Adequação de protocolos de classificação de risco para COVID-19 às orientações da OMS: uma proposta de instrumento

Leandro Pereira Garcia; Maria Cristina Antunes Willemann; Alexandra Crispim Boing; Fernanda Vargas Amaral; Ana Cristina  Vidor; Patrícia Maria de Oliveira  Machado; Natália  Moreira; Tatiane Cristina Moraes  de Sousa; Lorena  Barberia; Jefferson  Traebert; Josimari Telino de Lacerda

doi:10.1590/SciELOPreprints.1208

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Leandro Pereira Garcia Secretaria Municipal de Saúde de Florianópolis, Florianópolis/SC, Brasil https://orcid.org/0000-0002-8601-7166
Maria Cristina Antunes Willemann Universidade Federal de Santa Catarina, Programa de Pós-graduação em Saúde Coletiva, Florianópolis/SC – Brasil. Observatório COVID-19 BR.
Alexandra Crispim Boing Universidade Federal de Santa Catarina, Programa de Pós-graduação em Saúde Coletiva, Florianópolis/SC – Brasil. Observatório COVID-19 BR.
Fernanda Vargas Amaral Universidad de Málaga
Ana Cristina Vidor Secretaria Municipal de Saúde de Florianópolis, Florianópolis/SC, Brasil
Patrícia Maria de Oliveira Machado Universidade Federal da Integração Latino-Americana
Natália Moreira Departamento de Ciência Política, Universidade de São Paulo
Tatiane Cristina Moraes de Sousa Escola Nacional de Saúde Pública
Lorena Barberia Departamento de Ciência Política. Universidade de São Paulo
Jefferson Traebert Programa de Pós-graduação em Ciências da Saúde, Universidade do Sul de Santa Catarina
Josimari Telino de Lacerda Universidade Federal de Santa Catarina, Programa de Pós-graduação em Saúde Coletiva, Florianópolis/SC – Brasil. Observatório COVID-19 BR.

DOI:

https://doi.org/10.1590/SciELOPreprints.1208

Keywords:

Coronavirus Infections, Risk Analysis, World Health Organization, Government

Abstract

Objective: This article proposes to create an instrument to analyze the adequacy of risk classification protocols for COVID-19 to the guidelines of the World Health Organization (WHO) and analyzes the protocol used by Santa Catarina. Method: The descriptive research was composed of three parts: 1) extraction of information regarding risk analysis and COVID-19 from WHO documents; 2) elaboration of an instrument to analyze the adequacy of risk classification protocols for COVID-19 to the WHO guidelines; 3) application of the instrument to the protocol used in the state of Santa Catarina. Results: Five WHO documents were reviewed. The built instrument included five dimensions: risk assessment itself, exposure assessment, context assessment, risk characterization and reliability. Partial information regarding the risk assessment itself and reliability was found in the Santa Catarina government protocol. No information was found regarding the other dimensions. Discussion: The mismatch between the matrix used by the state of Santa Catarina and the WHO risk analysis guidelines is huge. Thus, without an adequate analysis of these factors, the entire strategy for implementing actions can be compromised, exposing the population of the state to risk.