The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts

IntroductionBrazil 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...

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Main Authors: Janaína L. R. S. Valentim, Sara Dias-Trindade, Eloiza S. G. Oliveira, José A. M. Moreira, Felipe Fernandes, Manoel H. Romão, Philippi S. G. Morais, Alexandre R. Caitano, Aline P. Dias, Carlos A. P. Oliveira, Karilany D. Coutinho, Ricardo B. Ceccim, Ricardo A. M. Valentim
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.935389/full
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author Janaína L. R. S. Valentim
Janaína L. R. S. Valentim
Sara Dias-Trindade
Sara Dias-Trindade
Eloiza S. G. Oliveira
Eloiza S. G. Oliveira
José A. M. Moreira
José A. M. Moreira
Felipe Fernandes
Manoel H. Romão
Philippi S. G. Morais
Alexandre R. Caitano
Aline P. Dias
Carlos A. P. Oliveira
Carlos A. P. Oliveira
Carlos A. P. Oliveira
Karilany D. Coutinho
Ricardo B. Ceccim
Ricardo A. M. Valentim
author_facet Janaína L. R. S. Valentim
Janaína L. R. S. Valentim
Sara Dias-Trindade
Sara Dias-Trindade
Eloiza S. G. Oliveira
Eloiza S. G. Oliveira
José A. M. Moreira
José A. M. Moreira
Felipe Fernandes
Manoel H. Romão
Philippi S. G. Morais
Alexandre R. Caitano
Aline P. Dias
Carlos A. P. Oliveira
Carlos A. P. Oliveira
Carlos A. P. Oliveira
Karilany D. Coutinho
Ricardo B. Ceccim
Ricardo A. M. Valentim
author_sort Janaína L. R. S. Valentim
collection DOAJ
description IntroductionBrazil 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.MethodsThis 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.ResultsThe 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.ConclusionsThe 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.
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spelling doaj.art-8833466279fd40efae6c854465198ec02022-12-22T01:42:34ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.935389935389The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impactsJanaína L. R. S. Valentim0Janaína L. R. S. Valentim1Sara Dias-Trindade2Sara Dias-Trindade3Eloiza S. G. Oliveira4Eloiza S. G. Oliveira5José A. M. Moreira6José A. M. Moreira7Felipe Fernandes8Manoel H. Romão9Philippi S. G. Morais10Alexandre R. Caitano11Aline P. Dias12Carlos A. P. Oliveira13Carlos A. P. Oliveira14Carlos A. P. Oliveira15Karilany D. Coutinho16Ricardo B. Ceccim17Ricardo A. M. Valentim18Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilCentre for Interdisciplinary Studies, University of Coimbra, Coimbra, PortugalCentre for Interdisciplinary Studies, University of Coimbra, Coimbra, PortugalCentre for Interdisciplinary Studies, Faculty of Arts and Humanities, University of Coimbra, Coimbra, PortugalLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilInstitute of Human Formation with Technologies, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Paraná, BrazilCentre for Interdisciplinary Studies, University of Coimbra, Coimbra, PortugalDepartment of Education and Distance Learning (DEED), Open University (Universidade Aberta), Lisbon, PortugalLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilInstitute of Human Formation with Technologies, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Paraná, BrazilInternational Council for Open and Distance Education, Oslo, NorwayLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilPostgraduate Program in Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, BrazilLaboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, BrazilIntroductionBrazil 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.MethodsThis 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.ResultsThe 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.ConclusionsThe 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.https://www.frontiersin.org/articles/10.3389/fpubh.2022.935389/fullprison healthprison systemBrazilian prison systempublic healthhealth educationmassive health education
spellingShingle Janaína L. R. S. Valentim
Janaína L. R. S. Valentim
Sara Dias-Trindade
Sara Dias-Trindade
Eloiza S. G. Oliveira
Eloiza S. G. Oliveira
José A. M. Moreira
José A. M. Moreira
Felipe Fernandes
Manoel H. Romão
Philippi S. G. Morais
Alexandre R. Caitano
Aline P. Dias
Carlos A. P. Oliveira
Carlos A. P. Oliveira
Carlos A. P. Oliveira
Karilany D. Coutinho
Ricardo B. Ceccim
Ricardo A. M. Valentim
The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts
Frontiers in Public Health
prison health
prison system
Brazilian prison system
public health
health education
massive health education
title The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts
title_full The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts
title_fullStr The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts
title_full_unstemmed The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts
title_short The relevancy of massive health education in the Brazilian prison system: The course “health care for people deprived of freedom” and its impacts
title_sort relevancy of massive health education in the brazilian prison system the course health care for people deprived of freedom and its impacts
topic prison health
prison system
Brazilian prison system
public health
health education
massive health education
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.935389/full
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