Vaccination Coverage of People Living with HIV: Before and after Interventional Action

Abstract

This is a quasi-experimental study that assessed PLHIV vaccination coverage before and after health professionals participated in a training course on PLHIV immunization. The vaccination coverage of 645 PLHIV was assessed in the pre-intervention phase. The vaccine with the best coverage was diphtheria and tetanus (82.64%) and the one with the lowest rate of adequately vaccinated was measles, mumps, and rubella (38.27%). Individuals aged between 30 and 39 years had a 74.00% (1-0.26) lower chance of having the full vaccination schedule when compared to those aged between 10 and 19 years, and among those over 40 years, the chance was 87.00% (1-0.13) lower. Those who were vaccinated in Specialized Care Services (SCS) were 5.77 times more likely to be adequately vaccinated when compared to those who were vaccinated in other health services. Regarding the entire vaccination schedule evaluated, the number of adequately vaccinated increased from 47 (7.29%) to 76 (11.78%). Interventions targeting health professionals were effective in increasing vaccination coverage among PLHIV; however, the achieved coverage remained below the desired level. It is necessary to act on health professionals' knowledge and other aspects to effectively increase vaccination coverage.

Keywords: HIV; health professionals; vaccination; vaccination coverage.

Figure 1

Vaccination coverage by vaccine and schedule were evaluated before and after the intervention. * p < 0.005; Adult double vaccine (diphtheria and tetanus); HPV—human papilloma virus; MenC—meningococcal C; P23—23-valent pneumococcal; P13—13-valent pneumococcal; YF—yellow fever; MMR—measles/mumps/rubella.