Análise da implantação do roteiro objetivo de inspeção (ROI) serviço de vacinação no estado de Minas Gerais: potencialidades e desafios

Abstract

Vaccination is one of the main actions carried out by Primary Health Care (PHC). It is an important strategy for preventing infectious diseases, contributing significantly to reducing morbidity and mortality, the number of hospitalizations, and disability resulting from sequelae of related diseases, as well as reducing costs for the Public Health System. In the search for the safety and success of the vaccination program, ANVISA, through the use of the Potential Risk Assessment Model, harmonized an Objective Inspection Guide (ROI) for the Vaccination Service to be used in the National Health Surveillance System. The general objective of this study was to analyze the implementation of the Vaccination Service ROI in the state of Minas Gerais during its first year, from January 2023 to December 2023. An evaluative study was developed to analyze the implementation of a health intervention, using the type 1a implementation analysis as a theoretical framework, and the case study as a methodological framework, which occurred in three stages: a) construction of logical and theoretical models; b) analysis of the evolution of the intervention; c) application of an online questionnaire to health surveillance professionals. Secondary data stored in ANVISA Power BI were used to consult the data related to the completed ROI. The results showed a total of n = 1,297 completed ROI. Regarding the potential risk classification of the evaluated services, 24.47% were classified as having an "acceptable" risk, 55.46% were classified as having a "tolerable" risk, and 20.07% were classified as having an "unacceptable" risk. Among the indicators with the best performance, with over 90% compliance, are: Vaccination Card, Records, Professional Legally Qualified for Vaccination, Notifications and Intercurrence. The indicators with the lowest performance are: Patient Safety Center, Maintenance of Physical Structure and Health License, with 22.83%, 31.10% and 32.53% compliance respectively. To investigate the behavioral intention to use the Vaccination Service ROI, an online questionnaire was applied through Unified Theory of Acceptance and Use of Technology (UTAUT2), which demonstrated that performance expectation, social influence and facilitating conditions were predictors that positively affect the inspector's intention to apply the ROI for Vaccination Room. It was also identified that among younger inspectors, the action of these variables on the intention to use the tool is more intense. It is concluded that Minas Gerais had a successful experience, since the State achieved prominence in the national scenario as the state that had the most completed ROI throughout the year 2023. The research is of high academic relevance, since the literature still lacks evaluative studies of health interventions. As a technical product, an executive report will be delivered to SES-MG.