Situação vacinal entre Agentes Comunitários de Saúde

Objetivo: Investigar e comparar a situação vacinal para as vacinas garantidas pelo PNI entre Agentes comunitários de saúde de um município do Recôncavo da Bahia. Métodos: Estudo de corte transversal, realizado nos anos de 2011 com 121 Agentes comunitários de saúde e em 2019 com 111, em Santo Antônio de Jesus, Bahia, para investigação da completude dos cartões vacinais destes trabalhadores. Considerou-se apenas a informação verbal sobre o recebimento das doses das vacinas recomendadas em 2011, e em 2019 tanto a informação autorreferida quanto as informações contidas nos cartões de vacinação. Os dados obtidos foram analisados por estatística descritiva com auxílio do software IBM SPSS Statistics versão 22. Resultados: Em ambos os anos, a amostra foi composta em sua maioria pelo sexo feminino, idade entre 30 e 49 anos e cor parda. Apenas 19,5% desses trabalhadores, em 2011, e 24,7%, em 2019, apresentavam esquema vacinal completo. A análise dos cartões vacinais demonstrou uma taxa de apenas 14,9% de completude. Conclusão: A maioria dos Agentes Comunitários de Saúde está com o cartão vacinal desatualizado. Os resultados demonstram percentuais alarmantes requerendo investimento profundo em ações de caráter educativo que potencialmente contribuirão para uma melhoria da situação evidenciada. ABSTRACTObjective: Investigate and compare the vaccination status for vaccines guaranteed by the PNI among Community health agents in a city in the Recôncavo of Bahia. Methods: Crosssectional study, conducted in 2011 with 121 Community health agents and in 2019 with 111, in Santo Antônio de Jesus, Bahia, to investigate the completeness of the vaccination cards of these workers. We considered only verbal information about the receipt of the recommended vaccine doses in 2011, and in 2019 both the self-reported information and the information contained in the vaccination cards. The data obtained were analyzed by descriptive statistics with the aid of ibm SPSS Statistics version 22 software. Results: In both years, the sample was composed mostly of females, aged between 30 and 49 years and brown color. Only 19.5% of these workers in 2011 and 24.7% in 2019 had a complete vaccination schedule. The analysis of vaccination cards showed a rate of only 14.9% completeness. Conclusion: Most Community health workers have an outdated vaccination card. The results show alarming percentages requiring deep investment in educational actions that will potentially contribute to an improvement of the situation evidenced.Keywords: Community Health Workers; Vaccination; Occupational Health. RESUMENObjetivo: Investigar y comparar la situación de vacunación de las vacunas garantizadas por el PNI entre los agentes comunitarios de salud de un municipio del Recôncavo de Bahia. Métodos: estudio transversal, realizado en 2011 con 121 trabajadores comunitarios de salud y en 2019 con 111, en Santo Antônio de Jesus, Bahía, para investigar la integridad de las cartillas de vacunación de estos trabajadores. Solo se consideró la información verbal a cerca de la recepción de las dosis recomendadas de vacuna en 2011, y en 2019 tanto la información autoinformada como la información contenida en las tarjetas de vacunación. Los datos obtenidos se analizaron mediante estadística descriptiva con la ayuda del software IBM SPSS Statistics versión 22. Resultados: En ambos años, la muestra estuvo compuesta mayoritariamente por mujeres, con edades entre 30 y 49 años y piel morena. Solo el 19,5% de estos trabajadores, en 2011, y el 24,7%, en 2019, tenían un calendario de vacunación completo. El análisis de las tarjetas de vacunación mostró una tasa de solo el 14,9% de compleción. Conclusión: la mayoría de los agentes comunitarios de salud tienen una tarjeta de vacunación obsoleta. Los resultados muestran porcentajes alarmantes que requieren una profunda inversión en acciones educativas que potencialmente contribuirán a mejorar la situación evidenciada.Palabras clave: Agentes comunitarios de salud; Vacunación; Salud del trabajador.

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The impact of community health workers on the self-determination, self-sufficiency, and decision-making ability of low-income women and mothers of young children

Journal of Community Psychology ◽

10.1002/jcop.20006 ◽

2004 ◽

Vol 32 (3) ◽

pp. 343-356 ◽

Cited By ~ 5

Author(s):

Andrea Crivelli Kovach ◽

Julie Becker ◽

Heidi Worley

Keyword(s):

Decision Making ◽

Young Children ◽

Community Health ◽

Community Health Workers ◽

Low Income ◽

Health Workers ◽

The Self ◽

Self Determination ◽

Self Sufficiency ◽

The Impact

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Establishing the criterion validity of the interRAI Check-Up Self-Report instrument

10.21203/rs.2.22336/v2 ◽

2020 ◽

Author(s):

Leon Neville Geffen ◽

Gabrielle Kelly ◽

John N Morris ◽

Sophie Hogeveen ◽

John Hirdes

Keyword(s):

Community Health ◽

Community Health Workers ◽

Older Persons ◽

Health Workers ◽

Cape Town ◽

Criterion Validity ◽

The Self ◽

Assessment Instrument ◽

Self Report ◽

Healthcare Personnel

Abstract Background: Low and middle-income countries have growing older populations and could benefit from the use of multi-domain geriatric assessments in overcoming the challenge of providing quality health services to older persons. This paper reports on the outcomes of a study carried out in Cape Town, South Africa on the validity of the interRAI Check-Up Self-Report instrument, a multi-domain assessment instrument designed to screen older persons in primary health settings. This is the first criterion validity study of the instrument. The instrument is designed to identify specific health problems and needs, including psychosocial or cognition problems and issues related to functional decline. The interRAI Check-Up Self-Report is designed to be compatible with the clinician administered instruments in the interRAI suite of assessments, but the validity of the instrument against clinician ratings has not yet been established. We therefore sought to establish whether community health workers, rather than trained healthcare professionals could reliably administer the self-report instrument to older persons.Methods: We evaluated the criterion validity of the self-report instrument through comparison to assessments completed by a clinician assessor. A total of 112 participants, aged 60 or older were recruited from 7 seniors clubs in Khayelitsha, Cape Town. Each participant was assessed by one of two previously untrained, non-healthcare personnel using the Check-Up Self-report version and again by a trained assessor using the clinician version of the interRAI Check-Up within 48 hours. Our analyses focused on the degree of agreement between the self-reported and clinician-rated versions of the Check-Up based on the simple or weighted kappa values for the two types of ratings. Binary variables used simple kappas, and ordinal variables with three or more levels were examined using weighted kappas with Fleiss-Cohen weights.Results: Based on Cohen’s Kappa values, we were able to establish that high levels of agreement existed between clinical assessors and lay interviewers, indicating that the instrument can be validly administered by community health workers without formal healthcare training. 13% of items had kappa values ranging between 0.10 and 0.39; 51% of items had kappa values between 0.4 and 0.69; and 36% of items had values of between 0.70 and 1.00Conclusion: Our findings indicate that there is potential for the Check-Up Self-Report instrument to be implemented in under-resourced health systems such as South Africa’s.

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Establishing the criterion validity of the interRAI Check-Up Self-Report instrument

10.21203/rs.2.22336/v1 ◽

2020 ◽

Author(s):

Leon Neville Geffen ◽

Gabrielle Kelly ◽

John N Morris ◽

Sophie Hogeveen ◽

John Hirdes

Keyword(s):

Older Adults ◽

Community Health ◽

Community Health Workers ◽

Health Workers ◽

Functional Decline ◽

Cape Town ◽

The Self ◽

Assessment Instrument ◽

Self Report ◽

Healthcare Personnel

Abstract Background: Low and middle-income countries have growing older populations and could benefit from the use of multi-domain geriatric assessments in overcoming the challenge of providing quality health services to older adults. This paper reports on the outcomes of a study carried out in Cape Town, South Africa on the validity of the interRAI Check-Up Self-Report instrument, a multi-domain assessment instrument designed to screen older adults in primary health settings. The instrument is designed to identify specific health problems and needs, including psychosocial or cognition problems and issues related to functional decline. The interRAI Check-Up Self-Report is designed to be compatible with the clinician administered instruments in the interRAI suite of assessments. We sought to establish whether community health workers, rather than trained healthcare professionals could reliably administer the instrument.Methods: We evaluated the validity of the self-report instrument through comparison to assessments completed by clinicians. A total of 112 participants, aged 60 or older were recruited from 6 seniors clubs in Khayelitsha, Cape Town. Each participant was assessed by one of two previously untrained, non-healthcare personnel using the Check-Up Self-report version and again by a trained assessor using the clinician version of the interRAI Check-Up within 48 hours. Our analyses focused on the degree of agreement between the self-reported and clinician-rated versions of the Check-Up based on the simple or weighted kappa values for the two types of ratings. Binary variables used simple kappas, and ordinal variables with three or more levels were examined using weighted kappas with Fleiss-Cohen weights.Results: Based on Cohen’s Kappa values, we were able to establish that high levels of agreement existed between clinical assessors and lay interviewers, indicating that the instrument can be validly administered by community health workers without formal healthcare training. Conclusion: Our findings indicate that there is potential for the Check-Up Self-Report instrument to be implemented in under-resourced health systems such as South Africa’s.

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