Cobertura vacinal: uma análise comparativa entre os estados da Região Norte do Brasil

Oliveira, Guilherme Da Silva; Bitencourt, Evandro Leite; Amaral, Pedro Ferreira Fernandes; Vaz, Guilherme Parreira; Júnior, Paulo Martins Reis; Costa, Sabina Borges da

doi:10.20873/uft.2446-6492.2020v7n1p14

Cited by 9 publications

(3 citation statements)

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“…Oliveira et al . [ 34 ] studied eight immunobiologicals for children under 1 year of age in the northern region of Brazil, and only BCG had VC > 90%, corroborating the data found in the present study, except for BCG, which was below the recommended target in all mesoregions of Paraíba.…”

Section: Discussionsupporting

confidence: 89%

Spatial analysis of vaccine coverage in children under the age of 1 year by mesoregions in Paraíba a northeastern Brazilian state

et al. 2023

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Immunization is one of the most effective measures in public health, and it is responsible for the reduction of vaccine-preventable diseases. In the present study, vaccine coverage (VC) and the spatial dynamics of homogeneity of VC (HVC) were compared and analyzed in the terms of the immunobiologicals administered to children aged < 1 year in a state in Paraíba, Brazil. This is a mixed ecological study that used public-domain secondary data from the years 2016 and 2017 from the Information System of the Brazilian National Immunization Program (SI-PNI) and the Brazilian National Information System of Live Births (SINASC). VC rates were calculated by dividing the number of administered doses by the number of live births. Then, VC was classified into four categories. The Municipal HVC was considered adequate when the overall VC exceeds 75%. The study included a descriptive analysis and a spatial autocorrelation analysis for HVC using global and local Moran’s statistics. The stratified VC analysis revealed a significant number of municipalities in each of the state’s mesoregions with low or very low VC rates for all immunobiologicals, with the Mata Paraibana mesoregion having the worst percentages in both years studied. The spatial analysis of HVC revealed several clusters of inadequate homogeneity, with Mata Paraibana being the worst mesoregion in 2016. The analysis of spatial dynamics and spatial statistics techniques allows the precise identification of vulnerable areas, “vaccination pockets,” making it possible to develop plans aimed at meeting the targets of the PNI.

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Section: Discussionsupporting

confidence: 89%

Spatial analysis of vaccine coverage in children under the age of 1 year by mesoregions in Paraíba a northeastern Brazilian state

et al. 2023

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“…A apresentação da Tabela 1 com dados de CV maiores que 100% é explicado pelo sistema que armazena os dados contidos neste estudo possuir algumas limitações, e dentre elas, a CV maior que 100% em alguns imunizantes, esse fato ocorre devido o registro de recém-nascidos em locais distintos da residência de sua genitora, principalmente em cidades de pequeno porte sem hospitais materno-infantil, e pelo acesso da população às salas de vacinas em municípios próximos aos de suas residências (Arroyo et al 2020;Oliveira et al 2020).…”

Section: Resultsunclassified

Interfaces entre a cobertura vacinal e a Atenção Primária à Saúde: uma análise retrospectiva da última década em Rondônia

Oliveira

Amaral²,

Grasso³

et al. 2023

RSD

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Objetivo: Analisar a cobertura vacinal infantil e adulto de todos os imunizantes disponíveis pelo PNI, no estado de Rondônia na última década. Metodologia: Estudo epidemiológico, descritivo e quantitativo realizado através dos dados disponíveis no Sistema de Informação de Agravos e Notificação - SINAN, do Sistema de Informação do Programa Nacional de Imunizações (SI-PNI) entre os anos de 2013 e 2022. Resultados: A cobertura vacinal (CV) no estado de Rondônia analisada ao longo dessa série histórica encontra-se em 80% e, evidencia que, apesar dos esforços e metas estipuladas pelo PNI, ainda há baixa cobertura vacinal em alguns imunizantes, dentre eles, dupla adulto e tríplice acelular na gestante (43,57%), reforço da DTP (difteria, tétano e coqueluche) em crianças de 4 e 6 anos (44,50%), e da dTpa na gestante (49,52%). A CV foi considerada expressiva, atingindo ≥ 95%, meta preconizada pelo MS, principalmente na primeira dose de Tríplice Viral (103,85%) e DTP (102,87%), outros imunizantes estiveram entre ou próximo a margem estabelecida pela Sociedade Brasileira de Imunização. Considerações Finais: diversos fatores estão relacionados a baixa cv no estado de Rondônia, dentre eles, a vulnerabilidade socioeconômica, o acesso e a precarização dos serviços na APS. Nesse sentido, é preciso ampliar a cobertura vacinal, fortalecer o PNI, o acesso e a integralidade do cuidado preconizados pelo SUS e pilares da Estratégia de Saúde da Família.

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“… 24 In the case of Brazil, the inclusion of the second dose occurred in 2013 and its coverage remained below the target recommended by the National Immunization Program (< 95%) between 2014 and 2021. 25 …”

Section: Discussionmentioning

confidence: 99%

Temporal trend of the dropout rate and vaccination coverage of the triple viral vaccine in Brazil, 2014-2021

Moura,

Neto,

Souza-Santos

2023

Epidemiol. Serv. Saúde

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Objective: to analyze the temporal trend of coverage and dropout rate for triple viral vaccine in Brazil, according to the country’s Federative Units and Macro-Regions, between 2014 and 2021. Methods: this was an ecological time series study, using data from the National Immunization Program Information System and the Live Birth Information System; joinpoint regression models were used. Results: in Brazil as a whole annual vaccination coverage was below 95% and ranged from 92.3% (2015) to 54.4% (2021); the second dose of the vaccine showed a decreasing temporal trend in the period (average change over the period = -5.8; 95%CI -10.5;-0.8); the temporal trends were stationary and decreasing in the country’s Federative Units; the dropout rate ranged from 22.2% (2014) to 37.4% (2021). Conclusion: there was a downward trend in vaccination coverage and an increase in the dropout rate in Brazil as a whole and in the country’s Federative Units.

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Cobertura vacinal: uma análise comparativa entre os estados da Região Norte do Brasil

Cited by 9 publications

References 1 publication

Spatial analysis of vaccine coverage in children under the age of 1 year by mesoregions in Paraíba a northeastern Brazilian state

Spatial analysis of vaccine coverage in children under the age of 1 year by mesoregions in Paraíba a northeastern Brazilian state

Interfaces entre a cobertura vacinal e a Atenção Primária à Saúde: uma análise retrospectiva da última década em Rondônia

Temporal trend of the dropout rate and vaccination coverage of the triple viral vaccine in Brazil, 2014-2021

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