Fortalecimento da linha de cuidado das endemias na APS: projeto de intervenção na UBS Alfredo Neres

Abstract

This Intervention Project was developed within the scope of the Family Health Strategy (ESF) at the Alfredo Neres Neto Basic Health Unit, located in the municipality of São Domingos, state of Goiás. The proposal arose from the need to address neglected tropical diseases (NTDs) in the region, especially leprosy, leishmaniasis, Chagas disease, and schistosomiasis, which are still underreported and diagnosed late. The project, entitled "Health Sentinels," has the overall objective of implementing a cycle of monthly educational campaigns and active community surveillance, strengthening the integration between surveillance and primary health care. Specific objectives include: training Community Health Agents (CHAs) as sentinels for the early detection of NTDs; holding monthly educational meetings focused on each disease; implementing active contact screening with symptomatic screening; improving records and reporting; and engaging the community through accessible health education strategies. The methodology involves four monthly intervention cycles, with training workshops, educational campaigns, home visits, and assessment of identified cases, in addition to the development of educational materials adapted to the local context. The evaluation will be conducted using quantitative indicators (number of screenings, notifications, suspected cases) and qualitative indicators (professional perceptions and community engagement). The expected outcome is the reorganization of the UBS team's work process, the strengthening of the role of CHWs, the expansion of early diagnosis, and the development of a logic of continuous and participatory care, with the potential for replication in other areas. The project also aims to contribute to a more critical, ethical, and sensitive professional practice addressing the social needs of neglected populations.