National Immunization Program Information System: implementation context assessment.

Autor: Silva BS; PhD student in Public Health Nursing Program at the Ribeirão Preto College of Nursing at the University of São Paulo (EERP-USP), Ribeirão Preto (SP), Brazil., de Azevedo Guimarães EA; Doctor in Health Sciences, Adjunct Teacher of the Nursing Course, Federal University of São João del-Rei (UFSJ), Campus Centro-Oeste, Divinópolis (MG), Brazil., de Oliveira VC; Doctor in Health Sciences, Ribeirão Preto College of Nursing at the University of São Paulo (EERP-USP), Adjunct Teacher of Federal University of São João del-Rei (UFSJ), Campus Centro-Oeste, Divinópolis (MG), Brazil., Cavalcante RB; Doctor in Information Science from the Federal University of Minas Gerais (UFMG), Associate Teacher of the Nursing Course, Federal University of Juiz de Fora (UFJF), Campus Juiz de Fora , Juiz de Fora (MG), Brazil., Pinheiro MMK; Doctor in Information Science (Eco / IBICT-UFRJ), Collaborating Teacher and Researcher of the PPG-GOC Program of the Federal University of Minas Gerais, Teacher and Researcher of Fumec University, Belo Horizonte, Brazil., Gontijo TL; Doctor in Health Sciences, Child and Adolescent Health, UFMG Medical School, Adjunct Teacher of Federal University of São João Del Rei (UFSJ), Campus Centro-Oeste, Divinópolis (MG), Brazil., Rodrigues SB; Pos-doctorate in Collective Health at the Federal University of São João del Rei (UFSJ), Campus Centro-Oeste, Divinópolis (MG), Brazil., Ferreira AP; Graduating of the Nursing Course, Federal University of São João del-Rei (UFSJ), Campus Centro-Oeste, Divinópolis (MG), Brazil., de Oliveira Quites HF; Doctor in Nursing, Federal University of Minas Gerais (UFMG), Adjunct Teacher of the Federal University of São João Del Rei (UFSJ), Campus Centro-Oeste, Divinópolis (MG), Brazil., Pinto IC; Doctor in Nursing from the University of São Paulo, Associate Teacher III at the Ribeirão Preto College of Nursing at the University of São Paulo (EERP-USP), Ribeirão Preto (SP), Brazil. ionecarv@eerp.usp.br.
Jazyk: angličtina
Zdroj: BMC health services research [BMC Health Serv Res] 2020 Apr 21; Vol. 20 (1), pp. 333. Date of Electronic Publication: 2020 Apr 21.
DOI: 10.1186/s12913-020-05175-9
Abstrakt: Background: The National Immunization Program Information System (SIPNI - Sistema de Informação do Programa Nacional de Imunização) in Brazil is a technological innovation management tool that enhances the performance of managers and health professionals in the evaluation and monitoring of immunization activities. In the country, the decentralization of the System is at an advanced stage, but it still faces challenges regarding its operation and use, impacting on its results. This study aims to evaluate the deployment of SIPNI in the state of Minas Gerais, in 2017.
Method: Cross-section study performed in Primary Healthcare vaccination rooms in 54 municipalities in the Brazilian state of Minas Gerais, in 2017. A multidimensional questionnaire was used with nursing professionals who work in vaccination rooms, containing questions about the structure (presence of an internet-connected computer, instruction manual, software version, IT professional for technical support, trained healthcare professional, use of communication channels to obtain system information) and the process (activities performed by the staff to operate the immunization information system) of their work. Those questions refer to the components of the information system: system management, immunized-patient records, and Movement of Immunobiological. Implementation Degree (ID) was defined by a score system with different weights for each criterion, according to the importance level observed in it, with a rating of: adequate, partially adequate, inadequate and critically inadequate. For data analysis, median was used as the summary measure, and Pearson's Chi-Squared Test was used for proportion comparison.
Results: Municipal SIPNI is not adequately implemented and that results mainly from the actions performed in health service units, indicating problems in the use of technology by professionals working in vaccination rooms. The structure was better evaluated than the process, presenting IDs of 70.9 and 59.5%, respectively. Insufficient internet access, inadequate use of communication channels, and lack of professional qualification were some of the identified structural issues. "Movement of Immunobiological" was the best-ranked component (ID = 68.5%), followed by "immunized patient records" (ID = 59.3%) and "SIPNI management" (ID = 50.7%). Partial performance of SIPNI is independent of population size in the municipality and of FSH coverage.
Conclusions: SIPNI is still an underutilized technological innovation. There are challenges that must be overcome, such as implementation of the final web version, internet connectivity, and capabilities aimed at the use of information generated by technology. Nevertheless, perspectives regarding SIPNI are positive, with functionalities to optimize activities in vaccination rooms.
Databáze: MEDLINE
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