Impact of a research-action on vaccination indicators in the state of Minas Gerais, Brazil
DOI:
https://doi.org/10.11606/s1518-8787.2024058005484Keywords:
Vaccination Coverage, Risk Management, Child, Health Impact AssessmentAbstract
OBJECTIVE: Analyze the impact of the state research-action project on immunization indicators (vaccination coverage – VC, homogeneity of vaccination coverage – HVC, dropout rate – DR, and risk rating) before and after the intervention in municipalities and priority Regional Health Administrations/Regional Health Superintendencies (RHA/RHS). METHODS: The state research-action project was a before-after community clinical trial conducted in 212 municipalities belonging to eight RHA/RHS in the state of Minas Gerais, Brazil. The study sample comprised RHA/RHS with a decreasing trend for routine vaccination coverage in children under one year from 2015 to 2020. This study used secondary VC and DR data from 10 immunobiologicals recommended for children younger than two years from January to December 2021 (pre-intervention period, prior to the state research-action project) and from January to December 2022 (post-intervention period). The categorical variables were presented in proportions, and initially, a comparison was made between those of DR, HVC, and the risk rating for the transmission of vaccine-preventable diseases, according to the two periods (2021 and 2022), using the McNemar test. RESULTS: All immunization indicators increased after conducting the research-action project. In 2021, 80.66% of the state’s municipalities had a risk rating for the transmission of vaccinepreventable diseases as “high and very high.” In 2022, the value reduced to 68.40%. CONCLUSIONS: Risk rating for the transmission of vaccine-preventable diseases is an important mechanism to assist managers in defining priorities. The state research-action project used a method that enabled the construction and execution of unique action plans for each municipality, directing the improvement of immunization indicators in the state.
References
Domingues CM, Maranhão AG, Teixeira AM, Fantinato FF, Domingues RA. 46 anos do Programa Nacional de Imunizações: uma história repleta de conquistas e desafios a serem superados. Cad Saude Publica. 2020;36(suppl 2): e00222919.
https://doi.org/10.1590/0102-311X00222919
Domingues CM, Teixeira AM S. Coberturas vacinais e doenças imunopreveníveis no Brasil no período 1982-2012: avanços e desafios do Programa Nacional de Imunizações. Epidemiol Serv Saude. 2013;22(1):9-27. https://doi.org/10.5123/S1679-49742013000100002
Sato AP. What is the importance of vaccine hesitancy in the drop of vaccination coverage in Brazil? Rev Saude Publica. 2018 Nov;52:96.
https://doi.org/10.11606/S1518-8787.2018052001199
Sato AP. Pandemia e coberturas vacinais: desafios para o retorno às escolas. Rev Saude Publica. 2020;54(115):1–8. https://doi.org/10.11606/s1518-8787.2020054003142.
World Health Organization. Strategic Advisory Group of Experts on Immunization. The Global Vaccine Action Plan 2011-2020: review and lessons learned. Geneve: World Health Organization; 2019 [cited 2022 Dec 10]. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0264410X13001680
World Health Organization. Global Vaccine Action Plan. Vaccine. 2013 Apr;31(Suppl 2):B5–31. https://doi.org/10.1016/j.vaccine.2013.02.015
Césare N, Mota TF, Lopes FF, Lima AC, Luzardo R, Quintanilha LF, et al. Longitudinal profiling of the vaccination coverage in Brazil reveals a recent change in the patterns hallmarked by differential reduction across regions. Int J Infect Dis. 2020 Sep;98:275-80.
https://doi.org/10.1016/j.ijid.2020.06.092
Silveira MF, Tonial CT, Goretti K Maranhão A, Teixeira AM, Hallal PC, Maria B Menezes A, et al. Missed childhood immunizations during the COVID-19 pandemic in Brazil: analyses of routine statistics and of a national household survey. Vaccine. 2021 Jun;39(25):3404-9.
https://doi.org/10.1016/j.vaccine.2021.04.046
Arroyo LH, Ramos AC, Yamamura M, Weiller TH, Crispim JA, Cartagena-Ramos D, et al. Areas with declining vaccination coverage for BCG, poliomyelitis, and MMR in Brazil (2006-2016): maps of regional heterogeneity. Cad Saude Publica. 2020 Apr;36(4):e00015619.
https://doi.org/10.1590/0102-311x00015619
Souza JF, Silva TP, Silva TM, Amaral CD, Ribeiro EE, Vimieiro AM, et al. Cobertura vacinal em crianças menores de um ano no estado de Minas Gerais, Brasil. Cienc Saude Coletiva. 2022 Sep;27(9):3659-67. Portuguese.
https://doi.org/10.1590/1413-81232022279.07302022
Silva TP, Brandão LG, Vieira EW, Maciel TB, Silva TM, Luvisaro BM, et al. Impact of COVID-19 pandemic on vaccination against meningococcal C infection in Brazil. Vaccine X. 2022 Apr.10:100156. https://doi.org/10.1016/j.jvacx.2022.100156
Silva TM, Sá AC, Vieira EW, Prates EJ, Beinner MA, Matozinhos FP. Number of doses of Measles-Mumps-Rubella vaccine applied in Brazil before and during the COVID-19 pandemic. BMC Infect Dis. 2021 Dec;21(1):1237. https://doi.org/10.1186/s12879-021-06927-6
Braz RM, Domingues CMAS, Teixeira AMS, Luna EJA. Classification of transmission risk of vaccine-preventable diseases based on vaccination indicators in Brazilian municipalities. Epidemiol Serv Saude. 2016 Oct;25(4):745-54.
https://doi.org/10.5123/S1679-49742016000400008
Secretaria de Estado de Saúde (MG). Plano Diretor de Regionalização da Saúde de Minas Gerais (PDR/MG). Belo Horizonte; 2020 [cited 2022 Dic 10]. Available from: https://www.saude.mg.gov.br/images/1_noticias/10_2020/2_out-nov-dez/28-10_PLANO-DIRETOR-DEREGIONALIZACAO-DA-SAUDE-DE-MINAS-GERAIS_PDRMG.pdf
Tripp D. Pesquisa-ação: uma introdução metodológica. Educ Pesqui. 2005;31(03):443-66.
https://doi.org/10.1590/S1517-97022005000300009.
Spink MJ, Menegon VM, Medrado B. Oficinas como estratégia de pesquisa: articulações teórico-metodológicas e aplicações ético-políticas. Psicol Soc. 2014;26(1):32-43. https://doi.org/10.1590/S0102-71822014000100005.
Pinto MM, Veronez LH, Wulpi LP, Gaigher LC. Como escolher a melhor metodologia para avaliar o impacto social da sua iniciativa? Rev Tecnol Soc. 2019;15(35):132-52. https://doi.org/10.3895/rts.v15n35.7821
Petraglia TCMB, Farias PMCM, Sá GRS, Santos EM, Conceição DA, Maia MLS. Falhas vacinais: avaliando vacinas febre amarela, sarampo, varicela e caxumba. Cad Saude Publica. 2020;36(supl 2): e00008520. https://doi.org/10.1590/0102-311X00008520
Loke AY, Kwan ML, Wong YT, Wong AK. The uptake of human papillomavirus vaccination and its associated factors among adolescents: a systematic review. J Prim Care Community Health. 2017 Oct;8(4):349-62. https://doi.org/10.1177/2150131917742299
Teixeira MAS, Rocha CMV. Vigilância das coberturas de vacinação: uma metodologia para detecção e intervenção em situações de risco. Vol. 19, Epidemiol Serv Saude. 2010 set;19(3):217–26. https://doi.org/10.5123/S1679-49742010000300004
Rodrigues RN, Nascimento GL, Arroyo LH, Arcêncio RA, de Oliveira VC, Guimarães EA A. The COVID-19 pandemic and vaccination abandonment in children: spatial heterogeneity maps. Rev Latino-Am Enfermagem. 2022;30:e3642.
https://doi.org/10.1590/1518-8345.6132.3642
MacDonald NE, SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015 Aug;33(34):4161-4. https://doi.org/10.1016/j.vaccine.2015.04.036
Cunha JO Da, Farias LHS, Góes JAP, Bispo MM, Anjos TS, Silva GM, et al. Risk classiication of vaccine-preventable diseases and their spatial distribution. Cogitare Enferm. 2020;25:e68072. https://doi.org/10.5380/ce.v25i0.68072
Wallace AS, Mantel C, Mayers G, Mansoor O, Gindler JS, Hyde TB. Experiences with provider and parental attitudes and practices regarding the administration of multiple injections during infant vaccination visits: lessons for vaccine introduction. Vaccine. 2014 Sep;32(41):5301-10. https://doi.org/10.1016/j.vaccine.2014.07.076
Silva TP, Vimieiro AM, Gusmão JD, Souza JF, Lachtim SA, Vieira EW, et al. Cien Saude Colet. 2023 Mar;28(3):699-710. https://doi.org/10.1590/1413-81232023283.11192022
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Copyright (c) 2024 Janaina Fonseca Almeida Souza, Thales Philipe Rodrigues da Silva, Thais Moreira Oliveira, Aline Mendes Vimieiro, Antônia Maria da Silva Teixeira, Adriana Coelho Soares, Elice Eliane Nobre Ribeiro, Giselle Lima de Freitas, Eduarda Dantas Gaspar, Fernanda Penido Matozinhos
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