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Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

Janaina Fonseca Almeida Souza1,2, Thales Philipe Rodrigues da Silva1,3, Camila Kümmel Duarte1

  • 1Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

Revista Brasileira De Enfermagem
|December 19, 2024
PubMed

Insights

Strategies to boost childhood vaccination coverage in Brazil are limited, with the Community Health Agents Program and Rapid Vaccination Monitoring showing effectiveness. More research is needed to address declining vaccination rates.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Policy

Background:

  • Childhood vaccination coverage in Brazil is declining.
  • This decline necessitates identifying effective strategies to improve immunization rates.

Purpose of the Study:

  • To identify and synthesize literature-based strategies for increasing childhood vaccination coverage in Brazil.
  • To evaluate the effectiveness of identified strategies in the Brazilian context.

Main Methods:

  • Systematic literature review conducted across PubMed (MEDLINE), Embase, and Scopus databases.
  • Adherence to PRISMA guidelines for systematic reviews.
  • Narrative synthesis using the SWiM methodology for 6 included studies.

Main Results:

  • The Bolsa Família Program (PBF) did not consistently ensure updated vaccinations.
  • Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS) are effective strategies.
  • MRV and PACS facilitate an active search for unvaccinated children.

Conclusions:

  • The Community Health Agents Program and Rapid Vaccination Monitoring are effective for increasing vaccination coverage.
  • Further research is required to develop and evaluate additional strategies for improving childhood immunization in Brazil.
Abstract

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