Systematic review on reducing missed opportunities for vaccinations in Latin America
Rev Panam Salud Publica
; 46, jun. 2022
Artigo
em Inglês
| PAHO-IRIS
| ID: phr-56090
Biblioteca responsável:
US1.1
ABSTRACT
[ABSTRACT]. Objectives. To estimate the prevalence of missed opportunities for vaccination (MOV) in Latin America and the effect of interventions targeting health systems, health workers, patients, and communities on MOV. Methods. Searches were conducted in MEDLINE, EMBASE, CINAHL, and LILACS electronic databases and relevant organizations were contacted, including the Pan American Health Organization (PAHO), to identify studies meeting eligibility criteria. A pair of reviewers identified 27 randomized and non-randomized studies quantifying the effectiveness of any intervention for reducing MOV and 5 studies assessing the rate of MOV in Latin America. Results are reported narratively when criteria to pool results were not met, and the certainty of this evidence was assessed using the GRADE approach. Results. Evidence suggests the rate of MOV in Latin America ranged from 5% to 37% with a pooled estimate of 17% (95% CI [9, 32]) (low certainty) and that monetary incentives to healthcare teams, training for healthcare teams on how to communicate with patients, and educational interventions for caregivers probably reduce MOV (moderate to very low certainty). Conclusions. There is insufficient evidence supporting the implementation of any intervention as policy based only on the potential reduction of MOV without considering several factors, including costs, feasibility, acceptability, and equity.
Texto completo:
Disponível
Coleções:
Bases de dados de organismos internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 11 Desigualdades e iniquidades na saúde
/
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
Base de dados:
PAHO-IRIS
Assunto principal:
Imunização
/
Vacinação
/
Cobertura Vacinal
/
América Latina
Tipo de estudo:
Ensaio clínico controlado
/
Estudo prognóstico
/
Fatores de risco
/
Revisão sistemática
Aspecto:
Equidade e iniquidade
Idioma:
Inglês
Ano de publicação:
2022
Tipo de documento:
Artigo