0226/2021 - ASPECTOS DIFERENCIAIS DO ACESSO E QUALIDADE DA ATENÇÃO PRIMÁRIA À SAÚDE NO ALCANCE DA COBERTURA VACINAL DE INFLUENZA DIFFERENCES IN THE ACCESS AND QUALITY OF PRIMARY HEALTH CARE IN THE REACH OF COVERAGE TARGETS FOR INFLUENZA VACCINE
É observada queda nos percentuais de cobertura vacinal no Brasil, num cenário de crescimento progressivo da cobertura da Atenção Primária à Saúde (APS), lócus onde grande parte das ações de vacinação ocorre. Investigou-se as diferenças nos perfis de acesso e qualidade da APS entre municípios que atingiram ou não as metas de cobertura vacinal para influenza em 2019. Neste estudo ecológico, comparou-se variáveis potencialmente preditoras do alcance da meta de cobertura vacinal para influenza, considerando as dimensões de acesso, qualidade e características do município. Para todos os grupos, o conjunto de municípios que atingiu a cobertura preconizada tinha maiores coberturas de APS e de Estratégia de Saúde da Família e maior número de Agentes Comunitários de Saúde por mil habitantes. Também realizavam mais busca ativa de crianças com calendário vacinal atrasado, registravam a vacinação em dia das gestantes, o horário de funcionamento da unidade atendia às expectativas do usuário, havia maior satisfação do usuário com o cuidado recebido e maior percentual da população com acesso à coleta de lixo. As variáveis identificadas podem servir de apoio para a tomada de decisão quanto à organização dos serviços de APS na busca de ampliar as coberturas vacinais para influenza.
Palavras-chave:
Cobertura Vacinal; Atenção Primária à Saúde; Vacinas contra Influenza
Abstract:
The drop in the percentages of vaccination coverage in Brazil has been described, in a scenario there is progressive growth in the coverage of Primary Health Care (PHC), the locus most of the vaccination actions occur. This article investigated the differences in PHC access and quality profiles among municipalities that reached or did not reach coverage targets for influenza in 2019, stratified by vaccination priority groups. In this ecological study, we compared predictors of reaching the goal of vaccination coverage for influenza, considering access, quality, and characteristics of the municipality. For all groups, the set of municipalities that reached the targets had greater PHC and Family Health Strategy coverage and a greater number of Community Health Agents per thousand inhabitants. They also carried out more active searches for children with delayed vaccination schedules, registered the vaccination of pregnant women on the same day, had unity opening hours that met the expectations of the user, showed greater user satisfaction with the care received and a had a higher percentage of the population with access to collection of trash. The identified variables may support decision making about the organization of PHC services with the purpose of expanding vaccine coverage for influenza.
Keywords:
Vaccination coverage; Primary Health Care; Influenza Vaccines
DIFFERENCES IN THE ACCESS AND QUALITY OF PRIMARY HEALTH CARE IN THE REACH OF COVERAGE TARGETS FOR INFLUENZA VACCINE
Resumo (abstract):
The drop in the percentages of vaccination coverage in Brazil has been described, in a scenario there is progressive growth in the coverage of Primary Health Care (PHC), the locus most of the vaccination actions occur. This article investigated the differences in PHC access and quality profiles among municipalities that reached or did not reach coverage targets for influenza in 2019, stratified by vaccination priority groups. In this ecological study, we compared predictors of reaching the goal of vaccination coverage for influenza, considering access, quality, and characteristics of the municipality. For all groups, the set of municipalities that reached the targets had greater PHC and Family Health Strategy coverage and a greater number of Community Health Agents per thousand inhabitants. They also carried out more active searches for children with delayed vaccination schedules, registered the vaccination of pregnant women on the same day, had unity opening hours that met the expectations of the user, showed greater user satisfaction with the care received and a had a higher percentage of the population with access to collection of trash. The identified variables may support decision making about the organization of PHC services with the purpose of expanding vaccine coverage for influenza.
Palavras-chave (keywords):
Vaccination coverage; Primary Health Care; Influenza Vaccines
Oliveira, W. T. G. H. de, Oliveira, S. B. de, Sanchez, M.N. ASPECTOS DIFERENCIAIS DO ACESSO E QUALIDADE DA ATENÇÃO PRIMÁRIA À SAÚDE NO ALCANCE DA COBERTURA VACINAL DE INFLUENZA. Cien Saude Colet [periódico na internet] (2021/jun). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/aspectos-diferenciais-do-acesso-e-qualidade-da-atencao-primaria-a-saude-no-alcance-da-cobertura-vacinal-de-influenza/18125?id=18125&id=18125
