PNCD implementation was partial in both municipalities; problems observed indicate the need for program enhancement. Dengue is endemic in most countries of Latin America, South-East Asia and Central Africa, where epidemics occur in large and small cities.
Of this total, it is estimated that 96 million are apparent infections and at least 20, progress to death. These include operational actions related to integrated surveillance, entomological surveillance, environmental surveillance, assistance to the sick, health education, communication and social mobilization, training of professionals, political and social support and monitoring and evaluation.
Most of their funding comes from the federal level. PNCD priority municipalities include those located in the international border area, because they are considered to be prone to the introduction of the disease. Regarding the magnitude of its presence in the Brazilian border areas, among mandatory notifiable diseases dengue was the second most reported in these locations between and , 6 surpassed only by malaria.
In , the mean dengue incidence rate in the twin frontier cities was 1. The vulnerability of border area municipalities to dengue fever epidemics, as well as the absence of PNCD evaluative studies on this region, justify research being performed with the aim of contributing to PNCD improvement.
This was a normative evaluation study measuring the degree of PNCD implementation in two border municipalities of Mato Grosso do Sul State with regard to service structure and work process, 8 from November to December The following criteria were adopted in order to select the municipalities: municipal territory being directly on the international border and being a priority city for PNCD in Mato Grosso do Sul.
