Abstract
Objective:to analyze the acceptance and use of the Information System of the National Immunization Program in primary health care vaccination rooms.Method:a unique case study of a qualitative approach in the light of the Unified Theory of Acceptance and Use of Technology. Data collection included an interview with 18 professionals responsible for the implementation of the information system, observation of vaccination rooms in 12 municipalities of the West Macro-region of Minas Gerais, selected from a preliminary study. Data was systematized and analyzed through Content Analysis.Results:the interviewees are satisfied with the usefulness and ease of the system usage, but do not have the same satisfaction with the organizational infrastructure due to the lack of computers and low Internet connectivity in the health units, as well as with the incipient training for the use of the information system and the lack of skills with the technology among the human resources.Conclusion:nursing professionals perceive advantages in the acceptance and use of the Information System of the National Immunization Program. It was clear that the vaccinated individual’s history control and the decrease of records in paper are evidenced as facilitators of this acceptance. The system was considered reliable and secure.
Highlights
The SIPNI is a system developed by the Department of Health of the Brazilian Public Health System (Departamento de Saúde do Sistema Único de Saúde, DATASUS) to enable risk assessment regarding the occurrence of outbreaks and epidemics of vaccine-preventable diseases, based on the registration of immunobiological applied to a given population, aggregated by age group, time period and geographical area
The SIPNI can be found in the desktop version and used off-line, with encrypted file submission on a website and, in the on-line version, it is already implemented in several municipalities in the state of Minas Gerais[8]
Four interviewees were hired on a contract basis, while the others were approved in a public contest
Summary
Computerized Immunization Systems (Sistemas Informatizados de Imunização, SIIs) are important tools for evaluating and monitoring immunization programs, both at local and national levels, by providing up-todate data[1,2,3] and their use promotes equity of access to immunobiological agents and identification of low coverage pockets[4].In a systematic review study, conducted by the Community Preventive Services Task Force, in 108 published papers and 132 conference abstracts, it was identified that SIIs are effective in increasing vaccine coverage and, reducing vaccine-preventable diseases by means of their ability to determine client’s immunization status and support clinical decisions[5].For this reason, since the early 2000s, the Center for Disease Control and Prevention (CDC) has recognized the SII as an essential component of immunization programs and defines it as confidential, populationbased computerized systems for maintaining information on immunization[6].The first SIIs, at the initiative of service providers, date back to the 1970s in the United Kingdom and the USA, and to the late 1970s in Canada[7]. In a systematic review study, conducted by the Community Preventive Services Task Force, in 108 published papers and 132 conference abstracts, it was identified that SIIs are effective in increasing vaccine coverage and, reducing vaccine-preventable diseases by means of their ability to determine client’s immunization status and support clinical decisions[5]. For this reason, since the early 2000s, the Center for Disease Control and Prevention (CDC) has recognized the SII as an essential component of immunization programs and defines it as confidential, populationbased computerized systems for maintaining information on immunization[6]. The SIPNI can be found in the desktop version and used off-line, with encrypted file submission on a website and, in the on-line version, it is already implemented in several municipalities in the state of Minas Gerais[8]
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