Access to Vaccines in Floodplains and Hard-to-Reach Areas of the Brazilian Amazon: The Contribution of Street-Level Bureaucrats and the Use of Social Technologies

The success of the immunization campaigns in the hard-to-reach flooded areas of the municipality is due to the existence of a virtuous cycle arising from the synergy between the different stakeholders that make up the immunization service; there is a clear relationship between the vaccination coverage rates achieved and the municipal administration's commitment to public health. The immunization rates achieved in the municipality studied were compatible with the average established by the Brazilian Ministry of Health. This case study might enhance knowledge about health practices in this important world region.