ATENÇÃO PRIMÁRIA À SAÚDE; MODELO DE CUIDADO DE CONDIÇÕES CRÔNICAS

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GONÇALVES, A. C. de O. et al. Implementation Science in the Development of a Care Pathway for Chronic Chagas Disease: An Experience from a Municipality in Minas Gerais. Revista da Sociedade Brasileira de Medicina Tropical, v. 59, p. e0381–2025, 2026. Disponível em Scielo

Background: Chagas disease (CD) is a neglected endemic infectious disease. Primary health care (PHC) is responsible for delivering care to patients with CD in an integrated manner with other levels of the health system. We aimed to describe the use of implementation science (IS) as a tool for developing a care pathway for patients with CD from the perspective of the Brazilian Chronic Care Model (BCCM). Methods: This study was conducted in the large municipality of Minas Gerais, Brazil. A diagnostic phase was conducted to identify barriers and facilitators related to CD care. The findings from this stage were analyzed using IS frameworks. Subsequently, the BCCM was adapted as a logical model to guide the creation of a care pathway. Health managers and professionals from the municipalities were trained to implement the proposed actions. After implementation, process and outcome indicators were monitored over a 12-month period. Results: IS proved to be an effective strategy for applying BCCM to patients with CD in PHC settings. A total of 267 health professionals were trained. After the intervention, the following indicators increased: risk factor screening, serological testing, diagnosis, and antiparasitic treatment for CD. Conclusion: The development of a CD care pathway using IS tools integrated with the BCCM enabled the incorporation of processes into PHC and suggested that this model may be replicated in other contexts as well as for other chronic conditions requiring longitudinal care.

CONTROLE DE VETORES DE DOENÇAS; TRIATOMINAE; DESENVOLVIMENTO TECNOLÓGICO; APLICATIVOS MÓVEIS

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GURGEL-GONÇALVES, R. et al. New technologies for identification and surveillance of Chagas disease vectors. Revista da Sociedade Brasileira de Medicina Tropical, v. 59, p. e0597–2025, 2026. Disponível em Scielo

Technologies are essential for surveillance of vector-borne diseases. The increasing frequency of triatomine house invasion in the Americas highlights the need to strengthen surveillance strategies. This narrative review examines how emerging technologies can improve identification and reporting of Chagas disease vectors. We analyzed studies published between 2015 and 2025 on digital tools for triatomine surveillance. Technologies were grouped by purpose: (1) identification apps (TriatoKey, TriatoDex, automated identification); (2) community engagement platforms (WhatsBarb, TriatoChat); and (3) institutional surveillance systems (SISVetor-Chagas, GeoVin, Triatomine Information Posts). We summarize their characteristics, applications, knowledge gaps, and potential integration with national surveillance systems, and discuss implications for public health policy. Digital innovation and citizen-based surveillance may support improved prevention and control of vector-borne Chagas disease.