0324/2025 - Saúde da Família e Vigilância em Saúde: é possível integrar? The Family Health Strategy and Health Surveillance: is it possible to integrate?
O presente artigo analisa a integração entre a Vigilância em Saúde (VS) e a Atenção Primária à Saúde (APS) no Sistema Único de Saúde (SUS), focando no enfrentamento da dengue e nos desafios enfrentados ao longo de 30 anos da Estratégia Saúde da Família (ESF). O estudo é exploratório-descritivo, desenvolvido em três etapas: 1. revisão documental das normativas do SUS para identificar convergências e divergências nas diretrizes de integração entre VS e APS; 2. revisão de escopo para mapear experiências brasileiras de articulação entre ambas; e 3. análise de dados secundários do Painel de Monitoramento das Arboviroses e do Censo Nacional das UBS, utilizando a dengue como condição traçadora. Entre 2016 e 2022, o Brasil observou um agravamento dos indicadores sanitários, exacerbado pela pandemia de Covid-19, resultando em aumento da incidência da dengue. Os resultados destacam a necessidade de políticas intersetoriais e ações coordenadas entre as equipes da ESF e VS. Apesar de avanços, persistem entraves à integração, como a fragmentação das ações e a escassez de recursos. Conclui-se que a integração requer transformações estruturais para fortalecer a governança local e a participação social, permitindo um enfrentamento mais efetivo da dengue e das emergências sanitárias.
Palavras-chave:
Vigilância em Saúde; Atenção Primária à Saúde; Dengue; Políticas de Saúde.
Abstract:
This article analyzes the integration between Health Surveillance (HS) and Primary Health Care (PHC) in the Unified Health System (SUS), focusing on the fight against dengue and the challenges faced over 30 years of the Family Health Strategy (FHS). The study is exploratory-descriptive, developed in three stages: 1. a documentary review of SUS regulations to identify convergences and divergences in the guidelines for integrating health services and PHC; 2. a scoping review to map Brazilian experiences of articulation between the two; and 3. analysis of secondary data from the Arbovirus Monitoring Panel and the National Census of PHCUs, using dengue as a tracer condition. Between 2016 and 2022, Brazil saw a worsening of health indicators, exacerbated by the Covid-19 pandemic, resulting in an increase in the incidence of dengue. The results highlight the need for intersectoral policies and coordinated actions between ESF and health surveillance teams. Despite progress, obstacles to integration persist, such as the fragmentation of actions and the scarcity of resources. The conclusion is that integration requires structural changes to strengthen local governance and social participation, allowing dengue and health emergencies to be tackled more effectively.
Keywords:
Health Surveillance; Primary Health Care; Dengue; Health Policy.
The Family Health Strategy and Health Surveillance: is it possible to integrate?
Resumo (abstract):
This article analyzes the integration between Health Surveillance (HS) and Primary Health Care (PHC) in the Unified Health System (SUS), focusing on the fight against dengue and the challenges faced over 30 years of the Family Health Strategy (FHS). The study is exploratory-descriptive, developed in three stages: 1. a documentary review of SUS regulations to identify convergences and divergences in the guidelines for integrating health services and PHC; 2. a scoping review to map Brazilian experiences of articulation between the two; and 3. analysis of secondary data from the Arbovirus Monitoring Panel and the National Census of PHCUs, using dengue as a tracer condition. Between 2016 and 2022, Brazil saw a worsening of health indicators, exacerbated by the Covid-19 pandemic, resulting in an increase in the incidence of dengue. The results highlight the need for intersectoral policies and coordinated actions between ESF and health surveillance teams. Despite progress, obstacles to integration persist, such as the fragmentation of actions and the scarcity of resources. The conclusion is that integration requires structural changes to strengthen local governance and social participation, allowing dengue and health emergencies to be tackled more effectively.
Palavras-chave (keywords):
Health Surveillance; Primary Health Care; Dengue; Health Policy.
Facchini, LA, Prado, NMBL, Venturin, B, Bispo Júnior, JP. Saúde da Família e Vigilância em Saúde: é possível integrar?. Cien Saude Colet [periódico na internet] (2025/set). [Citado em 18/01/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/saude-da-familia-e-vigilancia-em-saude-e-possivel-integrar/19800?id=19800
