1980年至2018年间巴西免疫计划的发展轨迹:从良性循环到疫苗覆盖率下降
Marcia Michie Minakawa1, Paulo Frazão2
1Public Health Graduate Program, University of São Paulo, São Paulo 01246-904, Brazil.
Vaccines
|July 29, 2023
概括
由于经济和政治因素,巴西免疫计划的疫苗接种覆盖面临着挑战. 自2010年以来,联邦政府对监测和疫苗采购支出的下降影响了该计划的可持续性.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 免疫接种计划 免疫接种计划
背景情况:
- 公共卫生政策受到经济和政治利益的影响.
- 这些利益可能会影响免疫计划和疫苗接种率.
- 了解这些动态对于程序维护至关重要.
研究的目的:
- 调查影响巴西免疫计划的政治和经济条件.
- 分析该计划从1980年到2018年的发展轨迹.
- 评估这些条件对疫苗接种覆盖率的影响.
主要方法:
- 关于公共开支的文献研究 (流行病学监测,疫苗采购).
- 对全国疫苗覆盖率估计的分析.
- 检查科学文献和历史制度主义框架.
主要成果:
- 在1980年至2018年期间观察到波动的疫苗接种率 (上升,高,下降).
- 从2010年开始,确定了减少联邦对流行病监测支出的趋势.
- 注意到对地方政府预算和联邦免疫生物药物支出的压力增加.
结论:
- 巴西免疫计划的发展轨迹是由经济和政治利益决定的.
- 与资本主义相关的财政紧缩措施影响了资源分配.
- 这些因素挑战了对公共卫生资源公平分配的民主愿望.
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