Availability of the yellow fever vaccine in primary health care services in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.3389/fitd.2022.866554 http://hdl.handle.net/1843/65425 https://orcid.org/0000-0002-5261-2266 https://orcid.org/0000-0002-3323-5776 https://orcid.org/0000-0003-1368-4248 https://orcid.org/0000-0001-8198-7270 |
Resumo: | Objectives: To analyze the availability of the Yellow Fever (YF) vaccine at Primary Health Care (PHC) services located in areas with vaccine recommendation in Brazil between two different periods. Methods: Secondary data from the Program for Improving Access and Quality in PHC, with 13,666 services in 2013-14, and 19,125 in 2017-18, were used. A structured questionnaire was used for the data collection. Pearson’s chi-square and thematic cartographic maps were used to analyze the frequency of the YF vaccine, and Poisson regression with robust variances was used to analyze the associated factors. Results: The overall frequency of PHC facilities with YF vaccine always available increased from 87.0% (CI 95%; 86.4-87.5) in 2013-14 to 89.7% (CI 95%; 89.2-90.1) in 2017-18. Facilities located in the South, Southeast, Midwest and Northern regions and in non-state capitals, as well as centers that had adequate facilities for vaccination actions, as well as an adey -50quate cold chain network, showed a greater prevalence of YF vaccine always available. Conclusion: The frequency of a steady supply of YF vaccine available at PHC facilities, located in Areas with Routine Vaccination Recommendations, increased between 2013-14 and 2017-18. Geographical and structural characteristics related to vaccine actions at PHC facilities influenced access. The effective supply chain networks for the YF vaccine, together with adequate services at PHC facilities are essential to ensuring that the YF vaccine is always available. |
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2024-03-07T14:36:15Z2024-03-07T14:36:15Z20223https://doi.org/10.3389/fitd.2022.8665542673-7515http://hdl.handle.net/1843/65425https://orcid.org/0000-0002-5261-2266https://orcid.org/0000-0002-3323-5776https://orcid.org/0000-0003-1368-4248https://orcid.org/0000-0001-8198-7270Objectives: To analyze the availability of the Yellow Fever (YF) vaccine at Primary Health Care (PHC) services located in areas with vaccine recommendation in Brazil between two different periods. Methods: Secondary data from the Program for Improving Access and Quality in PHC, with 13,666 services in 2013-14, and 19,125 in 2017-18, were used. A structured questionnaire was used for the data collection. Pearson’s chi-square and thematic cartographic maps were used to analyze the frequency of the YF vaccine, and Poisson regression with robust variances was used to analyze the associated factors. Results: The overall frequency of PHC facilities with YF vaccine always available increased from 87.0% (CI 95%; 86.4-87.5) in 2013-14 to 89.7% (CI 95%; 89.2-90.1) in 2017-18. Facilities located in the South, Southeast, Midwest and Northern regions and in non-state capitals, as well as centers that had adequate facilities for vaccination actions, as well as an adey -50quate cold chain network, showed a greater prevalence of YF vaccine always available. Conclusion: The frequency of a steady supply of YF vaccine available at PHC facilities, located in Areas with Routine Vaccination Recommendations, increased between 2013-14 and 2017-18. Geographical and structural characteristics related to vaccine actions at PHC facilities influenced access. The effective supply chain networks for the YF vaccine, together with adequate services at PHC facilities are essential to ensuring that the YF vaccine is always available.Objetivos: Analisar a disponibilidade da vacina contra Febre Amarela (FA) em serviços de Atenção Primária à Saúde (APS) localizados em áreas com recomendação vacinal no Brasil entre dois períodos distintos. Métodos: Foram utilizados dados secundários do Programa de Melhoria do Acesso e da Qualidade na APS, com 13.666 serviços em 2013-14 e 19.125 em 2017-18. Um questionário estruturado foi utilizado para a coleta de dados. Foram utilizados qui-quadrado de Pearson e mapas cartográficos temáticos para análise da frequência da vacina contra FA, e regressão de Poisson com variâncias robustas para análise dos fatores associados. Resultados: A frequência global de unidades de cuidados de saúde primários com vacina contra a febre-amarela sempre disponível aumentou de 87,0% (IC 95%; 86,4-87,5) em 2013-14 para 89,7% (IC 95%; 89,2-90,1) em 2017-18. As unidades localizadas nas regiões Sul, Sudeste, Centro-Oeste e Norte e nas capitais não estaduais, bem como os centros que possuíam instalações adequadas para as ações de vacinação, bem como uma rede de frio adequada, apresentaram maior prevalência da vacina contra FA sempre disponível. Conclusão: A frequência de um fornecimento constante de vacina contra a FA disponível em unidades de CSP, localizadas em áreas com recomendações de vacinação de rotina, aumentou entre 2013-14 e 2017-18. As características geográficas e estruturais relacionadas às ações de vacinação nas unidades de APS influenciaram o acesso. As redes eficazes da cadeia de abastecimento da vacina contra a FA, juntamente com serviços adequados nas instalações dos CSP, são essenciais para garantir que a vacina contra a FA esteja sempre disponível.Outra AgênciaengUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICAFrontiers in tropical diseasesVacinasVacina contra febre amarelaFebre amarelaAtenção primária à saúdeAcesso aos serviços de saúdeVaccinesYellow fever vaccineYellow feverPrimary health careCross-sectional studyHealth services accessibilityAvailability of the yellow fever vaccine in primary health care services in BrazilDisponibilidade da vacina contra febre amarela nos serviços de atenção primária à saúde no Brasilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.frontiersin.org/articles/10.3389/fitd.2022.866554/full#:~:text=Table%201%20Geographic%20and%20structural,90.1)%20in%202017%2D18.Marina Oliveira HermsdorfTércia Moreira Ribeiro da SilvaSheila Aparecida Ferreira LachtimFernanda Penido MatozinhosMark Anthony BeinnerEd Wilson Rodrigues Vieiraapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/65425/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALAvailability of the yellow fever vaccine in primary health care services in Brazil.pdfAvailability of the yellow fever vaccine in primary health care services in Brazil.pdfapplication/pdf530719https://repositorio.ufmg.br/bitstream/1843/65425/2/Availability%20of%20the%20yellow%20fever%20vaccine%20in%20primary%20health%20care%20services%20in%20Brazil.pdf4f88606ea99f9db52b00b7caced2f622MD521843/654252024-03-07 11:36:15.891oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-03-07T14:36:15Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Availability of the yellow fever vaccine in primary health care services in Brazil |
dc.title.alternative.pt_BR.fl_str_mv |
Disponibilidade da vacina contra febre amarela nos serviços de atenção primária à saúde no Brasil |
title |
Availability of the yellow fever vaccine in primary health care services in Brazil |
spellingShingle |
Availability of the yellow fever vaccine in primary health care services in Brazil Marina Oliveira Hermsdorf Vaccines Yellow fever vaccine Yellow fever Primary health care Cross-sectional study Health services accessibility Vacinas Vacina contra febre amarela Febre amarela Atenção primária à saúde Acesso aos serviços de saúde |
title_short |
Availability of the yellow fever vaccine in primary health care services in Brazil |
title_full |
Availability of the yellow fever vaccine in primary health care services in Brazil |
title_fullStr |
Availability of the yellow fever vaccine in primary health care services in Brazil |
title_full_unstemmed |
Availability of the yellow fever vaccine in primary health care services in Brazil |
title_sort |
Availability of the yellow fever vaccine in primary health care services in Brazil |
author |
Marina Oliveira Hermsdorf |
author_facet |
Marina Oliveira Hermsdorf Tércia Moreira Ribeiro da Silva Sheila Aparecida Ferreira Lachtim Fernanda Penido Matozinhos Mark Anthony Beinner Ed Wilson Rodrigues Vieira |
author_role |
author |
author2 |
Tércia Moreira Ribeiro da Silva Sheila Aparecida Ferreira Lachtim Fernanda Penido Matozinhos Mark Anthony Beinner Ed Wilson Rodrigues Vieira |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Marina Oliveira Hermsdorf Tércia Moreira Ribeiro da Silva Sheila Aparecida Ferreira Lachtim Fernanda Penido Matozinhos Mark Anthony Beinner Ed Wilson Rodrigues Vieira |
dc.subject.por.fl_str_mv |
Vaccines Yellow fever vaccine Yellow fever Primary health care Cross-sectional study Health services accessibility |
topic |
Vaccines Yellow fever vaccine Yellow fever Primary health care Cross-sectional study Health services accessibility Vacinas Vacina contra febre amarela Febre amarela Atenção primária à saúde Acesso aos serviços de saúde |
dc.subject.other.pt_BR.fl_str_mv |
Vacinas Vacina contra febre amarela Febre amarela Atenção primária à saúde Acesso aos serviços de saúde |
description |
Objectives: To analyze the availability of the Yellow Fever (YF) vaccine at Primary Health Care (PHC) services located in areas with vaccine recommendation in Brazil between two different periods. Methods: Secondary data from the Program for Improving Access and Quality in PHC, with 13,666 services in 2013-14, and 19,125 in 2017-18, were used. A structured questionnaire was used for the data collection. Pearson’s chi-square and thematic cartographic maps were used to analyze the frequency of the YF vaccine, and Poisson regression with robust variances was used to analyze the associated factors. Results: The overall frequency of PHC facilities with YF vaccine always available increased from 87.0% (CI 95%; 86.4-87.5) in 2013-14 to 89.7% (CI 95%; 89.2-90.1) in 2017-18. Facilities located in the South, Southeast, Midwest and Northern regions and in non-state capitals, as well as centers that had adequate facilities for vaccination actions, as well as an adey -50quate cold chain network, showed a greater prevalence of YF vaccine always available. Conclusion: The frequency of a steady supply of YF vaccine available at PHC facilities, located in Areas with Routine Vaccination Recommendations, increased between 2013-14 and 2017-18. Geographical and structural characteristics related to vaccine actions at PHC facilities influenced access. The effective supply chain networks for the YF vaccine, together with adequate services at PHC facilities are essential to ensuring that the YF vaccine is always available. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2024-03-07T14:36:15Z |
dc.date.available.fl_str_mv |
2024-03-07T14:36:15Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/65425 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.3389/fitd.2022.866554 |
dc.identifier.issn.pt_BR.fl_str_mv |
2673-7515 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-5261-2266 https://orcid.org/0000-0002-3323-5776 https://orcid.org/0000-0003-1368-4248 https://orcid.org/0000-0001-8198-7270 |
url |
https://doi.org/10.3389/fitd.2022.866554 http://hdl.handle.net/1843/65425 https://orcid.org/0000-0002-5261-2266 https://orcid.org/0000-0002-3323-5776 https://orcid.org/0000-0003-1368-4248 https://orcid.org/0000-0001-8198-7270 |
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2673-7515 |
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eng |
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eng |
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Frontiers in tropical diseases |
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openAccess |
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Universidade Federal de Minas Gerais |
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UFMG |
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Brasil |
dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA |
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Universidade Federal de Minas Gerais |
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