O Programa Hiperdia em um Município do Sudoeste do Paraná: concepção dos gestores e percepções dos beneficiários

Abstract

In Brazil, systemic arterial hypertension and diabetes mellitus, along with obesity, are among the most prevalent non-communicable chronic diseases in the population, considered a public health issue. The present study involves an analysis of the Hiperdia Program in a municipality in the Southwest of Paraná, identifying the underlying concepts of health education actions, potential impacts on beneficiaries, as well as their perceptions. This is a qualitative case study based on interviews with semi-structured scripts involving 36 subjects (managers and beneficiaries). Research results indicate efficient management in screening and registering hypertensive and diabetic patients, as well as in medication distribution. However, health education actions and nutritional education are found to be less effective, with low adherence and overly verticalized strategies that hinder patient autonomy, decision-making, and understanding of their own treatment. Additionally, there were no identified actions to monitor/evaluate the impacts of arterial hypertension and diabetes on population morbidity and mortality. It is hoped that the findings of this study will contribute valuable insights into the Hiperdia Program from the perspective of users and managers, potentially facilitating improvements in the program.