Integração entre a Vigilância Epidemiológica das Doenças Imunopreviníveis e a Estratégia Saúde da Família: proposta de duas ferramentas para avaliação.

Abstract

This research aimed to develop tools for evaluating the integration between the Epidemiological Surveillance of Vaccine-Preventable Diseases (VEDI) and the Family Health Strategy (ESF) in Primary Care (AB). As the services also aim at reducing the incidence rates of vaccine-preventable diseases in children under one year of age and thus reducing infant mortality rates, it is necessary that they act in an integrated manner to achieve and optimize results. Therefore, it is relevant for Public Health and Collective Health to evaluate this integration. This is a study to model the intervention of one of the stages of the evaluability study (EA). The following methodological steps were adopted: characterization of the problem to be faced by the intervention through the analysis of secondary data on vaccination coverage and of the Family Health teams in Bahia and other Northeastern states; identification of constitutive elements of the intervention based on document analysis of Ministerial Ordinances, Annual Management Reports, Health Conference Reports and self-administered questionnaire with stakeholders containing sociodemographic information and on integration between VEDI and ESF; and proposal elaboration of two tools: design of the Logical Model (ML) and Matrix of Analysis and Judgment (MAJ) focused on the dimensions structure, process and result contemplating a quantitative-qualitative approach. Concerning the methodological steps, the ML was produced from which the MAJ items were constructed, composed of 28 criteria, of which six were related to the structure dimension, 14 to the process and eight to the result dimension. This study focused on the stage of an EA - modeling the integration between the VEDI and the ESF, with the identification of practices developed at the institutional level, the main facilitating and hindering aspects, the stakeholder proposals for effective integration in order to identify the constitutive elements of the intervention, in addition to possible focus of evaluations. To this end, the research contributed to the construction of two tools: ML and MAJ, which can be used to assess the degree of integration between VEDI and ESF both at the state and municipal levels.