Creation of a model of environmental health INDICATOR (ISA) adapted to the context of small municipalities (ISA/MPP)

Abstract

Environmental sanitation should not be provided only as provision of drinking water supply, sewage collection and treatment, rainwater management and waste management. In Brazil, a National Basic Sanitation Policy - PNSB, which regulates the rules on the exercise of inspection, planning and management of the sector, was instituted through Law nº 11.445 / 07. The National Basic Sanitation Plan - PLANSAB, published in 2013, estimates the monitoring of indicators on the execution and management of sanitation services. Monitoring fence, displayed as an assessment tool or Environmental Health Indicator - (ISA), developed by the Technical Planning Chamber of the State Sanitation Council of the State of São Paulo (CONESAN), in 1999. ISA allows you to check health conditions at the municipal level, uniformly identify and evaluate the sanitation conditions of each municipality. Given the need to better understand the reality of small-sized municipalities on sanitation and environmental services, this article shows how to discuss and propose an ISA model that can use the basis for the preparation of municipal basic sanitation plans - PMSBs and specific public policies aimed at these municipalities The applied methodology involves bibliographic review; data collect; adaptation of ISA CONESAN to create the Environmental Health Indicator model for small municipalities - ISA / MPP, structuring indicators and calculation plans; and application test of the model created in the municipalities of Paraíba. ISA / MPP proved to be viable in the context of both small and large municipalities. How the proposed adaptations were able to meet the need to include available data and indicators that consider peculiarities of small municipalities.