Calendário vacinal na infância e adolescência: avaliando diferentes propostas

Feijo, Ricardo Becker; Cunha, Juarez; Krebs, Lenita Diacui Simões

doi:10.1590/s0021-75572006000400002

Cited by 9 publications

(11 citation statements)

References 6 publications

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“…School non-enrollment was assessed from 4 and 6 years of age. Vaccination coverage was explored in children 24 months and older because most of the childhood vaccinations recommended by the Brazilian Ministry of Health are administered before the age of 15 months 25 . Vaccination coverage for a vaccine-preventable illness (VPI) was considered complete if the recommended number of doses was administered before 24 months -adequate timing of the doses was disregarded.…”

Section: Discussionmentioning

confidence: 99%

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

et al. 2020

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OBJECTIVE: One of the primary objectives of Brazil’s conditional cash transfer program, Bolsa Família, is to break the intergenerational transmission of poverty by improving human capital via conditionalities. In this study, we hypothesized that health indicators of Bolsa Família participants would be comparable to those of other local children who were nonparticipants after two years of follow-up in the city of Acrelândia, Acre state, Western Brazilian Amazon. METHODS: Data from a population-based longitudinal study were analyzed to examine school enrollment, vaccination coverage, height and body mass index for age z-scores, and biomarkers of micronutrient deficiencies (iron and vitamin A) between Bolsa Família participants (n = 325) and nonparticipants (n = 738). RESULTS: Out of 1063 children 10 years and younger included in the 2007 baseline survey, 805 had anthropometric measurements and 402 had biochemical indicators in the 2009 follow-up survey. Prevalence rate ratio (PRR) for non-enrollment in school at 4 years of age was 0.58 (95%CI: 0.34–1.02) when comparing Bolsa Família participants with nonparticipants. No difference was found for vaccination coverage, which was insufficient for most vaccine-preventable diseases. Bolsa Família participants were less likely to show a positive change in body mass index for age z-scores compared with nonparticipants (PRR = 0.81, 95%CI: 0.70–0.95), while a positive change in height for age z-scores was similar in the groups. No differences in micronutrient deficiencies were found between groups after 2 years. CONCLUSIONS: Early school enrollment and consistent nutritional indicators between Bolsa Família participants and nonparticipants suggest Bolsa Família was facilitating similarities between groups over time.

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Section: Discussionmentioning

confidence: 99%

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

et al. 2020

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“…Estimase que o potencial de proteção para a doença pneumocócica invasiva causada pelos sorotipos constantes na vacina PCV7 seja de 70% e que apresente imunidade de grupo 7,8 . A partir de 2008, 24 países incorporaram a vacina na rotina de imunização, principalmente na América do Norte e na Europa Ocidental 9,10 . Em 2009 e 2010, a pneumocócica 13-valente (PCV13) foi licenciada no Chile, na Europa e nos Estados Unidos para uso em crianças com idades entre seis semanas e 71 meses, em substituição à PCV7 11,12,13 .…”

Section: Introductionunclassified

O impacto da vacina pneumocócica PCV10 na redução da mortalidade por pneumonia em crianças menores de um ano em Santa Catarina, Brasil

Kupek

Vieira

2016

Cad. Saúde Pública

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“…Several publications discuss indications of special immunobiologicals or describe the care to specific groups in the CRIE 3 , 5 , 6 , 21 , 24 , 26 , but we did not find studies that evaluate the implementation of CRIE in national perspective.…”

Section: Introductionmentioning

confidence: 74%

Evaluation of Reference Centers for Special Immunobiologicals implementation

2016

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OBJECTIVE To describe the Reference Centers for Special Immunobiologicals and evaluate their implementation considering formal regulations.METHODS We conducted a program evaluation, of evaluative research type. From August 2011 to January 2012, a questionnaire was applied to the 42 Reference Centers for Special Immunobiologicals existing in the Country, approaching the structure, human resources, and developed activities dimensions. We conducted a descriptive analysis of data and used a clustering for binary data with the squared Euclidean distance, by the farthest neighbor method, to aggregate services with similar features.RESULTS We observed great diversity among the services in the three dimensions. The clustering resulted in five service profiles, named according to their characteristics. 1) Best structure: 12 Reference Centers for Special Immunobiologicals with the highest proportion of services with the minimum of rooms recommended, purpose-built vaccine refrigerators, preventive maintenance of the cold chain, and oxygen source. 2) Immunobiologicals distributor: six Reference Centers for Special Immunobiologicals that distributed more than applied immunogens; no doctor present for more than half of the working hours and no purpose-built vaccine refrigerators . 3) Incipient implementation: five Reference Centers for Special Immunobiologicals with inadequate structure, such as absence of purpose-built vaccine refrigerators, preventive maintenance of the cold chain and oxygen source; none had computer. 4) Vaccination rooms: 13 Reference Centers for Special Immunobiologicals, everyone did routine immunization, most participated in vaccination campaigns. 5) Teaching and research: six services, all inserted into teaching hospitals, developed researches and received trainees; most had doctors in more than half of the working hours.CONCLUSIONS The evaluation of the Reference Centers for Special Immunobiologicals implementation was based on the profiles found and considered the official regulations: services categorized as “better structure” and “teaching and research” were considered implemented; “immunobiologicals distributor” and “vaccination room” services, partially implemented, and the ones with the “incipient implementation” profile, not implemented. The results of this evaluation can contribute to the reformulation of the services, considering the current context.

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Calendário vacinal na infância e adolescência: avaliando diferentes propostas

Abstract: Objectives: To present the criteria used to define a vaccination schedule for childhood and adolescence, comparing the recommendations of national and international excellence institutions.

Cited by 9 publications

References 6 publications

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

Health outcomes of the Bolsa Família program among Brazilian Amazonian children

O impacto da vacina pneumocócica PCV10 na redução da mortalidade por pneumonia em crianças menores de um ano em Santa Catarina, Brasil

Evaluation of Reference Centers for Special Immunobiologicals implementation

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