Health professionals in the process of vaccination against hepatitis B in two basic units of Belo Horizonte: A qualitative evaluation

Revista Brasileira de Epidemiologia

Freitas, Maria Imaculada de Fátima¹  Lages, Annelisa Santos¹  França, Elisabeth Barboza¹ 

[1] Universidade Federal de Minas Gerais, Belo Horizonte, BRAZIL

关键词: Vaccination;    Health services research;    Qualitative research;    Hepatitis B;    Immunization coverage;   

DOI  :  10.1590/S1415-790X2013000200012

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

According to the Vaccine Coverage Survey, performed in 2007, the immunization coverage against hepatitis B in Belo Horizonte, for infants under one year old, was below the level proposed by the Brazilian National Program of Immunization. This vaccine was used as basis for evaluating the involvement of health professionals in the process of vaccination in two Basic Health Units (UBS, acronym in Portuguese) in the city. This study is qualitative and uses the notions of Social Representations Theory and the method of Structural Analysis of Narrative to carry out the interviews and data analysis. The results show flaws related to controlling and use of the mirror card and the parent orientation, and also the monitoring of vaccination coverage (VC) and use of VC data as input for planning health actions. It was observed that the working process in the UBS is focused on routine tasks, with low creativity of the professionals, which includes representations that maintain strong tendency to value activities focused on the health of individuals to the detriment of public health actions. In conclusion, the vaccination process fault can be overcome with a greater appreciation of everyday actions and with a much better use of local information about vaccination, and some necessary adjustments within the UBS to improve public health actions.

【 授权许可】

Unknown