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Health Monitoring and Evaluation in Remote Areas: The Case of the HPP Jirau in the Amazon, Brazil

Received: 4 May 2018    Accepted: 22 May 2018    Published: 12 June 2018
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Abstract

This study aims to provide an overview of the health care system in specific regions of the Amazon, before and after the construction of Jirau Hydro Power Plant (HPP) to evaluate the efficiency of health activities planned and executed in the scope of the environmental licensing of the project. We studied the health conditions before the implantation of the project, identified the main characters and criteria involved on the definition of health issues and obligations assigned to the entrepreneur, as well as the results on heath inherent of those obligations, evaluated through qualitative and quantitative indicators, applied in different time cuts. The data used to define the quantitative indicators was obtained from the Municipal Health Department of the Municipality of Porto Velho and from heath units located in the studied region. As for the qualitative indicators, the data was obtained from structured questionnaires applied to part of the local population, users of the public health system.

Published in Journal of Health and Environmental Research (Volume 4, Issue 2)
DOI 10.11648/j.jher.20180402.14
Page(s) 69-76
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Qualitative and Quantitative Indicators, Monitoring and Evaluation in Health, Primary Health Care, Hydro Power Plants, Amazon

References
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[2] Brazil. Ministry of Health. Secretariat of Health Surveillance; Department of Surveillance in Environmental Health and Worker's Health. Health Impact Assessment - AIS: methodology adapted for application in Brazil. Brasília: Ministry of Health, 2014. 68 p. il.
[3] Silveira M. The implantation of hydroelectric plants in the Brazilian Amazon, socioenvironmental and health impacts with the transformations in the territory: the Belo Monte HPP. Brasília: University of Brasília; 2016.
[4] Finkelman, J. Pathways of Health in Brazil. Rio de Janeiro: FIOCRUZ, 2002.
[5] Brazil. Presidency of the Republic. Law No. 6.938/1981, of August 31, 1981. Provides on the National Policy of the Environment, its purposes and mechanisms of formulation and application, and other measures; Official Journal of the Union 1981; 02 sep.
[6] Brazil. National Council for the Environment (CONAMA). Resolution nº 237 of December 19, 1997. Regulates the aspects of environmental licensing established in the National Environmental Policy; Official Journal of the Union 1997; 22 dec.
[7] Silveira, M. The contribution of the health sector to environmental licensing processes: first approximations. Brasília: University of Brasília; 2008.
[8] Silveira, M. Interface between health and environment: aspects of health in the Environmental Impact Assessment of enterprises. In: Annals of the 5th National Meeting of Anppas; Florianópolis, 2010 Oct 4-7.
[9] Brazil. Ministry of Health (MS). Secretariat of Health Surveillance. Ordinance No. 47 of December 29, 2006. Provides on Malaria Potential Assessment and Health Status Certificate for agrarian reform settlement projects and for other enterprises in malaria endemic regions. Official Journal of the Union 2007; 30 dec.
[10] Breilh J. Pillages, Ecosystems and Health. In: Miranda AC, Barcellos C, Moreira JC, Monken M, organizers. Territory, environment and health. Rio de Janeiro: Fiocruz Publishing House; 2008. p. 159-177.
[11] Silveira M, Padilha JD, Schneider M, Amaral PST, Carmo TFM, Netto GF, Rohlfs DB. Perspective of health impact assessment in development projects in Brazil: strategic importance for sustainability. Cad Saude Coletiva 2012; 20 (1): 57-63.
[12] Brazil. United Nations Program; João Pinheiro Fundation and Institute of Applied Economic Research. Atlas of Human Development, Rondônia, 2017.
[13] Abaeté; Sustainable Energy from Brazil. Qualitative Complementary Study of Socioeconomic and Cultural Aspects of Localities in the AHE Influence Area Jirau, Rio de Janeiro, 2008.
[14] Cnec Worley Parsons; Sustainable Energy from Brazil. Socioeconomic Monitoring Report, Area of Direct Influence of the Jirau Hydroelectric Plant and Municipality of Porto Velho, Part I and Part II, May 2013.
[15] Brazil. Brazilian Institute of Geography and Statistics (IBGE). Directorate of Research, Coordination of Population and Social Indicators, Research Studies, Demographic and Socioeconomic Information n. 25, Sociodemographic and Health Indicators in Brazil. Rio de Janeiro, 2009.
[16] Brazil. Ministry of Health (MS). Secretariat of Health Surveillance. Ordinance No. 1,101 of June 12, 2002. Establishes, among others, that the parameters of health care coverage be established by the National Directorate of the Unified Health System - SUS, approved by the National Health Council; Official Journal of the Union 2002; 13 jun.
[17] Oikos Consulting and Projects; Sustainable Energy from Brazil. Report on Monitoring of the Area of Direct Influence - T6, n. 02/2016, 2016.
[18] Systemic Social Assistance (ASSIST), Sustainable Energy of Brazil. Monitoring of Social Reinsertion and Evaluation of the Quality of Life Recomposition of the Population Affected by the Jirau Hydroelectric Power Plant (UHE Jirau) - T0 to T3. Old Town, 2015.
[19] Brazil. Presidency of the Republic. Law no. 12.871 of October 22, 2013. Establishes the Program “Mais Médicos”, amends Laws 8.745 of December 9, 1993, and 6.932 of July 7, 1981, and makes other provisions. Official Journal of the Union 2013; Oct 23.
[20] Brazil. Federal Council of Medicine (CFM). Resolution n. 2.077 / 14. Standardizes the operation of emergency and emergency hospital services, as well as the size of the medical staff and the work system; Official Journal of the Union 2014; Jul 24.
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  • APA Style

    Viviane de Oliveira Béghin, Assed Naked Haddad. (2018). Health Monitoring and Evaluation in Remote Areas: The Case of the HPP Jirau in the Amazon, Brazil. Journal of Health and Environmental Research, 4(2), 69-76. https://doi.org/10.11648/j.jher.20180402.14

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    ACS Style

    Viviane de Oliveira Béghin; Assed Naked Haddad. Health Monitoring and Evaluation in Remote Areas: The Case of the HPP Jirau in the Amazon, Brazil. J. Health Environ. Res. 2018, 4(2), 69-76. doi: 10.11648/j.jher.20180402.14

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    AMA Style

    Viviane de Oliveira Béghin, Assed Naked Haddad. Health Monitoring and Evaluation in Remote Areas: The Case of the HPP Jirau in the Amazon, Brazil. J Health Environ Res. 2018;4(2):69-76. doi: 10.11648/j.jher.20180402.14

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  • @article{10.11648/j.jher.20180402.14,
      author = {Viviane de Oliveira Béghin and Assed Naked Haddad},
      title = {Health Monitoring and Evaluation in Remote Areas: The Case of the HPP Jirau in the Amazon, Brazil},
      journal = {Journal of Health and Environmental Research},
      volume = {4},
      number = {2},
      pages = {69-76},
      doi = {10.11648/j.jher.20180402.14},
      url = {https://doi.org/10.11648/j.jher.20180402.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jher.20180402.14},
      abstract = {This study aims to provide an overview of the health care system in specific regions of the Amazon, before and after the construction of Jirau Hydro Power Plant (HPP) to evaluate the efficiency of health activities planned and executed in the scope of the environmental licensing of the project. We studied the health conditions before the implantation of the project, identified the main characters and criteria involved on the definition of health issues and obligations assigned to the entrepreneur, as well as the results on heath inherent of those obligations, evaluated through qualitative and quantitative indicators, applied in different time cuts. The data used to define the quantitative indicators was obtained from the Municipal Health Department of the Municipality of Porto Velho and from heath units located in the studied region. As for the qualitative indicators, the data was obtained from structured questionnaires applied to part of the local population, users of the public health system.},
     year = {2018}
    }
    

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    AB  - This study aims to provide an overview of the health care system in specific regions of the Amazon, before and after the construction of Jirau Hydro Power Plant (HPP) to evaluate the efficiency of health activities planned and executed in the scope of the environmental licensing of the project. We studied the health conditions before the implantation of the project, identified the main characters and criteria involved on the definition of health issues and obligations assigned to the entrepreneur, as well as the results on heath inherent of those obligations, evaluated through qualitative and quantitative indicators, applied in different time cuts. The data used to define the quantitative indicators was obtained from the Municipal Health Department of the Municipality of Porto Velho and from heath units located in the studied region. As for the qualitative indicators, the data was obtained from structured questionnaires applied to part of the local population, users of the public health system.
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Author Information
  • Polytechnic School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

  • Polytechnic School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil

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