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[Vaccination coverage and child mortality in Campina Grande, PB, Brazil]

Inacia Sátiro Xavier de França1, Daniela da Nóbrega Simplício, Fabiana Paulino Alves

  • 1Departamento de Enfermagem, Universidade Estadual da Paraíba, Campina Grande, PB.

Revista Brasileira De Enfermagem
|May 12, 2009
PubMed

Insights

This study on childhood immunization coverage in Brazil found that parental vaccine hesitancy, supply shortages, and community health worker (CHW) availability were key barriers. Despite challenges, high immunization rates significantly reduced infant mortality.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Context:

  • Investigated infant mortality and immunization coverage in Brazilian Family Health Basic Units.
  • Utilized data from 2,206 children and 62 nurses.
  • Employed questionnaires and semi-structured interviews for data collection.

Purpose:

  • To assess factors influencing immunization coverage in children under one year.
  • To identify resources, actions, and challenges in achieving vaccination goals.
  • To analyze the relationship between immunization and infant mortality rates.

Summary:

  • The study identified parental vaccine resistance, lack of vaccine supplies, and insufficient community health agent (ACS) presence as primary barriers to achieving vaccination targets.
  • Observed fluctuations in vaccination coverage percentages and their proximity to established goals.
  • Examined the distribution of registered children within health units and live birth numbers.

Impact:

  • Infant mortality rates below 20 per 1,000 live births were observed, underscoring the critical impact of immunization coverage.
  • Highlights the need for targeted interventions to address parental hesitancy and improve vaccine accessibility.
  • Provides insights for strengthening primary healthcare services to enhance pediatric vaccination programs.

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