WOMEN'S HEALTH SURVEILLANCE IN THE SUS: INTEGRATION BETWEEN PRIMARY CARE AND CARE NETWORKS

Abstract

Women's health surveillance within the Brazilian Unified Health System (SUS) plays a strategic role in promoting, preventing, monitoring, and providing comprehensive care, with the integration between primary care and healthcare networks being essential. This study is a systematic literature review covering national and international publications from 2021 to 2026, including scientific articles, institutional reports, guidelines, and official documents. The search used descriptors related to health surveillance, primary care, care networks, social participation, and women's health policies, with inclusion and exclusion criteria defined to ensure relevance and updated information. Results show that primary care functions as the central axis of surveillance, allowing longitudinal monitoring of women, implementation of preventive actions, and integration with specialized services. Social participation emerges as a critical factor, strengthening community oversight, accountability, and contextualization of health interventions. Informatics systems, such as SINAN and maternal health surveillance panels, enable continuous monitoring, data analysis, and evidence-based decision-making. However, structural and operational challenges, including workload, service fragmentation, and insufficient standardization of workflows, limit the effectiveness of these actions. In conclusion, women's health surveillance in SUS depends on the articulation of public policies, professional training, community participation, and strategic use of technologies. Future research should consider multicenter longitudinal studies evaluating the impact of integrating primary care and care networks on maternal and gynecological health indicators, contributing to the improvement of policies and practices within SUS.