Trajectory of the 15 years of implementation of the School Health Program in Brazil

Fernandes, Lucas Agustinho; Shimizu, Helena Eri; Prado Neto, Priscila Fernandes do; Cavalcante, Fabiana Vieira Santos Azevedo; Silva, Juliana Rezende Melo da; Parente, Raphael Câmara Medeiros

doi:10.1590/0103-11042022E301I

Lucas Agustinho Fernandes

Universidade de Brasília (UNB) – Brasília (DF), Brasil. fernandeslucasenf@gmail.com

Ministério da Saúde (MS), Secretaria de Atenção Primária à Saúde (Saps) – Brasília (DF), Brasil

https://orcid.org/0000-0001-8019-6733

Helena Eri Shimizu

Universidade de Brasília (UNB) – Brasília (DF), Brasil. fernandeslucasenf@gmail.com

https://orcid.org/0000-0001-5612-5695

Priscila Fernandes do Prado Neto

Ministério da Saúde (MS), Secretaria de Atenção Primária à Saúde (Saps) – Brasília (DF), Brasil

https://orcid.org/0000-0001-9809-7186

Fabiana Vieira Santos Azevedo Cavalcante

Ministério da Saúde (MS), Secretaria de Atenção Primária à Saúde (Saps) – Brasília (DF), Brasil

https://orcid.org/0000-0003-1409-8662

Juliana Rezende Melo da Silva

Ministério da Saúde (MS), Secretaria de Atenção Primária à Saúde (Saps) – Brasília (DF), Brasil

https://orcid.org/0000-0002-0357-9631

Raphael Câmara Medeiros Parente

Ministério da Saúde (MS), Secretaria de Atenção Primária à Saúde (Saps) – Brasília (DF), Brasil

https://orcid.org/0000-0001-8735-0967

*
Orcid (Open Researcher and Contributor ID).

Collaborators

Fernandes LA (0000-0001-8019-6733)^* * Orcid (Open Researcher and Contributor ID). , Shimizu HE (0000-0001-5612-5695)^* * Orcid (Open Researcher and Contributor ID). , Prado Neto PF (0000-0001-9809-7186)^* * Orcid (Open Researcher and Contributor ID). , Cavalcante FVSA (0000-0003-1409-8662 )^* * Orcid (Open Researcher and Contributor ID). , Silva JRM (0000-0002-0357-9631)^* * Orcid (Open Researcher and Contributor ID). and Parente RCM (0000-0001-8735-0967)^* * Orcid (Open Researcher and Contributor ID). contributed to the research design, data collection and analysis, discussion, writing and review.

Confict of interests: non-existent

Adhesions^* * In 2016, there was no adhesion.	Adhesions Criteria	Adhered municipalities	Agreed Schools	Agreed Students	Agreed health teams^ Primary Health care teams were linked to the schools agreed upon at the time of joining, however, as of 2017, there is no longer a need to link.	Adherence reference ordinances	Other published PSE ordinances
2008	100% ESF coverage, IDEB less than or equal to 2.69, and municipalities with schools participating in the More Education program	613	16,470	1,941,763	5,130	Ordinance No. 1,861, of September 4, 2008; and Ordinance No. 2,931, of December 4, 2008	Interministerial Ordinance No. 675, of June 4, 2008
2009	70% ESF coverage and IDEB less than or equal to 3.1	640	20,422	6,560,649	3,884	Ordinance No. 3146, of December 17, 2009	-
2010	70% FHS and IDEB coverage less than or equal to 4.5, and municipalities with schools participating	1,253	36,892	8,502,412	9,014	Interministerial Ordinance No. 3,696, of November 25, 2010; and Ordinance No. 3,918, of December 10, 2010	Ordinance No. 790, of April 12, 2010; Ordinance No. 1,537, of June 15, 2010
2011	in the More Education program	2,271	50,545	10,835,238	12,899	Interministerial Ordinance No. 1910, of August 8, 2011; Interministerial Ordinance No. 1911, of August 8, 2011; and Ordinance No. 3014, of December 20, 2011	-
2012	70% FHS coverage and IDEB less than or equal to 4.5, municipalities with schools participating in the More Education program, and municipalities with schools with more than 50% of beneficiaries of the Bolsa Família program	2,495	56,157	11,946,778	14,237	Ordinance No. 2,693, of November 29, 2012; and Ordinance No. 298, of February 28, 2013	Ordinance No. 357, of March 1, 2012; Ordinance No. 524, of March 26, 2012
2013	All municipalities with 50% priority schools	4,864	80,435	18,726,458	30,068	Interministerial Ordinance No. 1413, of July 10, 2013; Ordinance No. 2,608, of October 31, 2013; and Ordinance No. 3210, of December 26, 2013	Ordinance No. 364, of March 8, 2013; Ordinance No. 1,302, of June 28, 2013; Ordinance No. 1,835, of August 27, 2013
2014/ 2015^* ***** The 2014 membership was maintained in 2015.		4,787	79,167	18,313,214	32,317	Ordinance No. 1067, of July 23, 2015	Ordinance No. 220, of March 25, 2014; Ordinance No. 798, of June 17, 2015; Ordinance No. 1,260, of August 27, 2015; Ordinance No. 1,337, of September 8, 2015
2016*	-		-		-	-	Ordinance No. 2,744, of December 16, 2016
2017/2018	Every 2 years, all municipalities with 50% of priority schools	5,040	85,700	20,521,416	36,990	Interministerial Ordinance No. 1055, of April 25, 2017; and Ordinance No. 2,706, of October 18, 2017	Ordinance No. 895, of June 19, 2018; Ordinance No. 3,662, of November 14, 2018
2019/ 2020		5,289	91,659	22,425,160	-	Ordinance No. 2,264, of August 30, 2019	Ordinance No. 564, of July 8, 2020; Ordinance No. 1,857, of July 28, 2020; Ordinance No. 2027, of August 7, 2020; Ordinance No. 2,141, of August 14, 2020; Ordinance No. 2,306, of August 28, 2020
2021/ 2022		5,422	97,389	23,426,003	-	Ordinance No. 1,320, of June 22, 2021	Interministerial Ordinance No. 5, of August 4, 2021

Variables	2014	2015	2017	2018	2019	2020	2021
Activities of PSE actions	228,675	347,101	693,462	999,427	1,417,916	135,495	540,200
Participants in PSE actions	10,961,177	13,695,398	31,795,291	43,964,215	59,854,094	6,851,005	25,087,567
Schools that carried out actions	14,895	22,039	38,349	45,420	58,010	16,290	39,792
Percentage of coverage of actions in agreed schools (%)	18.8	2 7.8	44.7	53.0	63.3	17.8	40.9

[1] *
Orcid (Open Researcher and Contributor ID).

Brasil

Brasil

Trajectory of the 15 years of implementation of the School Health Program in Brazil

ABSTRACT