AVALIAÇÃO DA QUALIDADE DE CONSERVAÇÃO DAS VACINAS NA REDE BÁSICA DE SAÚDE DE UM MUNICÍPIO DO NORDESTE BRASILEIRO

Abstract

Introduction: In Brazil, the preventable diseases by immunizing are in decline by the wide extent of vaccination coverage, which, for decades, it constitutes the main goal of the National Immunization Program, it established in 1973. Vaccination aims to reduce morbidity and mortality caused by preventable diseases, and to guarantee the efficacy and effectiveness of vaccines, it is necessary to evaluate the quality of conservation of vaccines in the health units. Objective: To analyze the quality of conservation of vaccines in the municipality of basic health network Timon/MA. Methods: This is an exploratory study, observational, descriptive, with quantitative approach, performed in 28 rooms fixed vaccines. To collect the data we used the assessment tool of the Supervisory Instrument Assessment Program on Immunization Room (version 2.0, 2004) using the items: identification of the vaccine room, technical training of professionals and Cold Chain. The collected data was entered into PAISSV and the results tabulated under the guidelines and standards established by the PNI. For analysis, study variables were organized in dimensions Structure and Process. From the percentage reached, the variables were classified as ideal, good, fair and insufficient. Results and Discussion: The results showed that the conservation of vaccines has been affected by several factors such as lack of technical training of professionals in Cold Chain, inadequate physical infrastructure, the monitoring of temperature, conducts related to the organization of vaccines in the refrigerator and vaccines exposure to high temperatures. For effective immunization, the city studied need to adjust the structure of vaccine rooms to achieve optimum working. It is necessary for professionals directly linked to the vaccine area are trained and do refresher courses, fundamental in the consolidation of the rules of procedures of the immunization program thus contributing to the quality of service. Conclusion: To obtain the excellence in the quality of conservation of vaccines, it is necessary to coordinate local immunization implant measures for the supervision of activities, monitoring and evaluating the rooms of vaccines for compliance with the standards established by the PNI and promote courses training in Cold Chain for professionals, aiming to achieve the best quality of service.