General vaccination coverage before and during the covid-19 pandemic in Brazil: A cross-sectional study

Authors

DOI:

https://doi.org/10.21527/2176-7114.2024.48.14743

Keywords:

vaccination coverage, COVID-19, immunization programs, vaccination

Abstract

OBJECTIVE: The objective of this study is to analyze the general vaccination coverage of all immunobiologicals offered by the National Immunization Program (PNI) before (2018-2019) and during the COVID-19 pandemic (2020-2021) in the Brazilian territory, by region and capital. METHODOLOGY: It was carried out a cross-sectional study, with secondary data from PNI via the Department of Informatics of the Unified Health System (DATASUS). Data were tabulated and submitted to statistical tests, including the Shapiro-Wilk test to verify normality and Pearson and Spearman correlation tests. RESULTS: 407,570,811 doses of immunobiologicals were applied in Brazil, the overall average vaccination coverage for the period (2018-2021) was 69.4%, showing a sharp downward trend, which ranged from 75.2% in the pre-pandemic period to 63.7% in the pandemic. CONCLUSION: During the pandemic there was a decrease in national vaccination compared to the period before it, especially in the North and Northeast regions. In this way, the pandemic may have contributed to the reduction of immunizations.

References

1 World Health Organization. The thirteenth general programme of work, 2019-2023. Genebra: World Health Organization; 2019. [acesso em 28 nov. 2022]. Disponível em: https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019---2023

2 Singh P, Dhalaria P, Kashyap S, et al. Strategies to overcome vaccine hesitancy: a systematic review. BMC. 2022;11(78):1-13. DOI: https://doi.org/10.1186/s13643-022-01941-4

3 Sweileh WM. Bibliometric analysis of global scientific literature on vaccine hesitancy in peer-reviewed journals (1990–2019). BMC Public Health. 2020;20(1252):1-15. DOI: https://doi.org/10.1186/s12889-020-09368-z

4 Homma A, Maia MLS, Azevedo ICA, et al. Pela reconquista das altas coberturas vacinais. Cad. Saúde Pública 2023;39(3):1-8. DOI: https://doi.org/10.1590/0102-311XPT240022

5 Brasil. Instituto Butantan. Queda nas taxas de vacinação no Brasil ameaça a saúde das crianças. 2022. [acesso em 28 nov. 2022]. Disponível em: https://butantan.gov.br/noticias/queda-nas-taxas-de- vacinacao-no-brasil-ameaca-a-saude-das-criancas

6 Arroyo LH, Ramos ACV, Yamamura, M. Áreas com queda da cobertura vacinal para BCG, poliomielite e Tríplice viral ( sarampo, caxumba e rubéola) no Brasil (2006-2016): mapas da heterogeneidade regional. Cad. Saúde Pública. 2020;36(4):1-18. DOI: https://doi.org/10.1590/0102-311X00015619

7 Brasil, Ministério da Saúde. SI-PNI – Sistema de Informação do Programa Nacional de Imunizações: Apresentação. In: Programa Nacional de Imunizações. SI-PNI – Sistema de Informação do Programa Nacional de Imunizações. 2022. [acesso em 1º out. 2022]. Disponível em: http://pni.datasus.gov.br/apresentacao.asp

8 World Health Organization (WHO). Immunization Agenda 2030: a global strategy to leave no one behind [Internet]. WHO, 2020. [acesso em 1º out. 2022]. Disponível em: https://www.who.int/immunization/immunization_ agenda_2030/en/

9 Brasil. Ministério da Saúde. Programa Nacional de Imunizações. Coberturas vacinais no Brasil. Período: 2010-2014 [Internet]. Ministério da Saúde, 2017. [acesso em 28 nov. 2022]. Disponível em: 2022.http://portalarquivos2.saude.gov.br/images/pdf/2017/agosto/17/AACOBERTURA S-VACINAIS-NO-BRASIL---2010-2014.pdf

10 Vieira EW, Pimenta AM, Montenegro LC. Structure and Location of Vaccination Services Influence the Availability of the Triple Viral in Brazil. Reme. 2020;24:1-6. DOI: http://dx.doi.org/10.5935/1415-2762.20200062

11 Lazarus JF, Wyka K, White TM, et al. Revisiting COVID-19 vaccine hesitancy around the world using data from 23 countries in 2021. Nat. Commun. 2022;13(3801):1-14. DOI: https://doi.org/10.1038/s41467-022-31441-x

12 Fiocruz. Fundação Oswaldo Cruz. IFF/Fiocruz divulga dados de pesquisa sobre intenção de se vacinar, 2021. [acesso em 9 nov. 2023]. Disponível em: https://portal.fiocruz.br/noticia/iff/fiocruz-divulga-dados-de-pesquisa-sobre-intencao-de-se-vacinar

13 Barata RB, Sampaio MC, Moraes JC, et al. Vaccine Coverage Survey 2007 Group. Socioeconomic inequalities and vaccination coverage: results of an immunisation coverage survey in 27 Brazilian capitals, 2007-2008. Journal Epidemiology Community Health. 2012; 66(10):934-941. DOI: https://doi.org/10.1136/jech-2011-200341

14 Olive JK, Hotez PJ, Damania A, et al. The state of the antivaccine movement in the United States: a focused examination of nonmedical exemptions in states and counties. PLoS Med. 2018;15(6):1-10. DOI: https://doi.org/10.1371/journal.pmed.1002578

15 Joaquim AG, Dall’agnol G, Galdino G, et al. Physical activity in periods of social distancing due to Covid-19: a cross-sectional survey. Ciênc. Saúde Coletiva. 2020;25(2):4157-4168. DOI: https://doi.org/10.1590/1413-812320202510.2.27242020

16 Lima-Costa MF, Barreto SM. Tipos de estudos epidemiológicos: conceitos básicos e aplicações na área do envelhecimento. Epidemiol. Serv. Saúde. 2003;12(4):189-201.

17 Rocha TAH, Boitrago GM, Mônica RB, et al. Plano nacional de vacinação contra a Covid-19: uso de inteligência artificial espacial para superação de desafios. Ciênc. Saúde Coletiva. 2021;26(5):1885-1898. DOI: https://doi.org/10.1590/1413-81232021265.02312021

18 Domingues CMAL, Fantinato FFST, Duarte E, Garcia LP. Vacina Brasil e estratégias de formação e desenvolvimento em imunizações. Epidemiol. Serv. Saúde 2019;28(2):1-4. DOI: https://doi.org/10.5123/S1679-49742019000200024

19 Secretaria de Saúde do Distrito Federal. Cobertura Vacinal, 2023. [acesso 4 jun. 2023]. Disponível em: https://www.saude.df.gov.br/cobertura-vacinal

20 Dinleyici EC, Borrow R, Safadi MA, van Damme P, Munoz FM. Vaccines and routine immunization strategies during the Covid-19 pandemic. Hum Vaccin Immunother. 2020;17(2):400-407. DOI: https://doi.org/10.1080/21645515.2020.1804776

21 Sato APS. What is the importance of vaccine hesitancy in the drop of vaccination coverage in Brazil? Rev Saúde Pública. 2018;52(96):1-9. DOI: https://doi.org/10.11606/S1518-8787.2018052001199

22 Hussain, A, Ali S, Hussain S, et al. The anti-vaccination movement: A regression in modern medicine. Cureus. 2018:10(7):1-8. DOI: https://doi.org/10.7759/cureus.2919

23 World Health Organization. Vaccine hesitancy: A growing challenge for immunization programmes. 2015. [acesso em 9 nov. 2023]. Disponível em: https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019--- 2023

24 GBD 2020, Release 1, Vaccine Coverage Collaborators. Measuring routine childhood vaccination coverage in 204 countries and territories, 1980-2019: a systematic analysis for the Global Burden of Disease Study 2020, Release 1. Lancet 2021:398(10299):503-521. DOI: https://doi.org/10.1016/s0140-6736(21)00984-3

25 Procianoy GS, Junior FR, Lied AF, et al. Impacto da pandemia do COVID-19 na vacinação de crianças de até um ano de idade: um estudo ecológico. Ciênc Saúde Coletiva. 2022;27(3):969-978. DOI: https://doi.org/10.1590/1413-81232022273.20082021

26 Césare, N., Mota, T. F., Lopes, F. F. L, et al. (2020). 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. 2020:98,275-280. DOI: https://doi.org/10.1016/j.ijid.2020.06.092

27 Ali D, Levin A, Abdulkarim M, et al. A cost-effectiveness analysis of traditional and geographic information system-supported microplanning approaches for routine immunization program management in northern Nigeria. Vaccine. 2020;38:1408-1415. DOI: https://doi.org/10.1016/j.vaccine.2019.12.002

28 Agência Senado. Vacinação infantil despenca no país e epidemias graves ameaçam voltar [Internet]. 2022. [acesso em 1º out. 2022]. Disponível em:https://www12.senado.leg.br/noticias/infomaterias/2022/05/vacinacao-infantil despenca-no-pais- e-epidemias-graves-ameacam-voltar

Published

2024-06-24

How to Cite

Manoel, P. . Z., da Costa , L. B. M., dos Santos, P. A., Silva, A. de S., & Bezerra, A. D. C. (2024). General vaccination coverage before and during the covid-19 pandemic in Brazil: A cross-sectional study. Revista Contexto & Saúde, 24(48), e14743. https://doi.org/10.21527/2176-7114.2024.48.14743

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Section

ORIGINAL ARTICLE