RESUMEN
Abstract Objective: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. Methods: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. Results: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41-86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75-5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04-3.57). Conclusions: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.
RESUMO Objetivo: Analisar fatores associados ao esquema vacinal oportuno incompleto até os 12 meses de idade, em crianças nascidas em 2015, no município de Rondonópolis, Mato Grosso. Métodos: Inquérito populacional, agosto/2017 a fevereiro/2018, que utilizou o método proposto pela Organização Mundial da Saúde para coletar informações sobre a vacinação de rotina. Para analisar os fatores associados, consideraram-se as recomendações do Programa Nacional de Imunização do Ministério da Saúde. Realizou-se análise univariada e os fatores associados com p<0,20 entraram na análise múltipla, com entrada hierarquizada das variáveis individuais e indicador contextual de concentração de extremos de renda. Resultados: O esquema vacinal oportuno incompleto até os 12 meses foi de 82,03% (IC95% 78,41-86,63). No modelo final, permaneceram independentemente associados: possuir um irmão ou mais no domicílio (OR 3,18; IC95% 1,75-5,76) e não receber visita de agente comunitário de saúde nos últimos 30 dias (OR 1,93; IC95% 1,04-3,57). Conclusões: É necessário implementar busca ativa de crianças com atraso vacinal em relação ao intervalo recomendado para cada vacina, além da necessidade de fortalecer o vínculo da estratégia de saúde da família e cuidadores de crianças.
RESUMEN
OBJECTIVE: To analyze factors associated with the incomplete timely vaccination schedule up to 12 months of age, in children born in 2015, in the municipality of Rondonópolis, Mato Grosso. METHODS: Population survey, August/2017 to February/2018, which used the method proposed by the World Health Organization to collect information about routine vaccination. For analysis of the associated factors, the recommendations of the National Immunization Program of the Ministry of Health were considered. Univariate analysis was performed, and the factors associated with p<0.20 entered in the multiple analysis, with hierarchical entry of individual variables and contextual indicator of concentration of the income extremes. RESULTS: The incomplete timely vaccination schedule up to 12 months was 82.03% (95%CI 78.41-86.63). In the final model, the following remained independently associated: having one or more siblings at home (OR 3.18; 95%CI 1.75-5.76) and not receiving a visit from a community health worker in the last 30 days (OR 1.93; 95%CI 1.04-3.57). CONCLUSIONS: It is necessary to implement an active search for children with vaccination delay in relation to the recommended interval for each vaccine, in addition to the need to strengthen the link of the family health strategy and child caregivers.
