UFMG – Federal University of Minas Gerais
Project Strategies to increase immunization coverage for children under two in the state of Minas Gerais: an action studyThe Department of Maternal and Child Nursing and Public Health, in collaboration with the State Department of Health (SES) in Minas Gerais, aims to increase immunization coverage for children under the age of two in the state. Through the investigation, an action plan has been implemented in eight regional municipalities to improve immunization indicators for children living in the state.
Fernanda Penido explains that the National Immunization Program (PNI), created in 1973, is recognized as one of the most complete, collective and individual activities in the world that has ensured high vaccine coverage for almost all immunobiological over the decades and, as a result, gradually declined. Incidence and mortality of vaccine-preventable diseases.
“However, Primary Health Care (PHC) faces a progressive uncertainty that could affect the immunization status of population groups in the region covered by these services,” the professor stressed. There are many factors that can contribute to the decline Vaccine coverage rates of the Brazilian population of relevant, historical, socio-cultural, environmental, health system / institutional, economic, political and personal nature. “
Along with Fernanda Penido, other members of the Center for Studies and Research in Vaccination (NUPSV) participated in the project: Professor Sheila Aparesida Masardi Ferreira, Ed Wilson Vieira and Teresia Morera Ribeiro da Silva, Postdoctoral Rিন্দsilিলa Palhoni.
The study is being conducted in eight regions in the state of Minas Gerais with low vaccination coverage: Governor Valladares, Alfenas, Sওo Joওo del-Rey, Barbasena, Pasos, Ituiutaba, Coronel Fabriciano and Leopoldina. It has support from the superintendent, regional health management and SES-central level. Action is monitored and evaluated by the Vaccine Analysis and Monitoring Group (GAMV, Central and Regional Level).
After the action is taken by the municipality, qualitative and quantitative analysis will be done to verify the effect of the action plan on the vaccine coverage indicators. “Initially, coverage was calculated in the regional health management of Minas Gerais. Vaccination coverage for children under the age of two was considered low if it fell short of the PNI target for immunobiological recommended in Brazilian municipalities. Periodic trends were also estimated for the exact number of monthly doses of each vaccine for the previous period, and they will be estimated in the time after the intervention, ”Fernanda explained.
In addition to calculating immunization coverage for children under the age of two in the municipality of the area covered, the project creates training activities for professionals who work with immunizations to control and prevent immunizations and clarify doubts about the importance of childhood. Safe administration of immunizations and vaccines.
According to Herica Vieira Santos, undersecretary of state for health surveillance, the workshops help municipalities know their realities and expand vaccination and plan measures to protect against infectious diseases such as polio, measles and tuberculosis. “We want health professionals to focus on immunizations, which are key to health. And team training needs to be prioritized, which should always be updated so that the population can have confidence in the professionals who are applying immunobiological applications for children, “said Herica Santos.
Risk of disease recurrence
Professor Fernanda Penido emphasizes that the national decline in vaccine coverage rates in recent years points to a problem for animal immunity and the risk of recurrence of still controlled or eradicated diseases. In addition to the observations, he highlighted that strategies for improving indicators and evaluating the impact of these strategies are essential, comparing vaccination rates before and after the intervention.
The project coordinator further explained that there are several possible reasons for low vaccination coverage in this population group, such as low awareness and the way health systems are organized, especially in countries like Brazil, where 61% of children and adolescents suffer from socio-economic vulnerability. Lives. “Given the complexities experienced in the country, with significant reductions in coverage among children, there is growing concern about strategies to increase immunization coverage among children under the age of two, particularly through the expansion of access to health services. Regardless of the health care, the type of vaccine used and the social status of the children, “said Fernanda Penido.