Evaluation of vaccination rooms in primary health care units

Keywords: Health Services Research, Vaccination, Immunization, Immunization Programs.

Abstract

Objective: to evaluate the vaccination rooms of primary health care units. Methods: evaluative research, in which the Structure and Process in 89 vaccination rooms of six Regional Health Coordination Centers were evaluated through supervision of vaccine rooms of the Ministry of Health of Brazil. Results: most of the professionals were nursing technicians (76.4%) without training in vaccination (31.5%). In the Evaluation of General Aspects/Technical Procedures, decoration objects (43.8%), absence of bench (22.5%), and insufficient number of vaccines (41.6%) were observed. In the evaluation of the Cold Chain, inadequate cleaning of refrigerators (71.9%) and inappropriate temperatures (48.8%) were found. Conclusion: the evaluation of vaccine rooms showed that the structure of the General Aspects/Technical Procedures and Cold Chain components presented good classification, while the evaluation of the process of these components indicated a regular classification.

Author Biography

Maria de Fátima Pereira de Sousa Galvão, Universidade Federal do Ceará

 

 

References

Carvalho ALB, Shimizu HE. A institucionalização das práticas de monitoramento e avaliação: desafios e perspectivas na visão dos gestores estaduais do Sistema Único de Saúde (SUS). Interface. 2017; 21(60):23-33. doi: https://dx.doi.org/10.1590/1807-57622015.0817

Oliveira VC, Gallardo MDPS, Alcêncio RA, Gontijo TL, Pinto IC. Avaliação da qualidade de conservação de vacinas na atenção primária à saúde. Ciênc Saúde Coletiva. 2014; 19(9):3889-98. doi: http://dx.doi.org/10.1590/1413-81232014199.12252013

Donabedian A. Criteria, norms and standarts of quality: what do they mean. Am J Public Health [Internet]. 1981 [cited Nov 13, 2018]; 71(4):409-12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1619670/pdf/amjph00664-0059.pdf

Ministério da Saúde (BR). Programa de Avaliação do Instrumento de Supervisão Salas de Vacina: manual do usuário [Internet]. 2003 [citado 2018 nov 13]. Disponível em: https://www.pni.datasus.gov.br/Download/Paissv/PAISSV-Instrumento.doc

Almeida MG, Araújo TME, Nunes BMVT, Moura MEB, Martins MCC. Knowledge and professional practice on conservation of vaccines. J Res Fundam Care Online. 2014; 6(suppl):10-21. doi: http://dx.doi.org/10.9789/2175-5361.2014.v6i5.10-21

Brito MFP, Gerin L, Couto ECA, Cunha IS, Corsini MCMM, Gonçalves MC. Caracterização das notificações de procedimentos inadequados na administração de imunobiológicos em Ribeirão Preto, São Paulo, 2007-2012. Epidemiol Serv Saúde. 2014; 23(1):33-44. doi: http://dx.doi.org/10.5123/51679-49742014000100004

Deus SEM, Marques ADB, Teixeira JCL, Deis PRM, Moraes MEA, Macedo DF. Study of the procedures for conservation of vaccines of the National Immunization Program. Rev Enferm UFPE on line [Internet]. 2016 [cited Nov 13, 2018]; 10(3):1038-46. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/viewFile/11056/12472

Ministério da Saúde (BR). Manual de Normas e Procedimentos para Vacinação [Internet]. 2014 [citado 2018 nov 13]. Disponível em: http://portalsaude.saude.gov.br/images/pdf/2014/dezembro/11/Manual-procedimentos-vacinacao-web.pdf

Domingues CMAS, Teixeira AMS. Coberturas vacinais e doenças imunopreveníveis no Brasil no período 1982-2012: avanços e desafios do Programa Nacional de Imunizações. Epidemiol Serv Saúde. 2013; 22(1):9-27. doi: http://dx.doi.org/10.5123/S1679-49742013000100002

Ministério da Saúde (BR). Manual de vigilância epidemiológica de eventos adversos pós-vacinação [Internet]. 2013 [citado 2018 nov 13]. Disponível em: https://www.saude.pr.gov.br/arquivos/File/-01VACINA/manual_Eventos_adversos.pdf

Giordani AT, Sonobre HM, Ezaias GM, Valério MA, Andrade D. The nursing team’s compliance with hand hygiene: motivational factors. Rev Rene. 2014; 15(4):559-68. doi: http://dx.doi.org/10.15253/2175-6783.2014000400002

Ventola CL. Immunization in the United States: recommendations, barriers, measures to improve compliance. Pharm Ther [Internet]. 2016 [cited Nov 13, 2018]; 41(7):426-36. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927017/

Ministério da Saúde (BR). Manual de rede de frio [Internet]. 2013 [citado 2018 nov 13]. Disponível em: https://www.bvsms.saude.gov.br/bvs/plublicações/manual_rede_frio4ed.pdf

Yakun MN, Ateudjieu J, Pélagie FR, Walter EA, Watcho P. Factors associated with the exposure of vaccines to adverse temperature conditions: the case of North West region, Cameroon. BMC Res Notes. 2015; 8:277-83. doi: http://dx.doi.org/10.1186/s13104-015-1257-y

Departmente of Health and Ageing (AU). National vaccines storage guidelines - strive for 5. Canberra: Imumunise Australia Program [Internet]. 2013 [cited Nov 13, 2018]. Available from: http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/content/Available from: cnt

Tuells J. Visibilidad de la cadena de frío vacunal em España. An Sist Sanit Navar. 2013; 2(36):309-20. doi: https://dx.doi.org/10.4321/S1137-66272013000200014

Published
2019-02-25
Section
Research Article