Actividades de inmunización en el contexto de la pandemia por la COVID-19 en Latinoamérica

Abstract

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Spatial distribution, determinants and trends of full vaccination coverage in children aged 12–59 months in Peru: A subanalysis of the Peruvian Demographic and Health Survey

“…53 Otherwise, Peru was distinguished as the first country in Latin America in restarting immunisation campaigns among children, since its access was restricted because of the pandemic. 38 54 In order to continue with this trend, a systematic review revealed that health education, providing information on immunisation, home visits, among others, may increase childhood immunisation coverage. 55 …”

“…37 Furthermore, strict social, economic and health measures implemented by the government to mitigate the effects of the COVID-19 pandemic have hindered the access to vaccination, which could led to a decrease in FVC. 38 This implies a situation of vulnerability to outbreaks and an increase in public expenditure on the treatment of immune-preventable diseases. This study did not find a significant gap in FVC between urban and rural areas, unlike other studies.…”

“…The low FVC found in 2019 implies the eventual failure of our country to achieve the goals established in the Global Vaccine Action Plan 2011–2020, implemented by WHO, which seeks to achieve ≥90% coverage in all vaccines for 2020 37. Furthermore, strict social, economic and health measures implemented by the government to mitigate the effects of the COVID-19 pandemic have hindered the access to vaccination, which could led to a decrease in FVC 38. This implies a situation of vulnerability to outbreaks and an increase in public expenditure on the treatment of immune-preventable diseases.…”

“…We highlight the large increase observed between 2010 and 2011, which was probably due to the influenza AH1N1-2009 pandemic since multiple public health interventions were promoted, including the strengthening of vaccination plans 53. Otherwise, Peru was distinguished as the first country in Latin America in restarting immunisation campaigns among children, since its access was restricted because of the pandemic 38 54. In order to continue with this trend, a systematic review revealed that health education, providing information on immunisation, home visits, among others, may increase childhood immunisation coverage 55…”

Some lessons that Peru did not learn before the second wave of COVID‐19

“…The already deficient follow-up of patients with noncommunicable diseases decreased even more, 3,7 potentially contributing to an increased rate of COVID-19 hospitalizations. Also, there was a decrease in vaccination coverage 8, increasing the risk of outbreaks due to preventable diseases. Although the Peruvian Ministry of Health promoted telemedicine as a complementary measure to counteract the disruption, the system's late implementation and structural limitations hindered its success.…”