Evidence map›Paper›PMID 39772094›Full record

ArticleVaccines2024

Vaccination Coverage at Birth in Brazil: Spatial and Temporal Trends in the Impact of COVID-19 on Uptake of BCG and Hepatitis B Vaccines.

Yan Mathias Alves, Thaís Zamboni Berra, Reginaldo Bazon Vaz Tavares, Nathalia Zini, Quézia Rosa Ferreira, Licia Kellen de Almeida Andrade, Ariela Fehr Tártaro, Maria Eduarda Pagano Pelodan, Beatriz Fornaziero Vigato, Beatriz Kuroda Silveira and 8 more

Abstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Childhood vaccination coverage and socioeconomic inequalities in the Northern region of Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Yan Mathias AlvesDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0002-5596-0047
Thaís Zamboni BerraDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0002-4163-8719
Reginaldo Bazon Vaz TavaresDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0002-5378-6962
Nathalia ZiniDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0003-1891-1606
Quézia Rosa FerreiraDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0001-5796-4546
Licia Kellen de Almeida AndradeDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0003-4115-3022
Ariela Fehr TártaroDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0002-2329-6268
Maria Eduarda Pagano PelodanDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.
Beatriz Fornaziero VigatoDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.
Beatriz Kuroda SilveiraDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.
Ana Luiza Brasileiro Nato Marques AssumpçãoDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.
Marcela Antunes Paschoal PopolinNursing Department, Federal University of Tocantins, Palmas 77001-090, Tocantins, Brazil.ORCID 0000-0002-8111-4370
Patricia Abrahão CurvoDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.
Simone Protti-ZanattaNursing Department, Federal University of São Carlos, São Carlos 13565-905, São Paulo, Brazil.ORCID 0000-0002-3891-0080
Maria Del Pilar Serrano-GallardoNursing Department, Faculty of Medicine, Autonomous University of Madrid, 28029 Madrid, Spain.ORCID 0000-0002-5163-6821
Ricardo Alexandre ArcêncioDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0003-4792-8714
Pedro Fredemir PalhaDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0002-5220-4529
Jaqueline Garcia de Almeida BallesteroDepartment of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, São Paulo, Brazil.ORCID 0000-0001-6585-2560

Funding

Call for Support for New Teachers from USP - Edital PRPI 861Call for Support for New Teachers from USP - Edital PRPI 880São Paulo State Research Support Foundation (FAPESP) 2022/08510-7São Paulo State Research Support Foundation (FAPESP) 2023/01758-6
6 · The paper itself

Abstract

introductionVaccines are a significant public health achievement, which are crucial for child survival and disease control globally. In Brazil, the National Immunization Program (PNI) manages vaccination schedules, including essential vaccines like BCG and Hepatitis B, administered at birth. Despite achieving over 95% coverage for years, vaccination rates have declined since 2016, a trend exacerbated by the COVID-19 pandemic. This study aims to analyze spatial and temporal trends in BCG and Hepatitis B vaccination coverage at birth, identify areas with spatial variation in these trends, classify the identified trends, and investigate the pandemic's impact on vaccination adherence.

methodsThis is an ecological study with real-world data from Brazil, focusing on vaccination coverage from 2014 to 2023. Utilizing the Spatial Variation in Temporal Trends (SVTT) technique, the study identifies municipalities' vaccination trends. It also employs time series analysis and Interrupted Time Series methods to evaluate the pandemic's impact on vaccination rates, using data from the PNI and the Information System on Live Births (SINASC).

resultsBetween January 2014 and December 2023, Brazil administered 25,902,207 doses of the BCG vaccine to children at birth, with 3911 municipalities (70.24%) showing declining trends, particularly in Florianópolis. Similarly, 22,962,434 doses of the Hepatitis B vaccine were administered, with 3284 municipalities also experiencing declines.

conclusionsIt is crucial that public health policies be reevaluated to address regional disparities in vaccination coverage, particularly in more vulnerable areas. Focused interventions, such as awareness campaigns, improved access to vaccination services, and strengthened monitoring, are fundamental to reversing this trend.

Indexed as

BCGepidemiologyhepatitis Bvaccination strategiesvaccine hesitancy

Identifiers

PMID39772094
PMCPMC11728551

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.