Vaccination access in Primary Care from the user's perspective: senses and feelings about healthcare services

Abstract

Objective: To understand the feelings, senses, perceptions and perspectives of Users regarding access to vaccination in Primary Health Care. Method: This is a Holistic-Qualitative Multiple Case Study, based on Comprehensive Sociology of Everyday Life with 74 participants representing four microregions of health in the Western Extended Region of Minas Gerais. Data collection occurred between June 2016 and April 2017. In order to analyse the data, we used the Thematic Content Analysis, obeying the technique of cross-synthesis of the cases. Results: The results reveal the senses perceived by Users in the experience of vaccination and the feelings regarding care, showing that interpersonal relations between population and health professionals are determinant in the access to vaccination. The constant expansion of the official immunization schedule increased access, however, geographical and social aspects, the lack of knowledge about vaccination and the recurrent lack of immunobiological were referred to as barriers to immunization access. Final considerations: We emphasized the need to reinforce more equitable policies and effective communication as a means to promote the credibility of the services with Users.

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“…Ademais, é necessário criar estratégias para envolver a população nas ações de imunizações, propiciando informação, conhecimento, empoderamento dos indivíduos, reduzindo barreiras culturais e problemas relacionados à desinformação sobre a vacinação 28 . A literatura evidencia que dificuldades no acesso aos serviços de saúde interferem na vacinação, destacando-se: distância entre residência e serviços de saúde, dificuldades de acesso ao transporte público, horário de funcionamento das unidades de saúde restrito, deficiência na educação permanente dos profissionais de saúde e número excessivo de pessoas adscritas no território 22,29,30 .…”

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“…Duarte DC, Oliveira VC, Guimarães EAA, Viegas SMF (14) Apontam sentidos e sentimentos de usuários frente à vacinação; indicam a necessidade de reforçar a comunicação efetiva entre esses e os serviços de saúde para ampliação da cobertura vacinal.…”