10 specific capture points, 11 providers and 60 users. The aspects studied were scientific and technical quality (professional competence) and satisfaction of providers and users. Evaluation of the structure revealed that it was inadequate due to specialized personnel deficit (50.0 %), absence of the program and limited availability of batteries and carter buckets; evaluation of the process revealed low professional competence and failure to comply with biological and physical treatments; and that of the results showed dissatisfaction with the training activities (81.1 %) and lack of material resources (63.6 %). The percentage of positive breeding sites was found to be high, larval densities and bite rates were out of permissible parameters, and poor sanitation prevailed. Recommendations related to identified problems were given.

Keywords : health program; health system and service; natural breeding site; specific capture; evaluation of quality..

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