Measles, mumps and rubella vaccination coverage in capitals and interior region municipalities of Northeast Brazil: a household survey in a cohort of children born in 2017 and 2018.
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Maciel Adjoane Mauricio Silva, Ramos Alberto Novaes, Ferreira Anderson Fuentes, Silva Taynara Lais, Domingues Carla Magda Allan Santos, Saavedra Ramon da Costa, Barbosa Jaqueline Caracas, França Ana Paula, Kerr Ligia Regina Franco Sansigolo, Teixeira Maria da Gloria, Moraes José Cássio de, ICV 2020 Group, Silva Adriana Ilha da, Ramos Alberto Novaes, França Ana Paula, Oliveira Andrea de Nazaré Marvão, Boing Antonio Fernando, Domingues Carla Magda Allan Santos, Oliveira Consuelo Silva de, Maciel Ethel Leonor Noia, Guibu Ione Aquemi, Mirabal Isabelle Ribeiro Barbosa, Barbosa Jaqueline Caracas, Lima Jaqueline Costa, Moraes José Cássio de, Luhm Karin Regina, Caetano Karlla Antonieta Amorim, Lima Luisa Helena de Oliveira, Antunes Maria Bernadete de Cerqueira, Teixeira Maria da Gloria, Teixeira Maria Denise de Castro, Borges Maria Fernanda de Sousa Oliveira, Queiroz Rejane Christine de Sousa, Gurgel Ricardo Queiroz, Barata Rita Barradas, Azevedo Roberta Nogueira Calandrini de, Oliveira Sandra Maria do Valle Leone de, Teles Sheila Araújo, Gama Silvana Granado Nogueira da, Mengue Sotero Serrate, Simões Taynãna César, Nascimento Valdir, Araújo Wildo Navegantes de
Аннотация
METHODS: Population-based survey analyzing vaccination coverage and sociodemographic factors through logistic regression.
RESULTS: For 12,137 children, vaccination coverage was 79.3% (95%CI 76.5;81.8), and the dropout rate was 10.6%. Association with non-vaccination: socioeconomic stratum A (OR-a 1.29; 95%CI 1.10;1.50), living in the interior region (OR-a 1.22; 95%CI 1.07;1.39), no access to the Bolsa Família Program (OR-a 1.19, 95%CI 1.05;1.34), family income ≤BRL 1,000 (OR-a 1.17, 95%CI 1.03;1.31), mother not working (OR-a 1.28, 95%CI 1.15;1.42), >1 child per mother (OR-a 1.12, 95%CI 1.08;1.17), and no vaccination card (OR-a 10.69, 95%CI 6.27;18.20).
CONCLUSION: Low vaccination coverage and a high dropout rate in state capitals and municipalities in the interior region of Northeast Brazil.
MAIN RESULTS: 79.3% vaccination coverage with incomplete vaccination associated with living in higher socioeconomic strata and in interior region municipalities, and children without vaccination records. High dropout rates in the state capitals Natal and João Pessoa.
IMPLICATIONS FOR SERVICES: Recognition of low coverage and factors associated with non-vaccination provides health services with relevant information with a view to planning strategic actions to increase measles, mumps and rubella vaccination coverage.
PERSPECTIVES: Low coverage and identification of non-vaccination indicate the importance of targeting actions in the Brazilian National Health System to achieve the targets recommended by the National Immunization Program, for populations in Northeast Brazil.