MICROPLANNING WORKSHOPS: STRUCTURING CARE PATHWAYS AS A STRATEGY FOR VIRAL HEPATITIS ELIMINATION

Introduction and Objectives

Viral hepatitis represents a significant public health issue in Brazil. Considering the territorial diversity and challenges in service organization, specific strategies are necessary to support states and municipalities in addressing the disease.To present the experience of microplanning workshops conducted by the Ministry of Health to support the development and implementation of the Viral Hepatitis Care Pathway (VHCP) across territories as a strategy to eliminate the disease by 2030.

Materials and Methods

The workshops use active learning methodologies, including dialogued presentations and group dynamics, to identify challenges, facilitators, and strategies for implementing the VHCP. Activities were adapted to each state’s context. To evaluate learning, a questionnaire with 10 questions on viral hepatitis was administered before and after the theoretical content.

Results

In 2024, six workshops were held, five in the North Region (Acre, Amapá, Pará, Rondônia, and Roraima) and one in the Southeast (including Rio de Janeiro, São Paulo, Espírito Santo, and Minas Gerais), training around 500 professionals. There was a significant increase in knowledge about viral hepatitis. Challenges identified included high staff turnover, shortage of qualified teams, difficulty accessing remote populations, low adherence to testing and vaccination efforts, and lack of protocols. Facilitators included the availability of supplies, vaccination, training sessions, dialogue with communities, and the presence of professionals in management roles. In 2025, the Guide for the Elimination of Viral Hepatitis was launched, along with an operationalization workshop for managers. Six more workshops are planned for the second semester, and a Best Practices Seal will be awarded to health regions that formalize the care line in CIB (Bipartite Interagency Commission).

Conclusions

The workshops and the guide strengthen the organization of services and contribute to the elimination of viral hepatitis. The Best Practices Seal recognizes the efforts of territories in responding to the disease.

Conflict of interest: None