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

World Health Organization. The thirteenth general programme of work, 2019-2023. Genebra: World Health Organization; 2019. [Accessed 2022 Nov 28]. Available at: https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019--- 2023.

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

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

Homma A, Maia MLS, Azevedo ICA, et al. Towards the Reconquest of High Vaccination Coverage. Reports in Public Health 2023; 39(3):1-8. doi: https://doi.org/10.1590/0102-311XPT240022

Brazil. Instituto Butantan. Decline in vaccination rates in Brazil threatens children's health, 2022. [Accessed 2022 Nov 28]. Available at: https://butantan.gov.br/noticias/queda-nas-taxas-de-vacinacao-no-brasil-ameaca-a-saude-das-criancas.

Arroyo LH, Ramos ACV, Yamamura, M. Areas with a decrease in vaccination coverage for BCG, polio, and measles, mumps, and rubella (MMR) in Brazil (2006-2016): maps of regional heterogeneity. Reports in Public Health 2020; 36(4): 1-18. doi: https://doi.org/10.1590/0102-311X00015619

Brazil, Ministry of Health. SI-PNI - National Immunization Program Information System: Presentation. In: National Immunization Program. SI-PNI - National Immunization Program Information System, 2022. [Accessed 2022 Oct 01]. Available at: http://pni.datasus.gov.br/apresentacao.asp.

World Health Organization (WHO). Immunization Agenda 2030: a global strategy to leave no one behind [Internet]. WHO, 2020. [Accessed 2022 Oct 01]. Available at: https://www.who.int/immunization/immunization_agenda_2030/en/.

Brazil. Ministry of Health. National Immunization Program. Vaccination coverage in Brazil. Period: 2010-2014 [Internet]. Ministry of Health, 2017. [Accessed 2022 Nov 28]. Available at: http://portalarquivos2.saude.gov.br/images/pdf/2017/agosto/17/AACOBERTURAS-VACINAIS-NO-BRASIL---2010-2014.pdf.

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

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

Fiocruz. Oswaldo Cruz Foundation. IFF/Fiocruz releases research data on vaccination intention, 2021. [Accessed 2023 Nov 09]. Available at: https://portal.fiocruz.br/noticia/iff/fiocruz-divulga-dados-de-pesquisa-sobre-intencao-de-se-vacinar

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): 934-41. doi: https://doi.org/10.1136/jech-2011-200341

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. https://doi.org/10.1371/journal.pmed.1002578

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. https://doi.org/10.1590/1413-812320202510.2.27242020

Lima-Costa MF, Barreto SM. Types of epidemiological studies: basic concepts and applications in the area of aging. Epidemiol. Serv. Saúde 2003; 12(4): 189 – 201.

Rocha TAH, Boitrago GM, Mônica RB, et al. National COVID-19 vaccination plan: use of spatial artificial intelligence to overcome challenges. Ciênc. saúde coletiva 2021; 26(5): 1885-1898. doi: https://doi.org/10.1590/1413-81232021265.02312021

Domingues CMAL, Fantinato FFST, Duarte E, Garcia LP. Vaccine Brazil and strategies for training and development in immunizations. Epidemiol. Serv. Saúde 2019; 28(2): 1-4. doi: https://doi.org/10.5123/S1679-49742019000200024

Health Department of the Federal District. Vaccination Coverage, 2023. [Accessed 2023 Jun 04]. Available at: https://www.saude.df.gov.br/cobertura-vacinal.

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):400–7. doi: https://doi.org/10.1080/21645515.2020.1804776

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

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

World Health Organization. Vaccine hesitancy: A growing challenge for immunization programmes. 2015. [Accessed 2023 Nov 09]. Available at: https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019--- 2023.

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

Procianoy GS, Junior FR, Lied AF, et al. Impact of the COVID-19 pandemic on vaccination of children up to one year of age: an ecological study. Ciênc saúde coletiva 2022; 27(3):969-978. doi: https://doi.org/10.1590/1413-81232022273.20082021

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

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

Senate Agency. Childhood vaccination drops in the country and serious epidemics threaten to return [Internet]. 2022. [Accessed 2022 Oct 01]. Available at: 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 &Amp; Saúde, 24(48), e14743. https://doi.org/10.21527/2176-7114.2024.48.14743

Issue

Section

ORIGINAL ARTICLE