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. 2024 Dec 16;77(6):e20230343.
doi: 10.1590/0034-7167-2023-0343. eCollection 2024.

Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

[Article in English, Portuguese]
Janaina Fonseca Almeida Souza  1   2 , Thales Philipe Rodrigues da Silva  1   3 , Camila Kümmel Duarte  1 , Anna Luiza de Fatima Pinho Lins Gryschek  4 , Elysângela Dittz Duarte  1 , Fernanda Penido Matozinhos  1
Affiliations

Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

[Article in English, Portuguese]
Janaina Fonseca Almeida Souza et al. Rev Bras Enferm. .

Abstract
in English, Spanish

Objectives: to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.

Methods: systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.

Results: initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.

Conclusions: we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.

Objetivos:: identificar las estrategias encontradas en la literatura para aumentar la cobertura de vacunación infantil en Brasil. Se justifica principalmente por el escenario actual de caída de la cobertura de vacunación.

Métodos:: revisión sistemática de la literatura. La búsqueda se realizó en las bases de datos Pubmed (MEDLINE), Embase y Scopus, siguiendo las directrices PRISMA.

Resultados:: inicialmente se obtuvieron 4.824 resultados. Finalmente, se incluyeron 6 estudios para la síntesis narrativa mediante la metodología SWiM. De ellos, el 50% se referían a estudios relacionados con el Programa Bolsa Família (PBF). Los demás exploraban estrategias de aproximación directa a los padres, el Seguimiento Rápido de la Vacunación (MRV) y el Programa de Agentes Comunitarios de Salud (PACS). El PBF no garantizó el cumplimiento de la condicionalidad de mantener las vacunas al día. El MRV y el PACS son estrategias eficaces, sobre todo porque permiten la búsqueda activa de ausentes.

Conclusiones:: se concluye que son necesarias más publicaciones sobre estrategias para aumentar la cobertura de vacunación infantil en Brasil.

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Figure 1. Article selection process
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Figura 1. Processo de seleção de artigos
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