Classificação De Risco De Doenças Imunopreveníveis E Sua Distribuição Espacial

Cunha, Jéssica Oliveira da; Farias, Lays Hevércia Silveira de; Góes, José Augusto Passos; Bispo, Mateus Meneses; Anjos, Thaynara Silva dos; Silva, Glebson Moura; Santos, Allan Dantas dos

doi:10.5380/ce.v25i0.68072

Cited by 5 publications

(4 citation statements)

References 21 publications

(24 reference statements)

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“…High DRs are a reality in Minas Gerais and some regions of Brazi 21 , a state with a sizeable territorial extension and very heterogeneous socioeconomic conditions in the municipalities. Several challenges to reducing DR in Brazilian municipalities 1,20 , and socioeconomic and environmental factors hinder the population's equal access to vaccination rooms, contributing to high DR in the vaccination schedule 6,[21][22][23] .…”

Section: Discussionmentioning

confidence: 99%

Impacto de uma pesquisa-ação nos indicadores vacinais em Minas Gerais

Souza,

Silva,

Oliveira

et al. 2024

Rev. saúde pública

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OBJECTIVE: Analyze the impact of the state research-action project on immunization indicators (vaccination coverage – VC, homogeneity of vaccination coverage – HVC, dropout rate – DR, and risk rating) before and after the intervention in municipalities and priority Regional Health Administrations/Regional Health Superintendencies (RHA/RHS). METHODS: The state research-action project was a before-after community clinical trial conducted in 212 municipalities belonging to eight RHA/RHS in the state of Minas Gerais, Brazil. The study sample comprised RHA/RHS with a decreasing trend for routine vaccination coverage in children under one year from 2015 to 2020. This study used secondary VC and DR data from 10 immunobiologicals recommended for children younger than two years from January to December 2021 (pre-intervention period, prior to the state research-action project) and from January to December 2022 (post-intervention period). The categorical variables were presented in proportions, and initially, a comparison was made between those of DR, HVC, and the risk rating for the transmission of vaccine-preventable diseases, according to the two periods (2021 and 2022), using the McNemar test. RESULTS: All immunization indicators increased after conducting the research-action project. In 2021, 80.66% of the state’s municipalities had a risk rating for the transmission of vaccinepreventable diseases as “high and very high.” In 2022, the value reduced to 68.40%. CONCLUSIONS: Risk rating for the transmission of vaccine-preventable diseases is an important mechanism to assist managers in defining priorities. The state research-action project used a method that enabled the construction and execution of unique action plans for each municipality, directing the improvement of immunization indicators in the state.

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Section: Discussionmentioning

confidence: 99%

Impacto de uma pesquisa-ação nos indicadores vacinais em Minas Gerais

Souza,

Silva,

Oliveira

et al. 2024

Rev. saúde pública

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“…Another study in Sergipe state, with data from the SI-PNI 46 but with children up to two years of age, evaluated VC for 2017. The highest PAs were the Meningococcal Conjugate type C vaccine (53.3%), followed by Poliomyelitis (49.3%), Pentavalent (44%), and Oral Human Rotavirus (40%) vaccines.…”

Section: Discussionmentioning

confidence: 99%

Indicators of the National Immunization Program for children under one year old: time trend in Maranhão, Brazil, 2010 to 2021

Marinho

Queiroz

Araújo

et al. 2023

Ciênc. saúde coletiva

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We aimed to analyze the trend of indicators of the National Immunization Program (acronym in Portuguese. PNI) in children under one-year-old and classify municipalities regarding the risk of transmission of vaccine-preventable diseases (RTVPD) in Maranhão from 2010 to 2021. This ecological time series study was based on secondary data on vaccination coverage (VC). vaccination coverage homogeneity (VCH). proportion of abandonment (PA). and RTVPD. with state coverage for vaccines in the national children’s calendar. Prais-Winsten regression estimated trends (α=5%) and the indicators’ annual percentage change (APC). We identified fluctuating and discrepant VC between vaccines. with a decreasing trend (p < 0.01). except those against Hepatitis B (p = 0.709) and oral human rotavirus (p = 0.143). The sharpest falls were for Yellow Fever (APC = 12.24%) and BCG (APC = 12.25%) vaccines. All VCH rates were lower than expected. with a drop from 2014 and APC between 5.75% (Pneumococcal 10; p = 0.033) and 14.02% (Poliomyelitis; p < 0.01). We observed an increasing trend in PA for Pentavalent (APC = 4.91%; p < 0.01) and Poliomyelitis (APC = 3.55%; p < 0.01). We identified an increase of 52.54% in the proportion of municipalities in Maranhão from 2015 to 2021. with extremely high (p = 0.025) and high (p = 0.028) RTVPD. The PNI indicators deteriorated. reaffirming the susceptibility to the emergence of vaccine-preventable diseases.

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“…Outo estudo em Sergipe, também com dados do SI-PNI 46 , porém com crianças de até dois anos de idade, avaliou as CV para o ano de 2017. As mais altas PA foram: vacina meningocócica conjugada C (53,3%), poliomielite (49,3%), pentavalente (44%) e oral de rotavírus humano (40%).…”

Section: Discussionunclassified

Indicadores do Programa Nacional de Imunizações em menores de um ano: tendência temporal no Maranhão, Brasil, 2010 a 2021

Marinho

Queiroz

Araújo

et al. 2023

Ciênc. saúde coletiva

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Resumo Objetivou-se analisar a tendência dos indicadores do Programa Nacional de Imunizações (PNI) em menores de um ano e classificar os municípios quanto ao risco de transmissão de doenças imunopreveníveis (RTDIp) no Maranhão de 2010 a 2021. Estudo ecológico de série temporal, baseado em dados secundários de cobertura vacinal (CV), homogeneidade de cobertura vacinal (HCV), proporção de abandono (PA) e RTDIp, com abrangência estadual, para vacinas do calendário nacional infantil. Regressão de Prais-Winstein estimou tendência (α = 5%) e variação percentual anual (VPA) dos indicadores. Houve CV flutuantes e discrepantes entre as vacinas, com tendência decrescente (p < 0,01), exceto contra hepatite B (p = 0,709) e rotavírus (p = 0,143). As quedas mais acentuadas foram para as vacinas contra febre amarela e BCG. Todas as taxas de HCV estavam abaixo do esperado, com a diminuição a partir de 2014 e VPA de 5,75% a 14,02%. Houve tendência crescente da PA para pentavalente e poliomielite. No período de 2015 e 2021 houve incremento de 52,54% na proporção dos municípios maranhenses com RTDIp muito alto (p = 0,025) e alto (p = 0,028). Ao longo de 12 anos, houve piora dos indicadores do PNI em menores de um ano, reafirmando a suscetibilidade para o surgimento de doenças imunopreveníveis.

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Classificação De Risco De Doenças Imunopreveníveis E Sua Distribuição Espacial

Cited by 5 publications

References 21 publications

Impacto de uma pesquisa-ação nos indicadores vacinais em Minas Gerais

Impacto de uma pesquisa-ação nos indicadores vacinais em Minas Gerais

Indicators of the National Immunization Program for children under one year old: time trend in Maranhão, Brazil, 2010 to 2021

Indicadores do Programa Nacional de Imunizações em menores de um ano: tendência temporal no Maranhão, Brasil, 2010 a 2021

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