Measles-containing vaccines in Brazil: Coverage, homogeneity of coverage and associations with contextual factors at municipal level.

Autor: Pacheco FC; Post-Graduation Program in Health Sciences, University of Brasília, Brasília, DF, Brazil; Secretariat of Health Surveillance, Ministry of Health, Brasília, DF, Brazil. Electronic address: fpcaselli@gmail.com., França GVA; Post-Graduation Program in Health Sciences, University of Brasília, Brasília, DF, Brazil; Secretariat of Health Surveillance, Ministry of Health, Brasília, DF, Brazil., Elidio GA; Post-Graduation Program in Health Sciences, University of Brasília, Brasília, DF, Brazil; Secretariat of Health Surveillance, Ministry of Health, Brasília, DF, Brazil., Leal MB; Secretariat of Health Care, Ministry of Health, Brasília, DF, Brazil., de Oliveira C; Department of Epidemiology and Public Health, University College London, London, UK., Guilhem DB; Post-Graduation Program in Health Sciences, University of Brasília, Brasília, DF, Brazil.
Jazyk: angličtina
Zdroj: Vaccine [Vaccine] 2020 Feb 18; Vol. 38 (8), pp. 1881-1887. Date of Electronic Publication: 2020 Jan 22.
DOI: 10.1016/j.vaccine.2020.01.030
Abstrakt: We aimed to (i) describe both the coverage and the homogeneity of coverage of the first and second doses of measles-containing vaccines (MCV) in Brazil in 2017, and (ii) to investigate the potential influence of contextual factors at municipal level. All 5570 Brazilian municipalities were included. The North and Center-West regions presented the lowest coverages of the first and second doses of MCV, respectively. We found significant associations of both first and second doses of MCV with population size, coverage of Family Health Strategy (FHS) and other indicators of living conditions and inequalities. Monitoring the homogeneity of MCV coverage at national, regional and state levels is essential, as it allows identifying areas at higher risk of measles spread that should be targeted for vaccination. Targeting large cities i.e. 100,000 or more inhabitants, especially poor neighborhoods and areas with low FHS coverage, could lead to improvements in coverage homogeneity.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2020 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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