[Municipalization of vaccination in Ribeirão Preto, São Paulo, Brazil]

Abstract:

:The object of this study is the organization of activities in the vaccination program in Ribeirão Preto, São Paulo, during the process of municipalization of health services, analyzing changes and estimating results. The methodology included a survey performed during supervisory visits and questionnaires with 20 nurses and 39 vaccination workers in all the vaccination rooms at the municipal primary health care unit in this city, a survey of storage conditions for immunobiological products at the municipal level and a questionnaire for the section head, and interviews with five health professionals responsible for vaccination at the State, regional, and municipal levels. It followed that since implementation of the so-called Integrated Health Actions proposal there has been an expansion of primary health care services, including vaccination services; there has also been a technical and administrative centralization of decisions involving vaccination activities, including training of human resources by the Municipal Epidemiological Surveillance division. The study points out that although this activity is dealt with carefully by those responsible for the State, municipal, and district levels, the same is not true at the local level.

journal_name

Cad Saude Publica

authors

Gonçalves Md,Almeida MC,Gera SC

doi

10.1590/s0102-311x1996000100019

keywords:

subject

Has Abstract

pub_date

1996-01-01 00:00:00

pages

79-87

issue

1

eissn

0102-311X

issn

1678-4464

pii

S0102-311X1996000100019

journal_volume

12

pub_type

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