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Successful and award-winning
experiences presented by Brazilian
states and municipalities
Protege Paranaíta. Credit: Paranaíta Municipal Health Department
Brazil is a vast country with over 200 million inhabitants and a public, universal, and free health care system. In the 35 years since its creation, the Unified Health System (SUS) has made important progress, including achieving high vaccination coverage for a large number of vaccine-preventable diseases. Immunization actions in the country are coordinated by the National Immunization Program (PNI), created 50 years ago by the Ministry of Health. The PNI has achieved sustainable results over decades, as SUS services have expanded. It has progressively increased the number of vaccines, as well as population coverage. Its activities are carried out in a robust service network that includes routine vaccination services and campaigns, as well as the Reference Centers for Special Immunobiologicals (CRIE), which serve people with special clinical conditions.
In this context, the Pan American Health Organization (PAHO) office in Brazil is supporting CONASS and CONASEMS initiatives by compiling a set of experiences to be published as a supplement to the PAHO Immunization Newsletter. In partnership with CONASS and CONASEMS, six successful experiences in municipalities from different regions of the country were selected from among some 900 proposals.
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Leopoldina workshop, 26-27 Sep 2023. Credit: Observatory for Vaccination Research and Studies, Federal University of Minas Gerais and Minas Gerais State Health Department
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Opportunities and challenges to
achieving increased vaccination coverage, from the perspective of managers and workers in the Unified Health System in the Brazilian state of Minas Gerais
Despite significant advances in vaccination over the decades, especially
with the expansion of primary health care (PHC) coverage, Brazil has not
reached the recommended vaccination coverage targets since 2016, a
situation exacerbated by the COVID-19 pandemic. Cooperation between
academia and health services can help us to understand this problem and
act to eliminate its causes.
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Imuniza Barcarena. Credit: Barcarena Municipal Health Department
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Imuniza Barcarena: the road to regaining vaccination coverage
Located in the state of Pará, in the Northern region of Brazil, 15 km from the capital city of Belém, the municipality of Barcarena (population 126,650) has the highest primary health care coverage (92%) among the municipalities in the Tocantins health region. The 6th Regional Health Center (shared with the municipalities of Igarapé Miri, Moju, Tailândia, and Abaetetuba) has its headquarters here. Located in a port area, Barcarena borders on other municipalities and has a transient population; as a result, it absorbs considerable demand from outside its service area.
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Shared functions in immunization care in Pato Branco, Paraná. Credit: Vilson Bonetti
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Shared functions in immunization care: strategies for achieving high vaccination coverage in the municipality of Pato Branco,
Paraná
Located in the southwest of Paraná, a state in the southern region of
Brazil, Pato Branco is a municipality of 91,836 inhabitants that is a hub
for services in the micro-region, with a special focus on the health and
education sectors. The city has a well-structured health system, with 23
Family Health Strategy teams distributed in 14 basic health units, achieving 100% coverage. In total, there are 13 public vaccination rooms and five private ones.
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- 100 Questions about Vaccines
- Overcoming the challenges of distributing COVID-19
vaccines in Amazonas state: a report on the experience
- BCG in the Maternity Ward
- Mobilizing the population to increase vaccination
coverage: the experience of the Protege Paranaíta program
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- “Vaccination is for Grownups Too” project
- A new approach to an old tool: Using school health
programs to strengthen immunization actions
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Review previous issues
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Resources on immunization
Find here videos and materials related to immunization.
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