IPTSP - Artigos publicados em periódicos

URI Permanente para esta coleçãohttp://200.137.215.59//handle/ri/1311

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Agora exibindo 1 - 20 de 1921

Load-induced medial leg pain in runners: a systematic review of non-invasive treatment approaches
(2026) Teles, Ana Izabel; Carto, João Pedro da Silva; Parpa, Koulla; Santos, Mabliny Thuany Gonzaga; Vasconcelos, Gabriela Souza de
Medial tibial stress syndrome, also known as load-induced medial leg pain (LIMP), is common in runners. This study evaluated the effectiveness of non-invasive, physical therapy–related interventions for LIMP. Searches were conducted in MEDLINE, Cochrane CENTRAL, SPORTDiscus, EMBASE, and Web of Science to June 2, 2025. Randomized trials including runners with LIMP comparing non-invasive interventions were eligible. Primary outcomes were pain and physical function; secondary outcomes included perceived improvement, quality of life, and lower-limb kinematics. Risk of bias was assessed using RoB 2, certainty of evidence with GRADE, and intervention reporting with TIDieR. A narrative synthesis was performed. Of 319 records, three trials (130 runners with LIMP) were included. Most were female (n = 80, 61.54%), with a mean age of 25.7 ± 4.4 years. Arch-support foot orthoses plus multimodal care reduced short-term pain versus sham, but effects were not sustained. Exercise additions were not superior to comparators. No consistent between-group differences were observed for function. Some interventions improved quality of life and biomechanics, without consistent clinical benefits. Evidence for non-invasive LIMP interventions in runners is limited and heterogeneous, with no clearly superior treatment. High-quality trials with standardized outcomes are needed.
Acute and chronic effects of physical exercise on pain in breast cancer survivors during chemotherapy: a systematic review protocol
(2026) Damasio, Nathan Muci Aguiar; Maciel, Vitor Andrade; Viana, Ricardo Borges; Vasconcelos, Gabriela Souza de; Silva, Anderson Garcia; Alves, Rafael Ribeiro; Vieira, Carlos Alexandre
Background Pain is a common and clinically relevant symptom during chemotherapy for breast cancer, negatively affecting quality of life. Although physical exercise is recommended and considered safe during chemotherapy, it may acutely exacerbate pain while potentially reducing it in the long term. Therefore, this study aims to systematically review the acute and chronic effects of physical exercise on pain outcomes in breast cancer survivors undergoing chemotherapy. Methods This protocol follows PRISMA-P guidelines. Searches will be conducted in PubMed, Excerpta Medica dataBASE (Embase), Scopus, Web of Science, and Cochrane Central Register of Controlled Trials (CENTRAL). Eligible studies will include randomized controlled trials enrolling adults with breast cancer undergoing chemotherapy who participate in structured exercise interventions and have pain assessed using objective and/or subjective measures. Risk of bias will be assessed using Cochrane risk-of-bias tool for randomized trials, version 2 (RoB 2), and certainty of evidence using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Discussion By distinguishing short- and long-term effects, the review aims to clarify the role of exercise in pain man- agement during treatment. Anticipated heterogeneity will be addressed through structured risk of bias assessment, subgroup and sensitivity analyses, and evaluation of evidence certainty. Systematic review registration The protocol is registered in PROSPERO (CRD420251102981).
Effects of blood-flow restriction during body-weight semi-squats on post-conditioning drop-jump performance in adolescent female volleyball players
(2026) Michaelides, Marcos; Mosfilioti, Elena; Vasconcelos, Gabriela Souza de; Parpa, Koulla; Intziegianni, Konstantina; Nikolaou, Evaggelos; Hadjikyriakou, Milto; Beato, Marco
This study investigated whether body-weight semi-squats (BWSSs) performed under blood- flow restriction (BFR) conditions were associated with higher post-conditioning drop-jump performance compared with the sham condition in adolescent female volleyball players. Thirteen players completed two experimental conditions (BFR and sham) in a randomized, counterbalanced crossover design. A pre-conditioning baseline jump assessment was not included. The BFR condition consisted of three sets of 16 repetitions with 80% of arterial occlusion pressure (AOP), whereas the sham condition was performed at 20% AOP. In each condition, participants performed one drop jump at 3, 6, 9, 12 and 15 min after the activation protocol. Jump height, impulse, reactive strength index (RSI) and power-related variables were analyzed using repeated-measures ANOVA. A significant main effect of condition indicated that jump height, RSI, impulse, and power-related variables were greater following the BFR than the sham condition across the post-conditioning assessment period. A significant main effect of time was also observed, with lower performance at 3 min compared to later time points. No condition-by-time interaction was found. These preliminary findings suggest that BWSSs performed under BFR conditions were associated with higher post-conditioning drop-jump performance than the sham condition. Low-load BFR exercise may therefore represent a practical strategy when heavy resistance equipment is unavailable. However, because no pre-conditioning baseline assessment was included, the magnitude of performance enhancement from baseline cannot be determined. Therefore, the findings should be interpreted as differences in post-conditioning performance between BFR and sham conditions rather than definite evidence of baseline to post enhancement.
Associação entre instabilidade funcional do tornozelo, carga de treino e saúde em corredores de rua: implicações para a prática fisioterapêutica
(2026) Pereira, Eduardo Araújo; Caldas, Fábio Henrique Marques; Caldas, Maiara de Kássia de Leão; Diniz, Yan Aquino; Klautau, Altair Vallinoto; Vasconcelos, Gabriela Souza de; Santos, Mabliny Thuany Gonzaga; Lameira, Adriana de Oliveira
Considering the significant growth of street running and the high prevalence of musculoskeletal problems associated with this practice, it is essential to understand the clinical and training-related factors involved in this context. In this scenario, the potential influence of ankle functional instability and training load on the functional impact reported by runners is considered relevant. The study aimed to evaluate the association between ankle functional instability, training load and health problems related to sports practice in street runners. An observational, analytical and cross-sectional study was conducted with 45 runners participating in a sporting event in the city of Cametá, Pará. Functional instability of the ankle was assessed by Cumberland Ankle Instability Tool (CAIT-BR), while health problems related to sports practice were monitored by the Oslo Sports Trauma Research Center Questionnaire (OSTRC-BR). Functional ankle instability was identified in 42.2% of the participants, and 68.9% reported running-related health problems. Runners with functional instability showed greater severity of health problems (p = 0.047), with a negative correlation between the CAIT and OSTRC scores (ρ = −0.33; p < 0.05). Training load variables, including weekly mileage and training frequency, were not significantly associated with the severity of health problems (p > 0.05). Functional instability of the ankle is associated with greater functional impact on running practice, highlighting the importance of evaluating joint stability in the physiotherapeutic follow-up of runners.
Promoção da saúde em clubes esportivos: uma revisão narrativa
(2025) Carvalho, Kayo Henrique Silva; Lucas, Rafael Martins; Santana, Mateus Ribeiro; Honorato, Renêe de Caldas; Vasconcelos, Gabriela Souza de; Santos, Mabliny Thuany Gonzaga
The relationship between sports and health promotion can be studied considering: health promotion as an outcome of sports; health promotion through sports; health promotion in sports; collaboration between health institutions and sports and the sports promoter of health. Our purpose was to map and analyze health promotion strategies implemented in sports clubs within the Brazilian context. This is a narrative review, which search in Scielo, Virtual Health Library, and Google Scholar, conducted in February 2025. After the screening process, seven references were analyzed and included. The results show that scientific production on the topic is concentrated on the physical and psychosocial aspects of health, with emphasis on studies that address sport as a tool for improving quality of life and promoting social inclusion. The studies reinforce the potential of sport as a strategy for comprehensive health promotion, encompassing not only disease prevention but also physical, mental, and social well-being. However, there is a noticeable scarcity of studies addressing a more complete level of health promotion through sport in Brazil.
Grupo terapêutico de dança circular na atenção psicossocial: significados da participação na perspectiva dos usuários
(2025) Favoretto, Carolina Cristina Rodrigues; Antunes, Priscilla de Cesaro; Sousa, Johnatan Martins; Caixeta, Camila Cardoso; Nunes, Fernanda Costa
This study aimed to understand the meanings of participation in a circular dance therapy group for the life experience and psychosocial care of users of a Psychosocial Care Center. This is a participatory research study with a qualitative approach, conducted in a Psychosocial Care Center in a municipality in the state of Goiás, Brazil. Eleven users participated, and data collection methods included: group discussions, participant observation, field diary, and analysis of medical records. The data were subjected to thematic content analysis. Two categories were constructed: 1. Emotions and reflections; 2. Listening to and feeling the body, which highlight the meanings of the circular dance group in the lives of the users. The study evidenced the transformative potential of the circular dance group in promoting the well-being and mental health of the users.
Os efeitos da judicialização no orçamento da Secretaria Municipal de Saúde de Canguçu/RS
(2025) Cruz, Cristiano Manetti da; Provin, Mercia Pandolfo; Zara, Ana Laura de Sene Amâncio
Objectives: To identify expenses with the purchase of medicines and supplies by the Municipal Health Department of Canguçu/RS, through legal proceedings, from 2017 to 2021. Methods: It is a quantitative, descriptive, and retrospective study, using the document analysis technique. Secondary data on public costs, available on the Transparency Portal, were used. The amounts spent and the origins of the resources used for the acquisition of these drugs were analyzed. Results: There was an increase of 297.93% in spending on legal proceedings for the acquisition of medicines and pharmaceutical supplies through judicial blockades. Of these, more than 76% refer to antineoplastic medications. The basic care budget increased by 132.41% in this period and the costs of pharmaceutical assistance almost doubled from R$ 854,248.86, in 2017, to R$ 1,524,871.92, in 2021, with a significant increase during the pandemic period. Comparing the expenditure on purchasing medicines through blockages by court permits in 2021 and the amount spent on pharmaceutical assistance in the same period, it is noted that the cost is very similar, but a small portion of the population is served through judicialization. Conclusions: There was a considerable increase in spending on purchasing medicines due to court decisions. The Municipal Health Department is obliged to acquire medicines that do not belong to the Municipal Medication List, through judicial blocking of public accounts, because the government of the State of Rio Grande do Sul does not send these medicines to users with approved lawsuits.
Roda da Vida: instrumento de autocuidado e educação continuada para profissionais de saúde mental
(2025) Sousa, Johnatan Martins; Landim, Joyce Soares Silva; Farinha, Marciana Gonçalves; Lucchese, Roselma; Caixeta, Camila Cardoso; Paranaguá, Thatianny Tanferri de Brito; Nunes, Fernanda Costa; Bezerra, Ana Lúcia Queiroz
Objectives: to analyze the use of the Wheel of Life as a self-care and Continuing Health Education tool for mental healthcare professionals in psychosocial care settings. Methods: qualitative intervention research guided by the Experiential Learning Cycle. Four workshops were held with 30 professionals from two Psychosocial Care Centers in central Brazil. Data collection involved the use of a professional profile questionnaire, the Wheel of Life, and field diary notes. The data were subjected to thematic content analysis. Results: two categories emerged: Repercussions of the Wheel of Life for self-care; and Wheel of Life as an instrument for managing problems. Final Considerations: the study showed that the Wheel of Life is a tool that can be combined with Continuing Health Education processes, in addition to promoting reflections among professionals on the importance of practicing self-care to care for others.
Cuidado centrado na pessoa na atenção psicossocial: o que pensam, sentem e fazem os profissionais?
(2025) Sousa, Johnatan Martins; Farinha, Marciana Gonçalves; Lucchese, Roselma; Paranaguá, Thatianny Tanferri de Brito; Nunes, Fernanda Costa; Bezerra, Ana Lúcia Queiroz
Objective: to understand professionals’ perceptions and experiences regarding person-centered care in psychosocial care. Method: This is a qualitative intervention research study guided by the Person-Centered Clinical Method framework and conducted with 30 professionals from two Psychosocial Care Centers in central Brazil. Experiential workshops, group techniques, field diary notes, and a professional questionnaire were used to collect data, which were then subjected to thematic content analysis. Results: there is an ambivalence between thinking and acting, with some professionals’ thinking based on asylum logic and others on the psychosocial care model. The contrast between positive feelings (e.g., love, hope, faith) and negative feelings (e.g., sadness, fear, danger, and judgment of patients) influences professionals’ practice. Final considerations: actions such as understanding and respecting patients, developing protagonism, individualizing treatment, developing the Singular Therapeutic Project, resocializing, and offering health education promote person-centered care.
Adversidades do isolamento e o papel dos exercícios na qualidade de vida de mulheres idosas
(2025) Libanio, Juliana Paula Balestra Soares; Galvão, Marcus Vinicius Alves; Nunes, Fernanda Costa; Chaveiro, Neuma
OBJECTIVE: To understand older women's perceptions of quality of life in the context of the COVID-19 pandemic. METHODS: This qualitative, exploratory, and descriptive study used a sociodemographic questionnaire and semi-structured interviews for data collection. The interviews were audio recorded, fully transcribed, and analyzed using Bardin’s content analysis methodology. Sixteen older women aged between 60 and 80 from the municipality of Inhumas-GO participated in the study. RESULTS: Most participants (62.5%) were widowed, Catholic, retired, had an income ranging from one to three minimum wages, lived in their own homes, and had an average of two children. The analysis revealed four main categories: material and financial living conditions, intra- and interpersonal relationships, healthy lifestyle habits, and health. CONCLUSIONS: The pandemic significantly impacted the quality of life of elderly women, generating adverse effects related to social isolation, mental health, and financial insecurity. On the other hand, it also fostered coping strategies based on support networks and resilience.
Reflexos do bloqueio da Covid-19 no comportamento alimentar, no aumento de peso e na obesidade em pessoas acima de 18 anos de idade: revisão integrativa
(2025) Fernandes, Liliane Ribeiro; Santana, Fabiana Ribeiro; Sousa, Thaísa Anders Carvalho; Almeida, Géssica Mercia de
Introduction: The Covid-19 pandemic was an unprecedented event that required the implementation of lockdowns. These measures have led to significant changes in people's routines, consumption and purchasing habits, as well as the emotional state of the population. Objective: To summarize, in the world literature, the effects of the Covid-19 blockade on feeding behavior, weight gain and obesity in people over 18 years of age. Method: Integrative literature review of primary studies published in full in Portuguese, English, Spanish, and French between 2020 and 2022. The search was carried out in December 2022 in the Lilacs, MedLine/PubMed, and Capes Periodicals Portal databases. From the selected studies, the following information was extracted: authors, year, country, objective, study design, period, sample characteristics, and main results concerning eating behavior, weight gain, and obesity during and after the COVID-19 lockdown. The AXIS tool for observational studies was used to assess methodological quality. Results: 213 studies were identified and 28 were included. Which showed an increase in the practice of cooking at home, resulting in improvements in the quality of the diet; however, there was an increase in appetite, consumption of snacks and ultra-processed foods. Stress led to emotional eating, favoring the intake of foods high in sugar and fat. Weight gain was relevant, especially in overweight and obese individuals. Conclusion: There have been significant changes in feeding behavior that have had an impact on weight gain and obesity.
Um olhar para o processo de estruturação de grupos na atenção psicossocial
(2025) Sousa, Johnatan Martins; Farinha, Marciana Gonçalves; Vale, Raquel Rosa Mendonça do; Nunes, Fernanda Costa; Esperidião, Elizabeth
The group structure refers to the aspects that enable the formation and permanence of the group and are indispensable for its functioning. The objective of the present study was to describe the process of structuring group practices in Psychosocial Care Centers for Alcohol and Drugs from the perspective of professionals. Thirty workers from four services in the central region of Brazil participated. It consisted in a qualitative study of the research-intervention type. A professional profile questionnaire, conversation circles, and a field diary were used for collecting data, which were subsequently submitted to thematic content analysis. Gaps were evident, pointing to the urgent need for permanent health education on theoretical and practical assumptions of group technology.
Processo de aproximação e parceria com a comunidade para a proteção ao abuso de drogas
(2025) Dias, Paula Cândida da Silva; Caixeta, Camila Cardoso; Silva, Eroy Aparecida da; Vila, Vanessa da Silva Carvalho; Nunes, Fernanda Costa; Sousa, Johnatan Martins
Objective: to describe the process of approaching and establishing a partnership between researchers and a community to develop network strategies for preventing substance abuse, based on community-based participatory research. Method: community-based participatory research conducted with 23 representatives from a neighborhood in the metropolitan region of Goiânia. Data collection involved three audio- and photographic-recorded meetings, participant observation, self-completion forms, and field diary entries. The data were subjected to thematic content analysis using QSR Nvivo software. Results: the thematic category "Approaching Community Partnerships" included three subcategories: "Approaching the Research Process: Strengths and Limitations"; "Feelings of Belonging and Not Belonging to the Community"; and "Ambivalence Regarding Participation in the Research Process." Conclusions: building partnerships with the community proved to be a powerful yet challenging strategy.
Person-centered care in Psychosocial Care Centers: driving factors from the professionals’ perspectives
(2025) Sousa, Johnatan Martins; Farinha, Marciana Gonçalves; Lucchese, Roselma; Landim, Joyce Soares Silva; Nunes, Fernanda Costa; Bezerra, Ana Lúcia Queiroz
Welcoming in the health field, particularly in mental health, is an ethical and fundamental care practice aimed at promoting accessibility, attentive listening, and respect for individual differences. It is not merely a physical space or a specific moment but rather an approach that permeates the entire care relationship between health professionals and individuals using public or private healthcare services to address their needs effectively. This study aims to analyze the factors driving a person-centered approach to the welcoming practice in psychosocial care services from the professionals’ perspective. This qualitative intervention research involved 30 professionals working at two Psychosocial Care Centers in the central region of Brazil. Four workshops were conducted following the Ciclo de Aprendizagem Vivencial [Experiential Learning Cycle] framework. Data collection included a background questionnaire, role-playing techniques, and a field diary. Bardin’s thematic content analysis was applied, leading to the emergence of the thematic category “Factors Driving Person-Centered Care in Psychosocial Care”, which comprises three subcategories: factors related to professionals, work processes, and patients and families. This study identified the potential of implementing person-centered care, highlighting that when professionals recognize the positive aspects of their practice, they feel encouraged to continue fostering a humanized, welcoming practice.
Relação terapêutica e cuidado centrado na pessoa na atenção psicossocial: um olhar para a comunicação
(2025) Sousa, Johnatan Martins; Farinha, Marciana Gonçalves; Pinho, Eurides Santos; Paranaguá, Thatianny Tanferri de Brito; Nunes, Fernanda Costa; Bezerra, Ana Lúcia Queiroz
Objective: to analyze the types of communication used by mental health professionals during psychosocial care, from the perspective of person-centered care. Method: qualitative intervention research. Thirty professionals from two Psychosocial Care Centers in central Brazil participated. Four meetings were implemented in a workshop format, and data collection was carried out using a professional profile questionnaire, a group technique for pairing typical communication forms, and notes in a field diary, which were submitted to thematic content analysis. Results: the types of communication used were: threats, moral lessons, ignoring the user's problem, giving orders, contradictory statements, advice, suggestions, disingenuous support, incisive communication, non-judgmental communication, redirecting parents’ attention of children and adolescents treated at the Psychosocial Care Center, and supportive and clarifying communication. Conclusions: the study made it possible to broaden the understanding of the types of communication used by mental health teams during care.
Disponibilidade de fitoterápicos e plantas medicinais na atenção básica do estado de Goiás: resultados do PMAQ-AB
(2025-12) Silva, Brunna Costa e; Santana, Fabiana Ribeiro; Assis, Thaís Rocha; Siqueira, Claudio Morais
Introduction: The availability of medicinal plants and phytotherapeutic compounds is already established in Brazil’s Unified Health System (SUS) and relies on public policies and programs for its implementation. Objective: The aim of this study was to show whether the availability of herbal medicines and medicinal plants actually occurs in the basic health units in the State of Goiás. Methods: An ecological study was carried out on the basis of results of the Program for Improving Primary Care Access and Quality (PMAQ-AB), in its three cycles. Results: There was low availability of phytotherapeutic medicines in the State of Goiás, in all three cycles (<20) of the municipalities in the State, considering that not all the units in the cities had herbal medicines available. In cycle 1, 53.42% (n=39) were available, while in cycle 2 there was a drop to 26.03% (n=19) and a slight increase in cycle 3 to 41.10% (n=30). Conclusions: This study showed that the low availability of herbal medicines and the lack of investment in continuing education for professionals may be a reflection of low government investment in expanding the practice in the state.
Pesquisa Participativa Baseada na Comunidade: desvendando a construção do Comitê de Assessoria Comunitária para a proteção ao abuso de drogas
(2025-06) Paula Cândida da Silva Dias, Johnatan Martins Sousa; Caixeta, Camila Cardoso; Silva, Eroy Aparecida da; Vila, Vanessa da Silva Carvalho; Nunes, Fernanda Costa; Sousa, Johnatan Martins
It is important to mobilize several formal and informal institutions to formulate actions aimed at the problems arising from drug abuse and addiction from the perspective of building networks. Therefore, the alliance between a Higher Education Institution (HEI) and the community is essential to build scientific knowledge based on everyone's experiences. Therefore, the objective was to describe the process of building the Community Advisory Committee (CAC) to formulate strategies for forming networks to protect against drug abuse. This is a community-based participatory research conducted with 23 people from a neighborhood in the metropolitan region of Goiânia, in central Brazil. To build the data, three meetings were implemented, recorded in audio format, photos and notes in a field diary, and participant observation and self-completion forms were used. The data were subjected to thematic content analysis, with the help of the QSR Nvivo software. The thematic category “Formation of the Community Advisory Committee” emerged, revealing the dynamics of the natural formation of a group. The study made it possible to understand the group's own movement towards the creation of the Community Advisory Committee (CAC), in which the suggestions and demands of its members were welcomed during the investigative process.
A gestão da saúde bucal nos municípios do Estado de Goiás no quadriênio 2018-2021: uma análise dos instrumentos de planejamento do Sistema Único de Saúde (SUS)
(2025) Costa, Héllen Jhuly Ferreira da; Martorell, Leandro Brambilla; Azevedo, Nunes de
Introduction: The planning instruments of the Unified Health System (SUS) play a central role in organizing, strategically guiding, and ensuring the quality and effectiveness of health services in Brazil, including oral health care. However, in some regions, access to oral health services may be unequal due to a lack of equity strategies within the planning instruments. This is because oral health may not be adequately addressed by management, resulting in insufficient resources allocated to this area. Objective: To analyze the SUS planning instruments of municipalities in Goiás regarding oral health care. Methodology: An exploratory study was conducted, involving documentary analysis of Municipal Health Plans (PMS) and Annual Management Reports (RAG) of municipalities in Goiás from 2018 to 2021. Results: Out of 246 municipalities in Goiás, only the PMS of 167 could be analyzed. A significant variation was observed in how objectives, goals, actions, and indicators related to oral health were described. The most frequent oral health indicator was "estimated population coverage of oral health in primary care." Among the municipalities analyzed, only 29 managed to meet their health goals. Conclusion: The study highlights the need for greater standardization and clarity in the development of PMS, especially concerning oral health.
Saberes, práticas e desafios da promoção da saúde no território Quilombola Kalunga
(2025) Passos, Vânia Marra; Santana, Fabiana Ribeiro; Rezende, Hamilton José Amorim; Tavares, Naraiana de Oliveira; Assis, Thaís Rocha
Objective: The aim of this study was to analyze the place of health promotion in the remaining quilombo communities of Kalunga, Goiás, Brazil. Methods: It is action research with a qualitative approach, developed with quilombola leaders, social control, managers and workers from the Unified Health System (SUS) in the municipalities of Monte Alegre de Goiás, Teresina de Goiás and Cavalcante. Between November 17 and 25, 2021, 15 individual interviews and six collective interviews were conducted, with the participation of 35 individuals. Participant observation was also carried out and recorded in a field diary. Results: The content analysis pointed to the theoretical inconsistencies in the concept of health promotion, the absence of public policies for health equity in the quilombola territory and the inability of the state to address the social determinants of health that interfere in the health-disease-care process of the remaining quilombola communities. The research also identified the knowledge and practices of quilombola workers, managers and leaders in line with the health promotion framework. It is noteworthy that health inequalities are addressed by quilombola leaders and communities themselves, and that traditional knowledge serves as a tool to promote health in the territory. Conclusion: The importance of participatory health planning in quilombola communities is highlighted, as well as the need to strengthen intersectoral partnerships to achieve equity, social justice and well-being.
Os desafios para a promoção da saúde no SUS: análise do financiamento federal de custeio do Programa Academia da Saúde de 2021 a 2024
(2025) Carvalho, Fabio Fortunato Brasil de; Parreira, Fernanda Ramos; Bocalini, Danilo Sales; Vieira, Leonardo Araújo
The Health Academy Program (PAS), a health promotion strategy, faces financing as a challenge. Therefore, the objectives were to present the number of centers built, accredited and funded, as well as to analyze the temporal evolution and the regional and national distribution of PAS funding from 2021 to 2024. Through an exploratory descriptive study with a quantitative approach, an increase in the number of centers built was observed, although the same was not true for accredited centers. The total annual funding reached up to BRL 50.1 million, with the Northeast region having the highest proportion of accredited and funded centers. In conclusion, significant limitations were revealed in achieving the objectives of the PAS, particularly the low number of accredited centers.

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