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Measles-containing vaccines in Brazil: Coverage, homogeneity of coverage and associations with contextual factors at municipal level.
Vaccine ( IF 4.5 ) Pub Date : 2020-01-21 , DOI: 10.1016/j.vaccine.2020.01.030
Flávia C Pacheco 1 , Giovanny V A França 1 , Guilherme A Elidio 1 , Mariana B Leal 2 , Cesar de Oliveira 3 , Dirce B Guilhem 4
Affiliation  

We aimed to (i) describe both the coverage and the homogeneity of coverage of the first and second doses of measles-containing vaccines (MCV) in Brazil in 2017, and (ii) to investigate the potential influence of contextual factors at municipal level. All 5570 Brazilian municipalities were included. The North and Center-West regions presented the lowest coverages of the first and second doses of MCV, respectively. We found significant associations of both first and second doses of MCV with population size, coverage of Family Health Strategy (FHS) and other indicators of living conditions and inequalities. Monitoring the homogeneity of MCV coverage at national, regional and state levels is essential, as it allows identifying areas at higher risk of measles spread that should be targeted for vaccination. Targeting large cities i.e. 100,000 or more inhabitants, especially poor neighborhoods and areas with low FHS coverage, could lead to improvements in coverage homogeneity.

中文翻译:

巴西的含麻疹疫苗:覆盖范围,覆盖范围的均一性以及与市级背景因素的关联。

我们旨在(i)描述2017年巴西第一和第二剂含麻疹疫苗(MCV)的覆盖率和覆盖率的同质性,以及(ii)在城市一级研究情境因素的潜在影响。所有5570个巴西直辖市都包括在内。北部和中西部地区分别呈现出第一剂和第二剂MCV的最低覆盖率。我们发现MCV的第一和第二剂与人口规模,家庭健康策略(FHS)的覆盖率以及其他生活状况和不平等指标之间存在显着关联。在国家,地区和州各级监测MCV覆盖的同质性至关重要,因为它可以确定应该接种疫苗的麻疹传播风险较高的地区。定位到大城市,例如100
更新日期:2020-01-22
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