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The impact of strategies for increasing vaccination coverage in children: A community clinical trial.
Fonseca Almeida Souza, Janaina; Philipe Rodrigues da Silva, Thales; Aparecida Ferreira Latchim, Sheila; Wilson Rodrigues Vieira, Ed; Francisca Martins, Eunice; Geralda Araújo, Denisiane; de Castro da Silva, Bruna; Eliane Nobre Ribeiro, Elice; Penido Matozinhos, Fernanda.
Afiliação
  • Fonseca Almeida Souza J; Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Philipe Rodrigues da Silva T; Superintendence of Epidemiological Surveillance, Secretaria de Estado de Saúde de Minas Gerais, Brazil.
  • Aparecida Ferreira Latchim S; Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Wilson Rodrigues Vieira E; Department of Nursing in Women's Health, Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, Brazil.
  • Francisca Martins E; Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Geralda Araújo D; Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • de Castro da Silva B; Department of Maternal and Child Nursing and Public Health, School of Nursing, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
  • Eliane Nobre Ribeiro E; State Coordination of the Immunization Program, Superintendence of Epidemiological Surveillance, Secretaria de Estado de Saúde de Minas Gerais, Brazil.
  • Penido Matozinhos F; Primary Care Superintendence, Secretaria de Estado de Saúde de Minas Gerais, Brazil.
Vaccine X ; 16: 100429, 2024 Jan.
Article em En | MEDLINE | ID: mdl-38322610
ABSTRACT
The Brazilian National Immunization Program (PNI) has been consolidating itself as one of the most relevant interventions in public health. Paradoxically, great challenges arise for the PNI. The phenomenon of falling vaccine coverage is observed not only in Brazil, but in several countries. In the year 2021, faced with the unfavorable scenario of a drop in vaccination coverage, the State Department of Health, and the Federal University of Minas Gerais joined forces to implement a research-intervention project. This study aimed to evaluate the impact of this intervention on vaccination coverage in children under 2 years of age and on indicators of immunization work processes. This is a community clinical trial carried out in 212 municipalities in the state. Workshops were held and Municipal Action Plans were created. Vaccination coverage data were obtained from the National Immunization Program Information System (SIPNI) and evaluated using the Mann-Whitney U Test and the McNemar Test. Work process indicators were evaluated using the Friedman and Wilcoxon tests. The results demonstrate an important improvement for most of the indicators in the three analyzed times, with statistical significance and an increase in medians and interquartile ranges. Among the indicators that showed the best performance, it is possible to mention those related to the active search by the Community Health Agent. Regarding vaccine coverage, for all immunobiologicals analyzed, there was an increase in the percentage of municipalities that reached targets when comparing the years 2022 and 2021, except for hepatitis A. The intervention research had a positive impact on vaccine coverage of children under 2 years of age and on indicators of immunization work processes in municipalities in the state of Minas Gerais, Brazil.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Vaccine X Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Vaccine X Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido