Browsing by Author "Coutinho, Karilany Dantas"
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- AVASUS’ contributions to promoting lifelong learning in health: toward achieving the SDGs and strengthening global health securityPublication . Romão, Manoel Honório; Dias, Aline de Pinho; Caitano, Alexandre; Batista, Natalia Araujo do Nascimento; Valentim, Janaína Luana Rodrigues da Silva; Oliveira, Eloiza da Silva Gomes de; Lima, Thaísa Góis Farias de Moura Santos; Morgado, Lina; Rêgo, Maria Carmem F. D.; Oliveira, Carlos Alberto Pereira de; Coutinho, Karilany Dantas; Medeiros, Kelson C.; Bonfim, Marilyn; Melo, Ronaldo S.; Gusmão, Cristine Martins Gomes de; Lacerda, Juciano; Melo, Marcella da Rocha; Gallego, Almudena; Valentim, RicardoThe Virtual Learning Environment of the Brazilian Health System (AVASUS) was developed by the Laboratory for Technological Innovation in Health (LAIS) and the Secretariat of Distance Education (SEDIS) at the Federal University of Rio Grande do Norte (UFRN) in partnership with Brazil’s Ministry of Health (MoH). AVASUS provides open educational resources in the health field and has emerged as the third largest platform for massive health education globally, with more than one million students. Among the various learning pathways AVASUS offers, some specifically focus on meeting the educational needs to address public health emergencies and overlooked health contexts. The main argument in this study is that technology mediated lifelong learning in health is an effective strategy for achieving the Sustainable Development Goals (SDGs) of the 2030 Agenda. This chapter analyzes the pathways related to COVID-19, syphilis, and prison health, focusing on the con tributions towards achieving SDGs 3, 4, 5, 10, 11, 16, and 17 and fulfilling the Global Health Security Agenda. Our analysis revealed two key findings. Lifelong learning in health (i) prompts decision-making on public health policies and (ii) contributes towards implementing the SDGs. Ultimately, AVASUS should be recognized as a tool to improve health services and support policy-making
- Educommunication as a strategy to face syphilis: an analysis of the open educational resources available at AVASUSPublication . Valentim, Ricardo; Cunha Oliveira, Aliete; Dias, Aline de Pinho; Oliveira, Eloiza da Silva Gomes de; Valentim, Janaína Luana Rodrigues Da Silva; Moreira, J. António; Coutinho, Karilany Dantas; Trindade, Sara Dias; Bonfim, MarilynIntroduction: Syphilis is a problem for the Brazilian Public Health. Therefore, the Brazilian Ministry of Health has been promoting actions to fight this disease; among them, the “No Syphilis Project” stands out, and develops open educational resources (OER), among several activities. Objective: To analyze the open educational resources available in the SUS (the Brazilian Unified Health System) Virtual Learning Environment, focused on syphilis. Methods: This qualitative study, based on epistemology in the field of phenomenology, is a content analysis operated with the meanings constructed to parts of a set of texts and the objects of its analysis were the teaching plans of 19 educational resources available at AVASUS, which dealt with the theme “Syphilis”. The analysis was organized into two unitss: The main purpose of the educational resource and Thematic focus of the educational resource. Results: The overlapping of clinical aspects of the disease to the detriment of socio-environmental aspects and the prevalence of informational objectives can be observed, with the exception of one resource that presented an objective that sought a more active action by the course participant. In the analysis unit 1 it was possible to identify the prevalence of objectives such as ‘presenting’ or ‘conveying’ content/information related to the disease. In the analysis unit 2 it was possible to identify the “classic” biomedical cycle of approaching a disease, focusing on diagnosis. Conclusion: The study contributed to the identification of gaps from the thematic and methodological point of view that can guide the planning for the construction of new educational resources.
- Effectiveness of a learning pathway on food and nutrition in amyotrophic lateral sclerosisPublication . Coutinho, Karla Mônica Dantas; Rabelo, Humberto; Fernandes, Felipe; Coutinho, Karilany Dantas; Valentim, Ricardo Alexsandro de Medeiros; Dias, Aline de Pinho; Valentim, Janaína Luana Rodrigues da Silva; Batista, Natalia Araújo do Nascimento; Romão, Manoel Honorio; Cunha, Priscila Sanara da; Oliveira, Aliete Cunha; Henriques, Susana; Melo, Luciana Protásio de; Vale, Sancha Helena de Lima; Lais, Lucia Leite; Lima, Kenio Costa deBackground/Objectives: Health education plays a vital role in training health professionals and caregivers, supporting both prevention and the promotion of self-care. In this context, technology serves as a valuable ally by enabling continuous and flexible learning. Among the various domains of health education, nutrition stands out as a key element in the management of Amyotrophic Lateral Sclerosis (ALS), helping to prevent malnutrition and enhance patient well-being. Accordingly, this study aimed to evaluate the effectiveness of the teaching and learning processes within a learning pathway focused on food and nutrition in the context of ALS. Methods: This study adopted a longitudinal, quantitative design. The learning pathway, titled “Food and Nutrition in ALS,” consisted of four self-paced and self-instructional Massive Open Online Courses (MOOCs), offered through the Virtual Learning Environment of the Brazilian Health System (AVASUS). Participants included health professionals, caregivers, and patients from all five regions of Brazil. Participants had the autonomy to complete the courses in any order, with no prerequisites for enrollment. Results: Out of 14,263 participants enrolled nationwide, 182 were included in this study after signing the Informed Consent Form. Of these, 142 (78%) completed at least one course and participated in the educational intervention. A significant increase in knowledge was observed, with mean pre-test scores rising from 7.3 (SD = 1.8) to 9.6 (SD = 0.9) on the post-test across all courses (p < 0.001). Conclusions: The self-instructional, technology-mediated continuing education model proved effective in improving participants’ knowledge about nutrition in ALS. Future studies should explore knowledge retention, behavior change, and the impact of such interventions on clinical outcomes, especially in multidisciplinary care settings.
- International scientific cooperation in public health: a performance measurement framework based on the “Syphilis No!” Project in BrazilPublication . Lima, Thaisa Gois Farias de Moura Santos; Coutinho, Karilany Dantas; Batista, Natalia Araújo do Nascimento; Galvão, Ruana Evangelista; Araújo, Bruna Fernandes de; Martins, Iasmin Moreira Alves; Alves, Luca Pareja Credidio Freire; Romão, Manoel H.; Lacerda, Juciano de Sousa; Oliveira, Carlos Alberto Pereira de; Dias, Aline de Pinho; Cunha, Priscila Sanara da; Oliveira, Aliete Cunha; Cordeiro, António Manuel Rochette; Muñoz Gallego, Almudena; Ramos, Natália; Oliveira, Carla Padrel de; Campos, Rodrigo Pires de; Valentim, Ricardo Alexsandro de Medeiros; MihajloIn this article, we aim to propose indicators to evaluate the performance of international scientific cooperation in public health, based on the operation experience in Brazil’s “Syphilis No!” Project. This is an action research project, based upon Kaplan and Norton’s Balanced Scorecard Method, developed in five stages: (i) Reorganization of the indicators, (ii) validation of the new indicators, (iii) construction of the dimensions of the indicators, (iv) data collection for the indicators, (v) development of the framework for the “Syphilis No!” Project. The metrics and 34 indicators are presented and grouped into four dimensions: technical-scientific, investment, products, and impact. The cooperation that emerged from the project has built an international research network that has the potential to transcend syphilis research. The framework demonstrated that international scientific cooperations, focused on research and product development, have contributed to the promotion of public health policies and have enabled the exchange of knowledge, techniques, experiences, and technologies, fundamental to the international scientific cooperation of Brazilian universities. This contribution will have implications for studies in the field of international relations in health and education.
- Selective imprisonment in Brasil: a story beyond the wallsPublication . Valentim, Janaína Luana Rodrigues da Silva; Azevedo, Bruna; Fernandes, Emily; Coutinho, Karoliny Dantas; Silva, Ronaldo; Henriques, Susana; Romão, Manoel Honório; Batista, Natalia Araújo do Nascimento; Coutinho, Karilany Dantas; Valentim, Ricardo Alexsandro de Medeiros; Oliveira, Carlos Alberto Pereira de; Dias, Aline de PinhoThis article discusses the Brazilian prison system and the challenges posed by social inequality that affect the prison population, presenting a concise historical context. The work is situated within the paradoxical context of a country with a Criminal Enforcement Law (LEP) considered modern, but which maintains a selective, segregating, and punitive model of incarceration. The central objective of this study is to analyze the contrast between the humanized ideal of the Criminal Enforcement Law (LEP) and the selective and exclusionary reality of the national prison system. It seeks to substantiate the social injustices perpetrated in prisons, often through the very mechanisms of justice. Furthermore, the article aims to discuss the need for transformation of the prison system, in alignment with the principles of human rights and the 2030 Agenda for Sustainable Development. The methodology of this study is qualitative and reflective in nature, delineated from a transdisciplinary approach. The narrative construction permeates a theoretical review of the legal, social, and ideological aspects of the prison system, with a dialogue between Law, Social Sciences, Public Health, and Education. The analysis included an examination of the Criminal Enforcement Law and a historical review from the Penal Code of 1830, in addition to a critical interpretation of official data and empirical studies. The results indicate institutional ineffectiveness in Brazilian prisons, operating as the last step in a systematic process of denial of rights that precedes imprisonment. It is demonstrated that overcrowding, low levels of education, and racial selectivity characterize the discrepancy between the norm and reality. However, the study highlights the potential of the Criminal Enforcement Law as an instrument for inducing humanitarian public policies. The analysis in light of the Sustainable Development Goals (SDGs) reveals that the effectiveness of the law requires integrated actions in health, education, and work, transforming the prison into a space for citizen reconstruction.
- The relevancy of massive health education in the Brazilian prison system: the course “health care for people deprived of freedom” and its impactsPublication . Valentim, Janaína Luana Rodrigues da Silva; Trindade, Sara Dias; Oliveira, Eloiza da Silva Gomes de; Moreira, J. António; Fernandes, Felipe; Romão, Manoel Honório; Morais, Philippi Sedir Grilo de; Caitano, Alexandre; Dias, Aline de Pinho; Oliveira, Carlos Alberto Pereira de; Coutinho, Karilany Dantas; Ceccim, Ricardo Burg; Valentim, RicardoIntroduction: Brazil has one of the largest prison populations globally, with over 682,000 imprisoned people. Prison health is a public health emergency as it presents increasingly aggravating disease rates, mainly sexually transmitted infections (STI). And this problem already affects both developed and developing nations. Therefore, when thinking about intervention strategies to improve this scenario in Brazil, the course “Health Care for People Deprived of Freedom” (ASPPL), aimed at prison health, was developed. This course was implemented in the Virtual Learning Environment of the Brazilian Health System (AVASUS). Given this context, this study analyzed the aspects associated with massive training through technological mediation and its impacts on prison health. Methods: This cross-sectional study analyzed data from 8,118 ASPPL course participants. The data analyzed were collected from six sources, namely: (i) AVASUS, (ii) National Registry of Health Care Facilities (CNES), (iii) Brazilian Occupational Classification (CBO), (iv) National Prison Department (DEPEN); (v) Brazilian Institute of Geography and Statistics (IBGE); and the (iv) Brazilian Ministry of Health (MoH), through the Outpatient Information System of the Brazilian National Health System (SIA/SUS). A data processing pipeline was conducted using Python 3.8.9. Results: The ASPPL course had 8,118 participants distributed across the five Brazilian regions. The analysis of course evaluation by participants who completed it shows that 5,190 (63.93%) reported a significant level of satisfaction (arithmetic mean = 4.9, median = 5, and standard deviation = 0.35). The analysis revealed that 3,272 participants (40.31%) are health workers operating in distinct levels of care. The prison system epidemiological data shows an increase in syphilis diagnosis in correctional facilities. Conclusions: The course enabled the development of a massive training model for various health professionals at all care levels and regions of Brazil. This is particularly important in a country with a continental size and a large health workforce like Brazil. As a result, social and prison health impacts were observed.
