Os sentidos da integralidade do cuidado em saúde: um olhar sobre as ações do Programa Nacional de Imunização

Abstract

The National Immunization Program (NIP) organizes immunization actions in Brazil, building health practice around the country and focusing on health prevention and promotion. The NIP actions are developed by the teams of the Family Health Strategy (FHS) in Basic Health Units (BHU); this is the beginning of care by Health Unit System (HUS). The FHS focuses on the positive health sector, restructuring, and taking care of the health process. The purpose of this research is to analyze the NIP’s actions by the FHS in Recife, Pernambuco State, Brazil. It will also evaluate the application, specifically on the administrative political region. The impact was analyzed from feedback received from health professionals in the region. The results were collected through exploratory and qualitative research methodologies, and they were analyzed using more than one technique. A case study was conducted at the Family Health Unit (FHU) by interviewing health professionals and reviewing related literature. Data analysis was performed using Content Analysis (MINAYO),synthesis techniquesand Condensation of Meaning (KVALE), were analyzed to answer data search qualitative and constructing expressions formulations from enterviews. It was found that the NIP’s actions, like vaccination, are freely available at the FHU and facilitated educational actions and health promotions. The profile of the FHS team is in accordance with the norms of the Ministry of Health that demands integrality in health care. Evidence was found that certain aspects compromised the integrality of health care due to a lack of communication between the different structures and units within the health care system. On the other hand, the form of professional performance and the organization of services as the main practices of the FHS stood out, especially in the case of human care and the quality of care within the population in regard to consultations and vaccinations.