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2.
An. Fac. Cienc. Méd. (Asunción) ; 54(3): 25-32, Dec. 2021.
Article in Spanish | LILACS | ID: biblio-1352900

ABSTRACT

Introducción: La pandemia de COVID-19 ha provocado cambios que afectan los sistemas de salud y el abordaje de las enfermedades infecciosas a nivel mundial. La esperanza de recuperar un cierto nivel de "normalidad" se basa en el desarrollo de vacunas. Objetivos: El objetivo de este estudio fue describir las actitudes hacia la vacuna COVID-19 en la población paraguaya, explorando factores que podrían ser abordados para apoyar la campaña de vacunación contra el SARS-CoV-2. Materiales y métodos: Estudio transversal y descriptivo. Los participantes fueron reclutados a través de una encuesta basada en Internet, difundida a través de las redes sociales, durante el mes de marzo de 2021. Todos los participantes recibieron información completa sobre el objetivo del estudio, la privacidad y el procesamiento de datos. Resultados: De los 2297 participantes, el 67,9% (n=1559) eran mujeres, el 49,9% (n=1147) estaban empleados, el 89,1% (n=2046) reportaron educación universitaria y el 96,6% (n=2218) eran de áreas urbanas. En general, el 81,8 % (n=1879) de los participantes afirmó que estarían dispuestos a vacunarse contra el COVID-19 si hubiera una vacuna disponible. Se ha encontrado una relación significativa entre haber solicitado la vacuna antigripal y la intención de vacunarse frente al COVID-19 (p<0,0001), con un OR: 3,09 (IC 95% 2,1-4,5). Conclusión: El porcentaje de participantes inclinados a vacunarse contra el COVID-19 es similar al de aquellos que esperan una inmunización adecuada de la vacuna. Las agencias gubernamentales y de salud deben hacer un esfuerzo para brindar información precisa que responda a las inquietudes de las personas sobre la vacunación, en cualquier nivel de la sociedad.


Introduction: Insufficient physical activity is one of the main public health problems globally. Teen behavior patterns and lifestyle may affect their physical and mental health. Objectives: The objective of this study was to know the patterns of physical activity and sedentary behaviors in the adolescent population nationwide. Materials and methods: A quantitative, observational, descriptive cross-sectional study, the questionnaire of the Global School Health Survey was applied in school adolescents of the eighth and ninth grades of the 3rd cycle of Basic School Education and the 1st, 2nd and 3rd year of Secondary Education in 49 schools and colleges in the country. 1,803 students aged 13 to 15 years were included in this study. Results. 27% of adolescents between the ages of 13 and 15 in Paraguay are active, being significantly higher in men than in women (p-value 0.000) and 22% are inactive more frequently in women than in men (p-value 0.000). It was observed that 33.5% of the adolescents had sedentary behavior, 43.4% of the adolescents did not use active displacement to attend school. Adolescents who did not participate in physical education classes at school accounted for 15.6%. Conclusion: Although 27% of adolescents between the ages of 13 and 15 are active, the large percentage of inactive adolescents with sedentary behavior is worrying.


Subject(s)
SARS-CoV-2 , COVID-19 , Population , Behavior , Immunization , Vaccination , COVID-19 Vaccines
3.
Rev. ADM ; 78(5): 270-274, sept.-oct. 2021. tab
Article in Spanish | LILACS | ID: biblio-1348095

ABSTRACT

La vacunación es un proceso de importancia para todos los países del mundo como una medida preventiva para la enfermedad del virus SARS-CoV-2. El proceso de adquisición, distribución, prioridad de grupos de la población a vacunar y la forma de acceder a ellas depende cada país. México en tasa bruta es el tercer país del mundo con mayor cantidad de muertos y la importancia de tener vacuna y medicamentos para tener un tratamiento es vital para disminuir la morbilidad y mortalidad a nivel mundial. El propósito del presente ensayo es mostrar el proceso de distribución y desarrollo de la vacunación en México (AU))


Vaccination is an important process for all countries in the world as a preventive measure for the SARS-CoV-2 virus disease, the process of acquisition, distribution, priority of population groups to be vaccinated and the way to access them depends on each country. Mexico in gross rate is the third country in the world with the highest number of deaths and the importance of having vaccine and drugs for treatment is vital to reduce morbidity and mortality worldwide. The purpose of this essay is to present the process of distribution and development of vaccination in Mexico (AU)


Subject(s)
Humans , Male , Female , Vaccination , COVID-19 Vaccines/classification , COVID-19/prevention & control , Public Health , National Policy of Health Surveillance , SARS-CoV-2 , Health Policy , Mexico
4.
Rev. baiana saúde pública ; 45(Especial 2): 256-274, 20211010.
Article in Portuguese | LILACS | ID: biblio-1342858

ABSTRACT

A pandemia do novo coronavírus mobilizou o planeta e alterou o modo de vida das pessoas. Nesse sentido, investir na vacinação da população se tornou o caminho mais eficiente para o controle da transmissão e propagação do vírus.Essa "dose de esperança" traz consigo a perspectiva de conter o contágio e evitar mortes pelo agravamento da doença, configurando-se como a medida mais efetiva para minimizar os impactos causados pela pandemia. O presente relato de experiência objetiva apresentar o processo de aquisição, distribuição e oferta das vacinas no estado da Bahia, relatando a organização técnico-política da instância estadual, bem como o percurso do imunizante até sua disponibilização para os trabalhadores da saúde, segmento priorizado no acesso à vacinação. Em específico, o trabalho se empenha em narrar a experiência da Diretoria de Gestão do Trabalho e Educação na Saúde (DGTES) no processo de estruturação e ordenamento da vacinação contra a Covid-19 para os trabalhadores, considerando que, dentre suas funções, está o planejamento e execução de ações para prevenção de riscos e agravos, promoção e proteção da saúde dos trabalhadores.


The new Coronavirus pandemic mobilized the planet and changed people's way of life. In this sense, investing in the vaccination of the population has become the most efficient way to control the transmission and spread of the virus. This "dose of hope" brings with it the prospect of containing contagion and avoiding deaths due to the worsening of the disease, showing to be the most effective measure to minimize the effects caused by the pandemic. The present experience report aims to present the process of acquisition, distribution and offer of vaccines in the state of Bahia, Brazil, reporting the technical-political organization of the state and the path of the immunizer until its availability to health workers, a segment prioritized in the access to vaccination. Specifically, the work endeavors to narrate the experience of the Directorate for Labor Management and Health Education (DGTES) in the process of structuring and organizing the vaccination against COVID-19 for workers, considering that they are responsible for planning and executing actions to prevent risks and injuries, promoting and protecting workers' health.


La pandemia del nuevo coronavirus movilizó al planeta y cambió la forma de vida de las personas. En este sentido, la inversión en la vacunación de la población se ha convertido en la forma más eficiente de controlar la transmisión y propagación del virus. Esta "dosis de esperanza" trae consigo la perspectiva de contener el contagio y evitar muertes por agravamiento de la enfermedad, configurándose como la medida más eficaz para minimizar los impactos provocados por la pandemia. El presente informe de experiencia tiene como objetivo dar a conocer el proceso de adquisición, distribución y oferta de vacunas en el estado de Bahía, informando la organización técnico-política del estado, así como la trayectoria del inmunizador hasta su disponibilidad para los trabajadores de la salud, un segmento priorizado en el acceso a la vacunación. Específicamente, el trabajo busca narrar la experiencia de la Dirección de Gestión Laboral y Educación para la Salud (DGTES) en el proceso de estructuración y organización de la vacunación contra el covid-19 para los trabajadores, considerando entre sus funciones la planificación y ejecución de acciones para prevenir riesgos y lesiones, promoviendo y protegiendo la salud de los trabajadores.


Subject(s)
Occupational Health , Vaccination , Coronavirus , COVID-19
5.
Hist. ciênc. saúde-Manguinhos ; 28(3): 869-874, jul.-set. 2021.
Article in Spanish | LILACS | ID: biblio-1339968

ABSTRACT

Resumen Este artículo describe el inicio de las preocupaciones sanitarias vinculadas a las epidemias ocurridas durante el siglo XX en La Pampa, provincia argentina. Las epidemias, como las de la viruela, fueron un estímulo para estas políticas que frecuentemente tuvieron origen en Buenos Aires, la capital del país. El contagio de muchas epidemias dependía de carencias de infraestructura: agua, desagüe y desecho adecuado de basuras, de la ausencia de un número suficiente de trabajadores de salud, de la presencia de vectores transmisores de enfermedades como los mosquitos y, en última instancia, de la pobreza. La experiencia histórica descrita en este texto resalta la importancia de analizar el impacto del SARS-CoV-2 más allá de las grandes ciudades.


Abstract This article describes the emergence of health concerns relating to the epidemics that occurred during the twentieth century in La Pampa, a province in Argentina. Epidemics such as smallpox drove such policies, which frequently originated in Buenos Aires, the country's capital. The spread of many epidemics was due to shortages: water, sewage and adequate refuse disposal, an insufficient number of health care workers, the presence of disease transmission vectors such as mosquitos, and, ultimately, poverty. The historical experience described in this text highlights the importance of analyzing the impact of SARS-CoV-2 beyond the big cities.


Subject(s)
Humans , Animals , Male , Female , Child , History, 20th Century , Smallpox/history , Epidemics/history , COVID-19/history , Argentina/epidemiology , Poverty/history , Sewage , Water Supply/history , Smallpox/prevention & control , Smallpox/epidemiology , Indians, South American/history , Indians, South American/statistics & numerical data , Refuse Disposal/history , Vaccination/history , Vaccination/legislation & jurisprudence , Cities/history , Cities/epidemiology , Health Personnel/history , Health Personnel/statistics & numerical data , Disease Eradication/history , Disease Eradication/organization & administration , COVID-19/epidemiology , Health Policy/history , Health Policy/legislation & jurisprudence , Insect Vectors , Military Personnel/history
8.
San Salvador; Instituto Nacional de Salud (INS); jul.26, 2021. 5 p.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1281920

ABSTRACT

A nivel mundial las políticas sobre la vacunación contra el Covid-19 durante el embarazo varían ampliamente. Mientras 41 paises recomiendan no hacerlo, 91 paises tienen políticas que permiten que algunas mujeres embarazadas reciban las vacunas. La evidencia sugiere que las mujeres embarazadas tienen mayor riesgo de desarrollar COVID-19 grave.


Globally, policies on vaccinating against Covid-19 during pregnancy vary widely. While 41 countries recommend against doing so, 91 countries have policies that allow some pregnant women to receive the vaccines. Evidence suggests that pregnant women are at higher risk of developing severe COVID-19


Subject(s)
Breast Feeding , Vaccines , Pregnant Women , COVID-19 , Vaccination , Policy
9.
San Salvador; MINSAL; jul. 23, 2021. 80 p. ilus.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1292034

ABSTRACT

La prevención y control de enfermedades inmunoprevenibles, constituye uno de los elementos claves en la atención integral de salud, tendientes a disminuir la taza de morbimortalidad en la población y grupos prioritarios de riesgo en El Salvador. Por lo cual se diseñaron los presentes lineamientos, a fin de establecer las disposiciones técnicas al personal de salud del Sistema Nacional Integrado de Salud en los procesos de conservación, transporte y aplicación de la vacuna a la población objetivo


The prevention and control of immuno-preventable diseases constitutes one of the key elements in comprehensive health care, tending to reduce the rate of morbidity and mortality in the population and priority risk groups in El Salvador. Therefore, these guidelines were designed in order to establish the technical provisions for health personnel of the National Integrated Health System in the processes of conservation, transport and application of the vaccine to the target population


Subject(s)
Vaccination , SARS-CoV-2 , Risk Groups , Vaccines , Vaccine-Preventable Diseases
10.
Rev. ADM ; 78(3): 142-148, mayo-jun. 2021. ilus, graf
Article in Spanish | LILACS | ID: biblio-1254562

ABSTRACT

partir de la pandemia, los odontólogos han presentado una serie de complicaciones en su práctica diaria, la naturaleza misma de la profesión representa un alto riesgo de contagio y la posibilidad de generar una infección cruzada por el virus SARS-CoV-2, por lo que han tenido que limitar su labor a la atención de urgencias, adquiriendo insumos relacionados a incrementar los cuidados de su grupo de trabajo y del paciente. Objetivo: Conocer el impacto de esta plaga en la práctica de los profesionistas de la salud oral en México. Material y métodos: Se realizó un estudio descriptivo y transversal mediante la aplicación de una encuesta a través de redes sociales a odontólogos, los resultados se expresaron con tablas de frecuencias y porcentajes. Resultados: Se recibieron respuestas de 200 cirujanos dentistas con clínica privada, 71% comentó haber cerrado su consultorio al inicio de esta calamidad, en contraste, el 53.5% de profesionales afirmaron tener actualmente una consulta no restringida, refiriendo que se ha visto reducida entre 50 y 75%, la mayoría reconoce que han tenido que reforzar el uso de EPP y algunos protocolos de protección, 16.5% ha padecido COVID-19. Conclusiones: La pandemia ha generado un impacto económico importante en la práctica de los odontólogos, al combinarse la disminución del número de pacientes con el aumento de gastos. Se debe considerar a la odontología como una profesión de alto riesgo, por lo que este gremio debe ser tomado en cuenta para el plan de vacunación como parte importante del sector salud (AU)


Given the nature of their profession, the COVID-19 pandemic has brought complications in their daily practice to odontologists, who are at a high risk of contracting the disease, and the possibility of creating a cross infection by the SARS-CoV-2 virus. That is why odontologists have had to restrain their practice to attend to emergencies only and acquire consumables and equipment related to improve their patients' care and the safety of their work team. Objective: To know the COVID-19 pandemic impact in the oral health professionals' practice in Mexico. Material and methods: A transversal, descriptive study was conducted by using a survey through social networks to gather information from odontologists practicing in Mexico. Results were presented in frequency and percentage tables. Result: Responses of 200 dental surgeons in private practice were received. 71% said that they closed their office at the beginning of the pandemic. On the other hand, 53.5% of them currently have a non-restricted practice but it is reduced between 50 and 75%. Most of them recognized that they had to improve the use of PPE and add some protection protocols, 16.5% have suffered from COVID-19. Conclusions: This pandemic has generated an important economic impact in the odontological practice, combining the decrease in the number of patients with the increase in their office expenses. Odontology must be considered a high-risk profession and an important part of the health sector, consequently, these professionals must be included in the vaccination plan on a priority basis (AU)


Subject(s)
Humans , Male , Female , Coronavirus Infections , Pandemics , SARS-CoV-2 , COVID-19 , Communicable Disease Control , Clinical Protocols , Epidemiology, Descriptive , Cross-Sectional Studies , Statistical Analysis , Surveys and Questionnaires , Dental Care/standards , Vaccination , Social Networking , COVID-19 Vaccines , Mexico/epidemiology
11.
Medicina (B.Aires) ; 81(3): 408-414, jun. 2021. graf
Article in English | LILACS | ID: biblio-1346477

ABSTRACT

Abstract This study describes the incidence of early events supposedly attributable to vaccination or immunization (ESAVI) that occurred in healthcare workers who had been inoculated with the first component of the Sputnik V vaccine. Safety at 72 h post-immunization was analyzed based on a self-reported form. Between January 5 and January 20, 2021, in Buenos Aires, Argentina, a total of 707 healthcare workers (median age 35 yrs, female 67%) were vaccinated. The response rate was 96.6% (n: 683) and 487 (71.3%) participants reported at least one ESAVI. The incidence rate was 6.3 per 1000 person/hours. The total number of ESAVIs was 1434. A total of 469 local reactions were reported, 57% of the participants reported pain at the injection site, and 11% had redness and swelling. A total of 968 systemic reactions were informed, including new or worsened muscle pain, referred by 58% of the participants, fever referred by 40%, and diarrhea referred by 5%. Five percent (n: 34) had serious adverse events and one participant had to be hospitalized. The ESAVI rate was higher in females than males (66.4% versus 51.4%; HR 1.38; 95% CI 1.13-5.38) and in workers younger than 55 yrs old (63.0% versus 28.0%; HR 2.66; 95% CI 1.32-5.38). This study demonstrates high rates of early local and systemic reactions. However, serious events were rare. Studies on long-term safety, stratified by sex and age, are needed.


Resumen Este estudio describe la incidencia de eventos supuestamente atribuibles a vacunación o inmunización (ESAVI) en trabajadores de la salud después de la inmunización con el primer componente de la vacuna Sputnik V. La seguridad a las 72 horas de la inmunización se analizó en base a un auto-reporte. En tre el 5 y el 20 de enero de 2021, en Buenos Aires, Argentina, fueron vacunados 707 trabajadores de la salud (mediana de edad 35 años, 67% mujeres). La tasa de respuesta fue 96.6% (n: 683), y 487 participantes (71.3%) informaron al menos un ESAVI. Los ESAVI totales fueron 1434 y la incidencia fue 6.3 por 1000 personas/hora. Fueron informadas 469 reacciones locales: 57% de los participantes informaron dolor en el lugar de la inyección y 11% enrojecimiento e hinchazón. Entre las 968 reacciones sistémicas, el 58% de los participantes informaron dolor muscular nuevo o empeorado, 40% fiebre y 5% diarrea. El 5% (n: 34) presentó eventos adversos graves y un paciente tuvo que ser hospitalizado. La tasa de ESAVI fue mayor entre las mujeres (66.4% versus 51.4%; HR 1.38; IC 95% 1.13-5.38) y en el grupo de trabajadores menores de 55 años (63.0 versus 28.0; HR 2.66; IC 95% 1.32-5.38). Este estudio mostró altas tasas de reacciones tempranas locales y sistémicas; sin embargo, los eventos graves fueron raros. Son necesarios estudios sobre la seguridad a largo plazo, estratificados por sexo y edad.


Subject(s)
Humans , Male , Female , Adult , Vaccines , Argentina/epidemiology , Immunization , Vaccination , Health Personnel
13.
Rev. Hosp. Ital. B. Aires (2004) ; 41(2): 86-89, jun. 2021.
Article in Spanish | LILACS | ID: biblio-1254573

ABSTRACT

El sueño es una necesidad biológica. Regula las funciones inmunitarias. Las funciones inmunológicas dependen de los ritmos circadianos y del sueño regular. Según estudios previos a la pandemia, la corta duración del sueño o privación de sueño, en la semana cercana a la vacunación, se asocia con respuestas más bajas de anticuerpos. La privación de sueño da como resultado una función inmunológica más deficiente (es decir, actividad reducida de las células natural killer, producción de IL-2 suprimida) así como un aumento de los niveles circulantes de marcadores inflamatorios (IL-6, TNF-α [factor de necrosis tumoral] y proteína C reactiva). Los médicos deben ser conscientes de que muchas enfermedades que mencionamos en esta resumida actualización son comórbidas con alteraciones del sueño, y es importante, por ello, enseñar a los pacientes a mejorar su comportamiento con respecto al sueño y fomentar la educación sobre higiene del sueño. Destacamos que, en el interrogatorio de cualquier especialidad médica, deben incorporarse preguntas sobre el "dormir", dado que el sueño de buena calidad es fundamental en la prevención y el tratamiento de diversas enfermedades. (AU)


Sleep is a biological necessity. Regulates immune functions. Immune functions depend on circadian rhythms and regular sleep. According to studies prior to the pandemic, short duration of sleep or sleep deprivation, in the week leading up to vaccination, is associated with lower antibody responses to vaccination. Sleep deprivation results in poorer immune function (i.e., reduced natural killer cell activity, suppressed IL-2 production) as well as increased circulating levels of inflammatory markers (IL-6, factor of tumor necrosis, C-reactive protein). Clinicians should be aware that many illnesses, which we mention in this brief update, are comorbid with sleep disturbances and it is therefore important to teach patients to improve their sleep behavior and should encourage sleep hygiene education . We emphasize that in the questioning of any medical specialty, questions about "sleep" should be incorporated, given that good quality sleep is essential in the prevention and treatment of various diseases. (AU)


Subject(s)
Humans , Sleep Deprivation/complications , Sleep Hygiene , Sleep/drug effects , Sleep Deprivation/drug therapy , Vaccination , Pandemics , COVID-19/immunology , Immune System/metabolism , Melatonin/therapeutic use
15.
Arq. gastroenterol ; 58(1): 1-4, Jan.-Mar. 2021. tab
Article in English | LILACS | ID: biblio-1248991

ABSTRACT

ABSTRACT Mass vaccination offers the best strategy to fight against COVID-19 pandemic, and SARS-CoV2 vaccines are being approved in several countries for emergency use. In Brazil, vaccine approval is expected in the next few days, however potential concerns exist regarding vaccine recommendations for specific populations, such as patients with inflammatory bowel disease (IBD). To address these questions, the Brazilian IBD Study Group (GEDIIB) provides this practical advice with key recommendations about the COVID-19 vaccines in IBD population.


RESUMO A vacinação em massa oferece a melhor estratégia para enfrentamento da pandemia de COVID-19, e as vacinas contra SARS-CoV2 estão sendo aprovadas em vários países para uso emergencial. No Brasil, a aprovação da vacina é esperada em breve, no entanto, existem potenciais preocupações em relação às recomendações de vacinas para populações específicas, como pacientes com doença inflamatória intestinal (DII). Para responder essas questões, o Grupo Brasileiro de Estudos IBD (GEDIIB) fornece conselhos práticos com recomendações importantes sobre as vacinas para COVID-19 na população com DII.


Subject(s)
Humans , Inflammatory Bowel Diseases , COVID-19 , Brazil , RNA, Viral , Vaccination , Pandemics , COVID-19 Vaccines , SARS-CoV-2
16.
Electron. j. biotechnol ; 50: 45-52, Mar. 2021. tab, graf
Article in English | LILACS | ID: biblio-1292328

ABSTRACT

BACKGROUND: Lawsonia intracellularis remains a problem for the swine industry worldwide. Previously, we designed and obtained a vaccine candidate against this pathogen based on the chimeric proteins: OMP1c, OMP2c, and INVASc. These proteins formed inclusion bodies when expressed in E. coli, which induced humoral and cellular immune responses in vaccinated pigs. Also, protection was demonstrated after the challenge. In this study, we established a production process to increase the yields of the three antigens as a vaccine candidate. RESULTS: Batch and fed-batch fermentations were evaluated in different culture conditions using a 2 L bioreactor. A fed-batch culture with a modified Terrific broth medium containing glucose instead of glycerol, and induced with 0.75 mM IPTG at 8 h of culture (11 g/L of biomass) raised the volumetric yield to 627.1 mg/L. Under these culture conditions, plasmid-bearing cells increased by 10% at the induction time. High efficiency in cell disruption was obtained at passage six using a high-pressure homogenizer and a bead mill. The total antigen recovery was 64% (400 mg/L), with a purity degree of 70%. The antigens retained their immunogenicity in pigs, inducing high antibody titers. CONCLUSIONS: Considering that the antigen production process allowed an increment of more than 70-fold, this methodology constitutes a crucial step in the production of this vaccine candidate against L. intracellularis.


Subject(s)
Animals , Swine Diseases/immunology , Bacterial Vaccines/immunology , Lawsonia Bacteria/immunology , Desulfovibrionaceae Infections/prevention & control , Swine , Swine Diseases/prevention & control , Bacterial Vaccines/administration & dosage , Vaccines, Synthetic , Cell Survival , Vaccination , Fermentation , Batch Cell Culture Techniques , Immunity
17.
Rev. cub. inf. cienc. salud ; 32(1): e1688, tab
Article in Portuguese | LILACS, CUMED | ID: biblio-1280205

ABSTRACT

O estudo teve por objetivo desenvolver e validar conteúdo e aparência de um checklist para avaliação do desempenho do Sistema de Informação de Imunização brasileiro nas salas de vacinação. Trata-se de um estudo metodológico com abordagem quantitativa, que conduziu a validação de conteúdo e aparência dos itens de um checklist, estruturado em duas dimensões, estrutura e processo. A técnica Delphi foi utilizada para a validação dos itens segundo os critérios de relevância, objetividade e clareza. Foi calculado o índice de validação de conteúdo e o coeficiente alfa de Cronbach para analisar a consistência interna do checklist. O checklist é composto por 7 itens na dimensão estrutura e 17 na dimensão processo, este subdividido em 3 componentes: gestão do sistema de informação de imunização; registro do vacinado; movimento dos imunobiológicos. Considerando as duas dimensões, o índice de validação de conteúdo total do checklist foi 89,6 %. Obteve-se na dimensão estrutura um índice de validade de conteúdo médio de 89,9 % e 89,2 % na dimensão processo, sendo obtido no componente gestão do Sistema de Informação de Imunização um índice de validade de conteúdo médio de 86,2 %; 92,6 % no Registro do vacinado e 88,9 % no movimento dos imunobiológicos. O checklist mostrou-se consistente internamente, apresentado um valor para o alfa de Cronbach total de 0,97 e valores de 0,86 e 0,97 para as dimensões estrutura e processo, respectivamente. Quanto à validação de aparência, o instrumento foi considerado inteligível. O estudo fornece um checklist com conteúdo e aparência válidos para avaliar o desempenho do Sistema de Informação de Imunização brasileiro e subsidia a supervisão e o monitoramento das funcionalidades deste sistema nas salas de vacinação(AU)


El estudio tuvo como objetivo desarrollar y validar el contenido y la apariencia de una lista de verificación para evaluar el desempeño del Sistema de Información de Inmunización del Brasil en las salas de vacunación. Se trata de un estudio metodológico con enfoque cuantitativo, que condujo a la validación de contenido y apariencia de los ítems en una lista de verificación, estructurada en dos dimensiones: estructura y proceso. Se utilizó la técnica Delphi para validar los ítems según los criterios de relevancia, objetividad y claridad. Se calcularon el índice de validación de contenido y el coeficiente alfa de Cronbach para analizar la consistencia interna de la lista de verificación, la cual consta de 7 ítems en la dimensión estructura y 17 en la dimensión proceso, y se subdivide en 3 componentes: gestión del sistema de información de inmunización; registro del vacunado y movimiento de inmunobiológicos. Considerando las dos dimensiones, el índice de validación de contenido total de la lista de verificación fue del 89,6 por ciento. En la dimensión estructura se obtuvo un índice de validación de contenido promedio de 89,9 y 89,2 por ciento en la dimensión de procesos, y de 86,2 por ciento en el componente de gestión del Sistema de Información de Inmunización; 92,6 por ciento en el registro de vacunados y 88,9 por ciento en el movimiento de inmunobiológicos. La lista de verificación demostró ser consistente internamente, con un valor para el alfa de Cronbach total de 0,97 y valores de 0,86 y 0,97 para las dimensiones de estructura y proceso, respectivamente. En cuanto a la validación de la apariencia, el instrumento se consideró inteligible. El estudio proporciona una lista de verificación con contenido y apariencia válidos para evaluar el desempeño del Sistema de Información de Inmunización brasileño y apoya la supervisión y el seguimiento de las funcionalidades de este sistema en las salas de vacunación(AU)


The study aimed to develop and validate the content and appearance of a checklist to evaluate the performance of the Brazilian Immunization Information System in vaccination rooms. It is a methodological study with a quantitative approach, which led to the validation of the content and appearance of the items in a checklist, structured in two dimensions: structure and process. The Delphi technique was used to validate the items according to the criteria of relevance, objectivity and clarity. The content validation index and Cronbach's alpha coefficient were calculated to analyze the internal consistency of the checklist, which consists of 7 items in the structure dimension and 17 in the process dimension, and is subdivided into 3 components: management the immunization information system; registry of the vaccinated and movement of immunobiologicals. Considering the two dimensions, the total content validation rate of the checklist was 89.6 percent. In the structure dimension, an average content validation index was 89.9; 89.2 percent was obtained in the processes dimension, and 86.2 percent in the management component of the Immunization Information System; 92.6 percent in the registry of vaccinated and 88.9 percent in the immunobiological movement. The checklist proved to be internally consistent, with a total Cronbach's alpha value of 0.97 and values ​​of 0.86 and 0.97 for the structure and process dimensions, respectively. Regarding the validation of the appearance, the instrument was considered intelligible. The study provides a checklist with valid content and appearance to evaluate the performance of the Brazilian Immunization Information System and supports the supervision and monitoring of the functionalities of this system in the vaccination rooms(AU)


Subject(s)
Humans , Vaccination , Immunization Programs , Checklist , Health Information Systems , Cross-Sectional Studies
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