Health environmental indicator in 21 municipalities in the state of Goiás with basic public sanitation services operated by the prefectures

ABSTRACT This study evaluated the environmental health conditions of 21 municipalities in the state of Goiás with basic public sanitation services operated directly by the Prefectures. The Environmental Health Indicator (ISA) proposed by CONESAN was adapted according to the availability of the existing data. The situations found were: 9.5% of healthy municipalities, 28.6% with average health and 61.9% with low health, and the indicators that most influenced the results were those of sanitary sewage and solid waste. The study showed the importance of researching on the health situation and allowed to verify which services deserve to receive immediate interventions and, therefore, both economic and technical investment in the municipal systems studied.

摘要 本研究针对巴西戈亚斯州（Goiás）21个由市政厅直接运营基础公共环境卫生服务的市镇，开展了环境卫生状况评估。研究中依据现有数据的可获取性，对巴西全国环境卫生委员会（CONESAN）提出的环境卫生指标（Environmental Health Indicator, ISA）进行了适配调整。评估结果显示：9.5%的市镇环境卫生状况优良，28.6%处于中等水平，61.9%为低水平；其中对整体评估结果影响最为显著的指标为生活污水处理与固体废物管理两项。本研究证实了开展环境卫生状况调研的重要价值，同时明确了亟需开展即时干预的服务领域，可为本次研究涉及的各市政卫生系统提供经济与技术投入的决策依据。