National Immunization Program: Computerized System as a tool for new challenges

Abstract

The scope and coverage of the Brazilian Immunization Program can be compared with those in developed countries because it provides a large number of vaccines and has a considerable coverage. The increasing complexity of the program brings challenges regarding its development, high coverage levels, access equality, and safety. The Immunization Information System, with nominal data, is an innovative tool that can more accurately monitor these indicators and allows the evaluation of the impact of new vaccination strategies. The main difficulties for such a system are in its implementation process, training of professionals, mastering its use, its constant maintenance needs and ensuring the information contained remain confidential. Therefore, encouraging the development of this tool should be part of public health policies and should also be involved in the three spheres of government as well as the public and private vaccination services.

Perancangan dan Pembelajaran Awal Sistem Informasi Posyandu Terbarukan bagi Warga Desa Kuripan Kecamatan Karangawen Kabupaten Demak

“…Berdasarkan perhitungan Hasil ini sesuai dengan penelitian yang dilakukan oleh menurut (Sholihah, 2015) dikatakan sistem informasi posyandu kesehatan ibu dan anak dapat membantu kader dan bidan dalam melakukan kegiatan di posyandu meliputi pendataan ibu dan anak, penimbangan balita. Juga dikatakan oleh (Sato, 2015), kondisi ini dapat memungkinkan untuk menciptakan sistem komputerisasi yang komprehensif dan perawatan kesehatan terpadu.…”

Evaluation study of the National Immunization Program Information System

“…In Brazil, the development and implementation of several IIS has been promoted, among them the National Immunization Program Information System (SIPNI), implemented with the purpose of collecting data on vaccination activities in order to generate individualized information from of the local authority to assist the decisions and actions in its management (3)(4) . The implementation of such technologies is expected to improve the quality of information for the planning and evaluation of immunization actions in a municipal context (5) .…”

“…The implementation of the municipal SIPNI aims to manage the quality of the information of the vaccinated people during the life of the patient, the notification of the scheduled and delayed vaccines, the active surveillance of the adverse events following vaccination (AEFV), the control of the immunobiological validity and the lot of the vaccines in use and in the stock (6) . Its use will allow the identification of pockets with low vaccination coverage, epidemiological surveillance of immunopreventable diseases, active surveillance of AEFV and, if related to other databases, can leverage vaccine impact assessment studies (4)(5)7) .…”

“…The SIPNI is in an advanced stage of implementation in Brazil, but still faces challenges and obstacles related to the training of professionals, to the field of technology, to maintaining the system and guaranteeing the confidentiality of information (5) . Considering the importance of the SIPNI for the practice of immunization and the institutionalization of the evaluation of health programs, services and practices, there is a proposal to develop models to evaluate the process of SIPNI implantation.…”

Path of infectious diseases in Brazil in the last 50 years: an ongoing challenge

“…Several studies address these issues: methods used to assess the impact of vaccination programs 150 ; surveillance strategies focusing on the evaluation of vaccination safety 73 , 180 , and discussions about the incorporation of new information technologies for real-time monitoring of vaccine coverage, including micro areas, and the identification of vaccine lots with greater reactogenicity 151 .…”