Avaliaçao das unidades de coleta do Programa de Triagem Neonatal no Estado do Rio de Janeiro.

Objectives: evaluate the Structure and process of collection centers with focus on Specimen collection, u transportation of tests and active search in the state of Rio de Janeiro's Neonatal Screening Program (PTN-RJ). Methods: 66 of the 422 collection centers were chosen, according to type, location and workload volume. The evaluation tool employed during the a research included: semi-structured questionnaires, guidelines for direct observation and document review. Scores were generated for both structure and process components assessment at each collection d center. Median scores were then calculated, evaluated for internal analytical consistency, score correlation between structure and process components. Results: the overall median score (maximum of 100) was 69.1 (variation: 50.5-86.6) for structure and e 63.9 (variation 46.9-77.4) for process components. The performance of each collection center showed A consistency among centers with similar structure. Maternity centers and Family Health Program Units C (PSF) showed superior performance in their process components, with collection centers type B (UCB) (showing lower performance with the same group of components. The Cronbach alpha coefficient indicated a high consistency of among the assessment tools for structure (alpha= 0.93) and process components (alpha=0.81). The structure and process components scores showed weak correlation (Pearson coefficient = 0.44; Spearman = 0.42). Differences in mean scores among types of collection center showed considerable magnitude, but without statistical significance (p0.387). Conclusions: the overall performance in structure A and process components was satisfactory. Deficiencies were found in professional training and in availability of specimen collection and educational material. [ABSTRACT FROM AUTHOR]