Fatores associados à cobertura vacinal em crianças com até 15 meses de vida, nascidas em 2017-2018 no município de Natal/RN

Introduction: Vaccine coverage of children in their first year of life is essential to know the effectiveness and current compliance with the National Immunization Program as a health promotion and protection strategy. In Brazil, in recent years, vaccination coverage among children under 1 year of a...

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Autor principal: Medeiros, Nayre Beatriz Martiniano de
Outros Autores: Mirabal, Isabelle Ribeiro Barbosa
Formato: Dissertação
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/57807
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Resumo:Introduction: Vaccine coverage of children in their first year of life is essential to know the effectiveness and current compliance with the National Immunization Program as a health promotion and protection strategy. In Brazil, in recent years, vaccination coverage among children under 1 year of age has been lower than recommended. Identifying susceptible population groups is essential for monitoring vaccination programs, as it allows for the assessment and correction of existing inequalities. Objective: To analyze the factors associated with vaccination coverage of children up to 15 months of age in the city of Natal, Rio Grande do Norte. Methods: The Vaccination Coverage Survey was carried out, which analyzed 693 live births in 2017 and 2018 living in the urban area of Natal/RN. Information present in the vaccination books was analyzed and information was collected from the child, mother and family through interviews with a structured questionnaire. Vaccination coverage was calculated for those who are part of the vaccination schedule for children up to one year old. Data were analyzed using Poisson Regression, considering the sample weights of the complex sample design and a 95% confidence interval. Results: complete coverage of the vaccination schedule for doses applied in the first year of life (except yellow fever) had coverage of 50.9% and 15.8% for opportune doses. There was lower vaccination coverage for the variables: among children of brown-skinned mothers (PR=0.67), who live with a partner (PR=0.66) and of working mothers (PR=0.79), and families with an income of R$ 3,000 to R$ 8,000 (RP=0.63). In the multivariate analysis, women with mixed skin color and who live with a partner remained significant in the final model (p<0.05). Final Considerations: The presented results demonstrate that the completeness of the vaccination schedule of children in the first year of life in the city of Natal presents low coverage and is associated with some social and life conditions