Inservice training for primary health care: A distance education initiative in Brazil

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In-service training for primary health care A
distance education initiative in Brazil

• Raphael Aguiar Maria José GrilloEdison Corrêa
  Mara Vasconcelos Horácio Pereira Juliane
  Corrêa Ricardo Alexandre
• XII World Congress on Public Health
• Istanbul, Turkey, April 30th

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Family Health coverage from 1998 to 2006
Family Health Teams figures as of 2008 29,300
teams (Covering 87,7 million 46.6 of total
population Oral Health teams 17,807 (Covering
85.86 of municipalities) Number of Community
Health Agents involved 230,000 (covering 96.22
of municipalities
1998
2002

2006
2008
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Specialization in Healh Family, 2008
Residence program Specialization Not included
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• Federal University of Minas Gerais
• PHC Specialization course for physicians,
  dentists and nurses through Distance Learning
• (2008)

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State of Minas Gerais Highlands 19,200,000
inhabitants
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Our 8 Educational Centers in Minas Gerais
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Professionals directly involved

• 7 General Coordinators
• 8 Educational Centerscoordinators
• 10 Distance tutors
• 27 Local tutors
• 12 Tutors supervisors
• 30 Authors
• 50 Students Supervisors (in next phase)

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Course Activities
Final Project (Intervention) Unit III
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First Class January 2008 (400 professionals in
128 cities)
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Second selection September 2008 (400
professionals)
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Current Status

• 183 Municipalities in Minas Gerais (21.55) have
  (or had) at least one enrolled professional

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Second Class September 2008 (400 professionals)
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Our Achievements so far...

• One of the largest (if not the largest)
  initiatives in PHC training in Brazil
• Funding coming from three different sources (MOH,
  MOE, BNDES)
• Technical cooperations with other universities
  have been initiated

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Our Challenges

• Decrease attrition rates
• Strengthen relation with services and
  professional services
• Funding (resources flow rather than lack of
  money)
• Impact Evaluation.

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Thank You! raphael_at_medicina.ufmg.br