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Vaccination coverage of children up to two years of age, benefiting from the Bolsa Família Program, Brazil / Cobertura de vacunación de niños hasta dos años, beneficiarios del Programa Bolsa Família, Brasil / Cobertura vacinal em crianças de até dois anos de idade beneficiárias do Programa Bolsa Família, Brasil
SciELO Preprints; mar. 2021.
Preprint
in Pt
| PREPRINT-SCIELO
| ID: pps-2000
Responsible library:
BR1.1
ABSTRACT
Objective:
Evaluate the vaccinal coverage in agreement with the Brazilian National Immunization Program, among children benefiting from the Bolsa Familia Program, Brazil, according to the family's socioeconomic level and maternal characteristics.Methods:
3242 children were assessed between August/2018 and April/2019, of which 3008 were reassessed between September/2019 and January/2020. Multilevel models (level 3, state; level 2 municipality, level 1, children) were employed.Results:
Coverage was 2.5 times higher in the first (61.0% 95%CI 59.3;62.6%) than in the second follow-up (24.8% 95%CI 22.8;25.9%) (p<0.001). In the first follow-up, coverage was higher in children in the richest quintile (67.9%) and whose mothers had ≥9 years of schooling (63.3%). There were no differences in the second follow-up. The highest coverage occurred between 0.5-2.5 months (93.5%) and 12.5-15.5 months (34.4%), respectively in the first and second follow-ups.Conclusion:
The coverage of adequate vaccination was low, both in the first and second year of life.RESUMO
Objetivo:
Avaliar a cobertura vacinal, conforme o calendário do Programa Nacional de Imunizações, entre crianças beneficiárias do Programa Bolsa Família, Brasil, segundo nível socioeconômico da família e características maternas.Métodos:
Foram avaliadas 3.242 crianças menores de 12 meses de vida entre agosto/2018 e abril/2019, sendo 3.008 delas reavaliadas entre setembro/2019 e janeiro/2020. As análises foram realizadas utilizando-se modelos multiníveis (nível 3, Unidade da Federação; nível 2, município; nível 1, crianças).Resultados:
A cobertura vacinal foi 2,5 vezes maior no primeiro (61,0% IC95% 59,3;62,6%), comparado ao segundo acompanhamento (24,8% IC95% 22,8;25,9%) (p<0,001). No primeiro acompanhamento, a cobertura foi maior no quintil mais rico (67,9%) e nas crianças cujas mães tinham ≥9 anos de escolaridade (63,3%). No segundo acompanhamento, não houve diferenças. As maiores coberturas ocorreram entre 0,5-2,5 (93,5%) e 12,5-15,5 meses (34,4%), respectivamente primeiro e segundo acompanhamentos.Conclusão:
Encontrou-se baixa cobertura, tanto no primeiro quanto no segundo ano de vida.
Full text:
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Collection:
09-preprints
Database:
PREPRINT-SCIELO
Type of study:
Prognostic_studies
Country/Region as subject:
America do sul
/
Brasil
Language:
Pt
Year:
2021
Document type:
Preprint