Reliability of information recorded on the National Immunization Program Information System.

Autor:	Moraes JC; Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brasil., França AP; Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brasil., Guibu IA; Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brasil., Barata RB; Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brasil., Silva AID; Universidade Federal do Espírito Santo, Vitória, ES, Brazil., Ramos AN Jr; Universidade Federal do Ceará, Departamento de Saúde Comunitária, Fortaleza, CE, Brazil., França AP; Faculdade Ciências Médicas Santa Casa de São Paulo, São Paulo, SP, Brazil., Oliveira ANM; Secretaria de Estado da Saúde do Amapá, Macapá, AP, Brazil., Boing AF; Universidade Federal de Santa Catarina, SC, Brazil., Domingues CMAS; Organização Pan-Americana da Saúde, Brasília, DF, Brazil., Oliveira CS; Instituto Evandro Chagas, Belém, PA, Brazil., Maciel ELN; Universidade Federal do Espírito Santo, Vitória, ES, Brazil., Guibu IA; Faculdade de Ciências Médicas Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brazil., Mirabal IRB, Barbosa JC, Lima JC; Universidade Federal de Mato Grosso, Cuiabá, MT, Brazil., Moraes JC; Faculdade Ciências Médicas Santa Casa de São Paulo, São Paulo, SP, Brazil., Luhm KR; Universidade Federal do Paraná, Curitiba, PR, Brazil., Caetano KAA; Universidade Federal de Goiás, Goiânia, GO, Brazil., Lima LHO; Universidade Federal do Piauí, Teresina, PI, Brazil., Antunes MBC; Universidade de Pernambuco, Faculdade de Ciências Médicas, Pernambuco, PE, Brazil., Teixeira MDG; Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brazil., Teixeira MDC; Secretaria de Estado da Saúde de Alagoas, Maceió, AL, Brazil., Borges MFSO; Universidade Federal do Acre, Rio Branco, AC, Brazil., Queiroz RCS; Universidade Federal do Maranhão, Departamento de Saúde Pública, São Luís, MA, Brazil., Gurgel RQ; Universidade Federal de Sergipe, Aracaju, SE, Brazil., Barata RB; Faculdade de Ciências Médicas Santa Casa de São Paulo, Departamento de Saúde Coletiva, São Paulo, SP, Brazil., Azevedo RNC; Secretaria Municipal de Saúde, Boa Vista, RR, Brazil., Oliveira SMDVL; Fundação Oswaldo Cruz, Mato Grosso do Sul, Campo Grande, MS, Brazil., Teles SA; Universidade Federal de Goiás, Goiânia, GO, Brazil., Gama SGND; Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca, Rio de Janeiro, RJ, Brazil., Mengue SS; Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil., Simões TC; Fundação Oswaldo Cruz, Instituto de Pesquisa René Rachou, Belo Horizonte, MG, Brazil., Nascimento V; Secretaria de Desenvolvimento Ambiental de Rondônia, Porto Velho, RO, Brazil., Araújo WN; Universidade de Brasília, Brasília, DF, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil [Epidemiol Serv Saude] 2024 Oct 21; Vol. 33 (spe2), pp. e20231309. Date of Electronic Publication: 2024 Oct 21 (Print Publication: 2024).
DOI:	10.1590/S2237-96222024v33e20231309.especial2.en
Abstrakt:	Objective: To analyze the reliability of records held on the National Immunization Program Information System (SI-PNI) in a subsample of children included in the national vaccination coverage survey in Brazilian state capitals and Federal District in 2020. Methods: This was a study of agreement between data recorded on vaccination cards (doses and dates) and on the SI-PNI for 4050 children with full coverage at 24 months. Results: Data on 3587 children were held on the SI-PNI, with losses of 11% (95%CI: 10;12). Total agreement between doses and dates in the two sources was 86% (95%CI: 86;87), however taking each dose and vaccine individually, variation was greater, with 32% of data in only one source. Conclusion: Part of the information was not recorded, but the discrepancy can be considered small. Nonetheless, underrecording of doses and children can compromise vaccination coverage estimates, altering the numerator and denominator data. Main Results: Subsample of 4,050 children, among those completing the full schedule at 24 months studied in the national survey, 11% had not been recorded on the SI-PNI, 32% had unrecorded doses (doses or dates) and there was 8% disagreement between vaccination cards and SI-PNI records. Implications for Services: Recognizing the difficulties faced by the SI-PNI and the discrepancies between sources is essential for adopting initiatives to improve data quality, so as to avoid inaccurate estimates of childhood vaccination coverage. Perspectives: This study is expected to contribute to improving the quality of records and the usability of data for monitoring vaccination coverage of the immunization program from the local to the national level.
Databáze:	MEDLINE
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