1. Description of vaccination coverage and hesitancy obtained by epidemiological survey of children born in 2017-2018, in Belo Horizonte and Sete Lagoas, Minas Gerais, Brazil.
- Author
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Simões TC, Campos Neto OH, França AP, Moraes JC, Silva AID, Ramos AN Jr, França AP, Oliveira ANM, Boing AF, Domingues CMAS, Oliveira CS, Maciel ELN, Guibu IA, Mirabal IRB, Barbosa JC, Lima JC, Moraes JC, Luhm KR, Caetano KAA, Lima LHO, Antunes MBC, Teixeira MDG, Teixeira MDC, Borges MFSO, Queiroz RCS, Gurgel RQ, Barata RB, Azevedo RNC, Oliveira SMDVL, Teles SA, Gama SGND, Mengue SS, Simões TC, Nascimento V, and Araújo WN
- Subjects
- Humans, Brazil, Infant, Male, Female, Immunization Schedule, Child, Preschool, Vaccines administration & dosage, Vaccination Coverage statistics & numerical data, Socioeconomic Factors, Vaccination Hesitancy statistics & numerical data, Vaccination Hesitancy psychology, Vaccination statistics & numerical data
- Abstract
Objective: To describe vaccination coverage and hesitation for the basic children's schedule in Belo Horizonte and Sete Lagoas, Minas Gerais state, Brazil., Methods: Population-based epidemiological surveys performed from 2020 to 2022, which estimated vaccine coverage by type of immunobiological product and full schedule (valid and ministered doses), according to socioeconomic strata; and reasons for vaccination hesitancy., Results: Overall coverage with valid doses and vaccination hesitancy for at least one vaccine were, respectively, 50.2% (95%CI 44.1;56.2) and 1.6% (95%CI 0.9;2.7), in Belo Horizonte (n = 1,866), and 64.9% (95%CI 56.9;72.1) and 1.0% (95%CI 0.3;2.8), in Sete Lagoas (n = 451), with differences between socioeconomic strata. Fear of severe reactions was the main reason for vaccination hesitancy., Conclusion: Coverage was identified as being below recommended levels for most vaccines. Disinformation should be combated in order to avoid vaccination hesitancy. There is a pressing need to recover coverages, considering public health service access and socioeconomic disparities., Main Results: Vaccination coverage of children up to 4 years old was 50.2% in Belo Horizonte, and 64.9% in Sete Lagoas. Fear of severe reactions and believing that vaccination against eradicated diseases is unnecessary were the main reasons for vaccination hesitancy., Implications for Services: Recovery of high vaccination coverage among children, considering public health service access conditions and socioeconomic inequities. Acting on reasons for hesitancy that can assist in targeting actions., Perspectives: The multifactorial context of vaccination hesitancy demands the development of health education strategies to raise awareness about child immunization.
- Published
- 2024
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