Vaccination as a scheduled demand: a day in the life of users

Abstract

Objectives: to understand vaccination as a scheduled demand and access to this demand in a day in the life of health services, from the perspective of users. Methods: holistic-qualitative multiple case study, based on the Quotidian Comprehensive Sociology, with 74 users from four health microregions of the Extended Western Region of Minas Gerais State. Results: scheduling vaccination demand in a day in the life of services is compromised by the fragility in data record, by computerized systems underutilization and by the loss of the immunization tracking card, resulting in missed opportunities of immunization and unnecessary revaccinations. The Primary Health Care team’s non-involvement also compromised access to this action. Final Considerations: there is a need for more effort to be dispensed with for the effective use of computerized systems and Permanent Education of professionals in order to take advantage of all the opportunities of orientations and referrals of users to the vaccination room.

Barriers and facilitators to vaccination in Latin America: a thematic synthesis of qualitative studies

“…Some participants stated that vaccines could cure diseases 38 . Vaccination were described as an expression of good parenting 42 , a value 43 , 44 and a requirement for access to important benefits, such as admission to school 35 , 45 or the labor market 47 and inclusion in social welfare programs 48 . The decision to vaccinate was seen as an act of love, a responsibility 8 , 43 , 44 .…”

“…Participants highlighted aspects related to the lack of guidance on vaccination and post-vaccination, revealing situations in which professionals’ knowledge was below the desired level to provide guidance 28 , 34 , 37 , 47 , 50 , 51 , 52 , 56 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , in which vaccines were administered without discussion between health professionals and individuals 40 , and in which misinformation was widely disseminated 35 , 37 , 52 , 54 , 65 . In particular, participants often underestimated the prevalence of the target disease 28 , 66 and lacked knowledge about HPV and the vaccine 37 , 58 , 67 , 68 , 69 .…”

“…[...] Look, it was not a service with clarification. The person only takes you to the room where the vaccination will be done and ready, without any kind of guidance ” (Brazilian user) 47 (p. 4).…”

“…In fact, the influenza vaccine was sometimes perceived as having a calendar similar to other vaccines that are administered once or a few times in a person’s lifetime 59 . Brazilian participants criticized the schedule and the inefficient use of the vaccination card 42 , 47 . The schedule was also criticized in relation to the early age at which infants receive vaccines and the high number of vaccines included 42 .…”

“…From the perspective of users, the main barriers to vaccination were sporadic vaccine shortages at the health facility level 8 , 35 , 52 , 62 , 64 , 75 , long waiting times 28 , 64 , 66 , 67 , 72 and limited working hours, especially for those who could not or did not want to take time off work to get vaccinated 7 , 8 , 28 , 47 , 53 , 56 , 66 , 70 , 71 . Vaccine shortages particularly affected primary care centers and rural and suburban areas.…”