AGREED AND INTEGRATED PROGRAMMING (AIP) AS A TOOL FOR ENSURING COMPREHENSIVE HEALTH CARE IN THE SUS: A CASE STUDY ON IMPROVING CANCER CARE IN THE HEALTH REGION OF FORTALEZA, CEARÁ

Abstract

Cancer is one of the leading causes of morbidity and mortality worldwide. The complexity of treatment and the need for specialized resources pose significant challenges for public health. In this perspective, this study addresses the Integrated Agreed Programming (PPI), an essential process in the Unified Health System (SUS) that aims to organize and quantify health actions for the population, ensuring access to services through inter-managerial agreements. The action research, conducted in partnership with managers and technicians, focuses on updating the PPI to improve cancer care in the Health Region of Fortaleza, Ceará, Brazil. The project, carried out at the Ceará State Health Secretariat (SESA/CE), involved workshops to demystify the PPI and question-and-answer meetings with municipal technicians, aiming at a clear and efficient understanding of the programming process. The analysis of the PPI spreadsheets by the technical area sought to verify the adequacy of procedures and consultations with the agreed values, ensuring the equitable distribution of resources. The results highlight the importance of regionalization and decentralization of health services to promote equity and efficiency. Updating the PPI proved crucial to optimizing care for cancer patients, ensuring that resources are properly directed and used. In this sense, this study reinforces the need for situational strategic planning to address challenges in public health management, contributing to the continuous improvement of the services offered and the enhancement of cancer care.

DOI: 10.56238/edimpacto2025.020-003