Having the government and management of Health decentralized in the autonomous communities and autonomous cities means, to give an example: respiratory syncytial virus vaccine nirsivamab Children at risk and newborns are immunized in all of them, but only a part also immunizes infants who were less than 6 months old at the beginning of this fall-winter campaign.
The way in which the National Health System (SNS) is administratively structured gives rise to the fact that in Spain there are 19 vaccination schedules for, following the previous example, the population from 2 months to 16 years of age. Well looked at, They are not that differentbut does it make sense that 8.2 million minors and adolescents in the same country are subject to 19 different vaccination schedules?
Spain has a common calendar that the communities expand on their own, a level of introduction of new vaccines and population coverage that are unbeatable in the European context. And the differences between territories, over the years (in 2002 there were transfers from the former National Institute of Health-Insalud to the last ten autonomies) and all the work of the Ministry of Health and the Interterritorial Council-CISNS and its committee of experts (from all regions), have been toned down, especially during the covid-19 pandemic.
But it is evident that there are still many things to improve, as confirmed and detailed by a manifesto made public by the Spanish Association of Vaccinology. He warns that (with the 19 calendars) “the first form of inequality in the distribution of vaccines is generated institutionally”, and therefore defends that the ministry be responsible for “the supply of vaccines to the autonomous communities at the time initial start-up of the vaccination programs once approved by the Public Health Commission and the CISNS, something that would contribute to achieving greater equality at the time of introduction of all communities.
It also includes other issues (organizational and promotional, socioeconomic, cultural, literacy, etc.) that, together with the different territorial systems, contribute to inequity in access.
And he points out relevant problems about which little or, rather, nothing is said: “Special attention must be paid to the fact that in some autonomous communities there are people who do not have access to vaccination because they do not have a health card, because it is in process. or not yet having their residence permit regularized in the country”, and “an initially privileged population, such as mutual members with private health care, may also have problems of access and inequality in some autonomous communities.”
Vaccines, like the infectious diseases they combat, are not the exclusive concern of municipalities, provinces, autonomous communities or even countries, as the mass immunization against covid-19 that has saved so many lives worldwide has shown us.
Everything that has to do with basic issues for development and social well-being should not be affected by the form and different levels of public administration that we have in Spain, which is something that is sometimes shown more as a problem than a solution.
2024-03-17 07:19:00
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