Structure and location of vaccination services influence the availability of the triple viral in brazil

Authors

  • Ed Wilson Vieira Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento Materno Infantil e Saúde Pública - EMI. Belo Horizonte, MG - Brasil https://orcid.org/0000-0001-8198-7270
  • Adriano Marçal Pimenta Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento Materno Infantil e Saúde Pública - EMI. Belo Horizonte, MG - Brasil https://orcid.org/0000-0001-7049-7575
  • Lívia Cozer Montenegro Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento Materno Infantil e Saúde Pública - EMI. Belo Horizonte, MG - Brasil https://orcid.org/0000-0003-3216-1645
  • Tercia Moreira Ribeiro da Silva Universidade Federal de Minas Gerais - UFMG, Escola de Enfermagem - EE, Departamento Materno Infantil e Saúde Pública - EMI. Belo Horizonte, MG - Brasil https://orcid.org/0000-0002-5261-2266

DOI:

https://doi.org/10.5935/1415-2762.20200062

Keywords:

Measles-Mumps-Rubella Vaccine, Immunization, Primary Health Care, Health Services Accessibility

Abstract

Objective: to analyze the association of structural factors and geographical differences in the availability of the measle, mumps, and rubella vaccine in primary care services in Brazil. Methods: this is a cross-sectional study, with secondary data from the second cycle of external evaluations of the Primary Care Quality Improvement Program (Programa de Melhoria da Qualidade da
Atenção Básica - PMAQ-AB) collected from 19,752 vaccination services across the country between 2013 and 2014. We estimated the prevalence ratio (PR) and their respective 95% confidence intervals (CI 95%) using the Poisson multivariate regression technique with robust variances. Results: the MMR vaccine was always
available in 93% of the services studied, but with regional differences, with the lowest frequency observed in the North (87.4%; p <0.001). The following structural factors of the services were positively associated with the higher frequency of MMR vaccine always available: having a vaccination room (PR: 1.05; 95% CI: 1.01- 1.09), exclusive vaccination room for immunization (PR: 1.04; 95% CI 1.02-1.05), refrigerator exclusively for vaccines (PR: 1.13; 95% CI: 1.10-1.16); printed vaccination cards always available (PR: 1.12 95% CI: 1.09-1.16) and coolers for vaccines always available (PR: 1.18 95% CI: 1.14-1.21). Conclusion:
the location and structure of primary care services influenced the availability of the MMR vaccine in Brazil. Services in the North region and with a poor structure for immunization actions showed less frequency of vaccine availability

Downloads

Download data is not yet available.

References

1. Pan American Health Organization. Epidemiological Update Measles. Washington, D.C: PAHO; 2019[citado em 2019 set. 13]. Disponível em: https://www.paho.org/hq/index.php?option=com_docman&view=download&category_slug=measles-2204&alias=48288-18-april-2019-measles-epidemiologicalupdate-1&Itemid=270&lang=en

2. Pan American Health Organization. Plan of action on Immunization Progress Report. 164th Session of Executive Committee. Washington, D C: Paho; 2019[citado em 2019 ago. 18]. Disponível em: https://www.paho.org/hq/index.php?option=com_docman&view=download&alias=48816-ce164-inf-7-e-e-poaimmunizations&category_slug=164-executive-committee&Itemid=270&lang=en

3. Pacheco FC, França GVA, Elidio GA, Domingues CMAS, Oliveira C, Guilhem DB. Trends and spatial distribution of MMR vaccine coverage in Brazil during 2007-2017. Vaccine. 2019[citado em 2019 ago. 18];37(20):2651-5. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0264-410X(19)30470-0

4. Teixeira MG, Costa MCN, Paixão ES, Carmo EH, Barreto FR, Penna GO. Conquistas do SUS no enfrentamento das doenças transmissíveis. Ciênc Saúde Colet. 2018[citado em 2019 jul. 12];23(6):1819-28. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232018000601819&lng=pt&tlng=pt

5. Ministério da Saúde (BR). Programa Nacional de imunizações (PNI): 40 anos. Brasília: Ministério da Saúde; 2013. 236 p.

6. Rodríguez-Morales AJ, Suárez JA, Risquez A, Cimerman S, Valero-Cedeño N, Cabrera M, et al. In the eye of the storm: Infectious disease challenges for border countries receiving Venezuelan migrants. Travel Med Infect Dis. 2019[citado em 2019 jul. 29];30:4-6. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S1477893919300961?via%3Dihub

7. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Situação do Sarampo no Brasil-2019. Brasília: MS; 2019[citado em 2019 jul. 12]. Disponível em: http://portalarquivos2.saude.gov.br/images/pdf/2019/junho/06/Informe-Sarampo-n41-versao-final.pdf

8. Levin A, Burgess C, Garrison LP, Bauch C, Babigumira J, Simons E, et al. Global Eradication of Measles: an epidemiologic and economic evaluation. J Infect Dis. 2011[citado em 2019 jul. 18];204(Supplement 1):S98-106. Disponível em: https://academic.oup.com/jid/article-lookup/doi/10.1093/infdis/jir096

9. Dias Leite R, Naaman Berezin E. Measles in Latin America: current situation. J Pediatric Infect Dis Soc. 2015[citado em 2019 jul. 12];4(3):179-81. Disponível em: https://academic.oup.com/jpids/article-lookup/doi/10.1093/jpids/piv047

10. Lemos DRQ, Franco AR, Sá Roriz MLF, Carneiro AKB, Oliveira Garcia MH, Souza FL, et al. Measles epidemic in Brazil in the post-elimination period: Coordinated response and containment strategies. Vaccine. 2017[citado em 2019 jul. 12];35(13):1721-8. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S0264410X17302177

11. Silva FS, Barbosa YC, Batalha MA, Ribeiro MRC, Simões VMF, Branco MRFC, et al. Incompletude vacinal infantil de vacinas novas e antigas e fatores associados: coorte de nascimento BRISA, São Luís, Maranhão, Nordeste do Brasil. Cad Saúde Pública. 2018[citado em 2019 jul. 22];34(3). Disponível em: http://dx.doi.org/10.1590/0102-311x00041717

12. Rocha HAL, Correia LL, Campos JS, Silva AC, Andrade FO, Silveira DI, et al. Factors associated with non-vaccination against measles in northeastern Brazil: clues about causes of the 2015 outbreak. Vaccine. 2015[citado em 2019 jul. 22];33(38):4969-74. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/26215369

13. Perides M. An Introduction to Quality Assurance in Health Care. Int J Qual Heal Care. 2003[citado em 2019 jul. 22];15(4):357-8. Disponível em: https://academic.oup.com/intqhc/article-lookup/doi/10.1093/intqhc/mzg052

14. Ngcobo NJ, Kamupira MG. The status of vaccine availability and associated factors in Tshwane government clinics. S Afr Med J. 2017[citado em 2019 jul. 22];107(6):535- 8. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/28604328

15. Bernstein HH, Bocchini JA, Committee on Infectious Diseases. Practical approaches to optimize adolescent immunization. Pediatrics. 2017[citado em 2019 jul. 22];139(3):e20164187. Disponível em: http://pediatrics.aappublications.org/lookup/doi/10.1542/peds.2016-4187

16. Jaca A, Mathebula L, Iweze A, Pienaar E, Wiysonge CS. A systematic review of strategies for reducing missed opportunities for vaccination. Vaccine. 2018[citado em 2019 jul. 22];36(21):2921-7. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/29680199

17. Ministério da Saúde (BR). Informações de Saúde_Tipos de Estabelecimento de Saúde. DATASUS. Brasília: Ministério da Saúde; 2018[citado em 2019 jul. 22]. Disponível em: http://tabnet.datasus.gov.br/cgi/cnes/tipo_estabelecimento.htm

18. Bousquat A, Giovanella L, Fausto MCR, Fusaro ER, Mendonça MHM, Gagno J, et al. Tipologia da estrutura das unidades básicas de saúde brasileiras: os 5 R. Cad Saúde Pública. 2017[citado em 2019 jul. 22];33(8):e00037316. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2017000805005&lng=pt&tlng=pt

19. Albuquerque MV, Viana AL d'Ávila, Lima LD, Ferreira MP, Fusaro ER, Iozzi FL. Desigualdades regionais na saúde: mudanças observadas no Brasil de 2000 a 2016. Ciênc Saúde Colet. 2017[citado em 2019 jul. 22];22(4):1055-64. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232017002401055&lng=pt&tlng=pt

20. Rocha HAL, Correia LL, Campos JS, Silva AC, Andrade FO, Silveira DI, et al. Factors associated with non-vaccination against measles in northeastern Brazil: clues about causes of the 2015 outbreak. Vaccine. 2015[citado em 2019 jul. 22];33(38):4969-74. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/26215369

Downloads

Published

2020-07-12

Issue

Vol. 24 (2020)

Section

Research

License

Copyright (c) 2020 Reme: Revista Mineira de Enfermagem

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

1.
Vieira EW, Pimenta AM, Montenegro LC, Silva TMR da. Structure and location of vaccination services influence the availability of the triple viral in brazil. REME Rev Min Enferm. [Internet]. 2020 Jul. 12 [cited 2026 Oct. 18];24. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49934

Most read articles by the same author(s)

1 2 > >>