Implementação do ciclo de monitoramento da vigilância epidemiológica do Distrito Federal: relato de experiência

Abstract

Objective: to describe the implementation process of the Monitoring Cycle (MC) in the epidemiological surveillance of the Federal District, Brazil. Keywords: Monitoring; Health planning; Epidemiological surveillance; Health management. Final considerations: the MC contributed to organizing management processes, strengthening governance, and improving decision-making in epidemiological surveillance in the DF, highlighting the potential of monitoring as a structural component of health management within the Brazilian Unified Health System (SUS). Results: the implementation occurred in three phases: planning, verification, and adjustment, resulting in the consolidation of strategic axes, formalization of an action plan, institutionalization of a periodic monitoring routine, and greater alignment among management instruments. Greater articulation between management instruments and organizational levels was observed. Challenges included staff workload, shortage of data analysis specialists, and the need to strengthen an evaluation culture. Methods: this is an experience report conducted between 2021 and 2025 within the Health Department of the Federal District, involving managers, technical staff, and residents. Planning workshops and four-monthly monitoring meetings were carried out using participatory methodologies and management tools to develop action plans and monitor institutional indicators. Results: the implementation occurred in three phases: planning, verification, and adjustment, resulting in the consolidation of strategic axes, formalization of an action plan, institutionalization of a periodic monitoring routine, and greater alignment among management instruments. Greater articulation between management instruments and organizational levels was observed. Challenges included staff workload, shortage of data analysis specialists, and the need to strengthen an evaluation cultureFinal considerations: the MC contributed to organizing management processes, strengthening governance, and improving decision-making in epidemiological surveillance in the DF, highlighting the potential of monitoring as a structural component of health management within the Brazilian Unified Health System (SUS).