Mesa-Redonda: Desigualdades sociais e cobertura vacinal: uso de inquéritos domiciliares

Waldman, Eliseu Alves

doi:10.1590/s1415-790x2008000500013

Cited by 23 publications

(27 citation statements)

References 11 publications

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“…However, in Salvador, current data on the 2005 cohort show a profile compatible with previous vaccination surveys conducted in the city of São Paulo, where the lowest coverage was found in strata with the worst living conditions. 5 When considered individually, coverage of each of these vaccines is higher than that observed for the complete vaccination schedule, but lower than the expected values. Even the BCG vaccine, which frequently has higher coverage because it is applied while children are in the maternity ward, not requiring mothers to seek a primary health care service, shows a coverage rate lower than 90% in children living in areas categorized in stratum E.…”

Section: Discussionmentioning

confidence: 84%

“…The remaining vaccines showed coverage rates lower than 90% in all socioeconomic strata, which enables the accumulation of susceptible children and may pose the risk of future epidemics, despite the low circulation of etiological agents with a small number of cases in the population, such as the diphtheria and mumps or even in the context of polio eradication. Countries that currently have poliomyelitis virus circulation after the introduction of an imported case show low vaccination coverage rates, which is a possibility that should not be disregarded with the increase in the population flow 1,5 .…”

Section: Discussionmentioning

confidence: 99%

“…Although the program is universal, several surveys conducted in this country pointed to differences in the coverage of social groups stratified according to socioeconomic indicators 5,6 . More recently, national results have indicated lower coverage of higher socioeconomic groups 7 .…”

Section: Introductionmentioning

confidence: 99%

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Desigualdades sociais e cobertura vacinal na cidade de Salvador, Bahia

Barata¹,

Pereira

2013

Rev. bras. epidemiol.

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Objective: To estimate the vaccination coverage in children born in the city of Salvador, analyzing these coverages by socioeconomic conditions. Method: A household survey on vaccination coverage was conducted with children born in 2005, in Salvador, Bahia, northeastern Brazil, who were aged between 18 to 36 months at the time of this study. Cluster sampling was performed in multiple stages. Census tracts were stratified using data from the national census conducted in 2000. Data was collected on socio-economic households. The sample size was defined by a specific methodology developed for immunization coverage surveys. The questionnaire was based upon the information contained in the vaccination cards. The estimated vaccination coverage in the various strata considered the sampling complex plan, weighting the observations according to the sampling fraction, the losses and the design effect. Results: There was inequality in the socioeconomic strata analyzed, where the coverage rate was directly proportional to socioeconomic status. Strata D and E showed statistically significant differences when compared to stratum A. Regarding to the complete scheme, children living in strata D and E have significantly less coverage than those residing in strata B. For vaccines not included in the basic scheme, the differences are very marked, showing less than 3% in stratum D and E. Conclusions: Vaccination coverage for the complete schedule at the end of 18 months of age with valid doses, was unsatisfactory and shows significant differences among the socio-economic strata with poor coverage in the poorest groups.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Desigualdades sociais e cobertura vacinal na cidade de Salvador, Bahia

Barata¹,

Pereira

2013

Rev. bras. epidemiol.

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“…6,11 O presente estudo revelou alta proporção de crianças da amostra captada que percorreram mais de um serviço de atenção primária, e maior porcentagem de usuários dos serviços do SUS (78,2%). Entre estes, quase 42,7% tinham vacinas realizadas tanto no Ambulatório de Pediatria Social do HSL quanto em outras unidades básicas do Sistema; e 35,5% tinham vacinas realizadas exclusivamente no SUS.…”

Section: Discussionunclassified

“…5,6,[10][11][12] Os inquéritos de cobertura vacinal se destacaram como importantes instrumentos para analisar, com grande precisão, a situação vacinal da população estudada, além de contribuírem para uma maior compreensão dos determinantes socioeconômicos associados à distribuição heterogênea da cobertura vacinal infantil e possibilitarem estimar os indivíduos susceptíveis e os fatores relacionados à equidade de acesso ao PNI. Apesar desses benefícios, essa metodologia é cara, demanda tempo e exige uma grande equipe para sua implementação.…”

Section: Introductionunclassified