Conversely, vaccines against measles, mumps, rubella, varicella, and meningococcus had an increase in coverage. BCG, Hepatitis B, influenza and rotavirus vaccines displayed a reduction in coverage. Results: A significant decrease in overall vaccination coverage across the country regions was observed between 20, especially in childhood immunization. We examined the vaccination coverage from the whole country and each Brazilian region, by year, and performed a time-series pattern analysis. Methods: We retrieved de-identified data publicly available from the repository of the Brazilian Ministry of Health, comprising detailed information on vaccination coverage, in all age groups, between 19. Here, we performed a longitudinal characterization of the vaccination coverage in Brazil and compared the profiles between the distinct regions in the country to test whether there has been a substantial change over the last five years. Objective: Vaccination coverage is decreasing worldwide, favoring potential reemergence of vaccine-preventable disease. We thus need to understand the multiple factors contributing to this decrease in coverage, which has created the risk of resurgence of serious diseases that had already been controlled or eliminated in Brazil. As a result, many people have no notion of the danger these diseases represent. To the extent that these diseases are no longer circulating, precisely because of the high vaccination coverage rates, especially since the early 2000s, many of them are now unknown to the population. The country is currently witnessing an increasing share of the population without adequate vaccination. The program’s expansion and the maintenance of high vaccination coverage rates led to a rapid decrease in vaccine-preventable diseases, completely changing the epidemiological scenario of these diseases in Brazil in the last four decades. #Epidemiologia e saude 7 edicao pdf download gratis free#Brazil is one of the countries that offers the most vaccines free of cost to the population, with 15 vaccines for children, 9 for adolescents, and 5 for adults and the elderly. Since the program’s creation in 1973, it has become one of the country’s most relevant public health interventions, having produced important results such as certification of Brazil as free of wild poliovirus circulation, the elimination rubella virus circulation, and an important reduction in cases and deaths from vaccine-preventable diseases. The Brazilian National Immunization Program (PNI, in Portuguese) is coordinated by the Ministry of Health in cooperation with state and municipal health departments. Conclusão: A utilização da checklist permitiu o diagnóstico em diferentes macrorregiões, sendo encontradas diferenças inter e intraregionais nas dimensões e no plano geral, resultados positivos e oportunidades de melhoria. Resultados: A mediana geral foi de 77,1%, maior para ‘educação em saúde’ (100,0%) e ‘rede de frio’ (86,7%), e menor para ‘imunobiológicos especiais’ (50,0%) e ‘organização geral’ (58,3%). Percentuais de pontuação geral e das dimensões foram descritos em mediana, intervalo interquartil, valores mínimo e máximo. Foram utilizados resultados de checklist adaptada do Instrumento de Supervisão em Sala de Vacinação, do Programa Nacional de Imunizações em 2019, nas dimensões ‘organização geral’, ‘aspectos gerais’, ‘procedimentos técnicos’, ‘rede de frio’, ‘sistema de informação’, ‘eventos adversos pós-vacinação’, ‘imunobiológicos especiais’, ‘vigilância epidemiológica’ e ‘educação em saúde’. Métodos: Estudo transversal, sobre dados secundários de amostra de conveniência de 25 salas. Objetivo: Descrever o diagnóstico de salas de vacinação de unidades básicas de saúde do Brasil.
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