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Vaccination coverage in children in the period before and during the COVID-19 pandemic in Brazil: a time series analysis and literature review.
Domingues, Carla Magda Allan S; Teixeira, Antônia Maria da Silva; Moraes, José Cássio de.
  • Domingues CMAS; Universidade de Brasília (UnB), Medicina Tropical, Brasília, DF, Brazil; Organização Panamericana da Saúde, Brazil. Electronic address: cmasdomingues@gmail.com.
  • Teixeira AMDS; Universidade Federal da Bahia (UFBA), Saúde Coletiva, Salvador, BA, Brazil.
  • Moraes JC; Universidade de São Paulo (USP), Saúde Pública, São Paulo, SP, Brazil; Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP, Brazil.
J Pediatr (Rio J) ; 99 Suppl 1: S12-S21, 2023.
Article in English | MEDLINE | ID: covidwho-2240335
ABSTRACT

OBJECTIVE:

To evaluate the behavior of VCR and VCH, per municipality and per vaccines offered at the NVC, to identify priority areas for intervention.

METHODS:

Descriptive study of a time series, using secondary data and accompanied by a narrative review of the literature evaluating VCR and VCH. Vaccines offered to children under one year and to those aged one year in the pre-pandemic period of COVID-19 (2015 to 2019) were selected and compared to those offered during the pandemic period (2020 and 2021). RESULTS AND DISCUSSIONS The decrease in VCR and VCH is a process that precedes the COVID-19 pandemic but was intensified during this period. In 2021, the VCR was around 70% for most vaccines. This phenomenon encompasses the entire country; however, it is more intense in the states/municipalities located in the north and northeast regions, suggesting greater difficulty in accessing health services.

CONCLUSIONS:

Low and heterogeneous VCR requires the adoption of practices that were previously implemented, establishing partnerships with governmental and non-governmental institutions, with adequate communication, active search for non-compliance and non-adherence to the regular vaccination program, adopting intra- and extramural vaccination strategies, to reverse the current situation and reduce the risk of recurrence of diseases that have been already controlled and eliminated.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Reviews Topics: Vaccines Limits: Child / Humans Country/Region as subject: South America / Brazil Language: English Journal: J Pediatr (Rio J) Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Vaccines / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Reviews Topics: Vaccines Limits: Child / Humans Country/Region as subject: South America / Brazil Language: English Journal: J Pediatr (Rio J) Year: 2023 Document Type: Article