Evidence map›Paper›PMID 40207242›Full record

ArticleBulletin of the World Health Organization2025

Trends in coverage following an equity-oriented strategy for introducing new vaccines, Peru, 2004-2022.

Larissa A N Silva, Francine S Costa, Bianca O Cata-Preta, Luis Huicho, Claudio F Lanata, Maria Ana Mendoza Araujo, Theresa J Ochoa, Tewodaj Mengistu, Dan Hogan, Aluisio J D Barros and 1 more

Abstract read
In one paragraph

Article in Bulletin of the World Health Organization, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Molecular detection ofNew microbes and new infections · 2025
    Article
  2. 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

11 authors.

Larissa A N SilvaInternational Center for Equity in Health and Postgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro, 1160 Pelotas, RS, 96020-220, Brazil.
Francine S CostaInternational Center for Equity in Health and Postgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro, 1160 Pelotas, RS, 96020-220, Brazil.
Bianca O Cata-PretaPublic Health Department, Federal University of Parana, Curitiba, Brazil.
Luis HuichoFacultad de Medicina, Universidad Peruana Cayetano Heredia, Lima, Peru.
Claudio F LanataInstituto de Investigación Nutricional, Lima, Peru.
Maria Ana Mendoza AraujoLima, Peru.
Theresa J OchoaInstituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru.
Tewodaj MengistuGavi, the Vaccine Alliance, Geneva, Switzerland.
Dan HoganGavi, the Vaccine Alliance, Geneva, Switzerland.
Aluisio J D BarrosInternational Center for Equity in Health and Postgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro, 1160 Pelotas, RS, 96020-220, Brazil.
Cesar G VictoraInternational Center for Equity in Health and Postgraduate Program in Epidemiology, Federal University of Pelotas, Marechal Deodoro, 1160 Pelotas, RS, 96020-220, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the outcome of Peru's strategy to introduce new vaccines in the poorest regions with high child mortality rates. Methods: We analysed data from nationally representative annual health surveys conducted between 2004 and 2022. We examined associations between vaccine coverage and poverty (proportion of households in the poorest 40% of the national wealth index) at the ecological level using the country's 25 regions and at the individual child level using household wealth quintiles. We obtained vaccination data from home-based records. Findings: The surveys included 49 023 children aged 18-29 months. In the ecological analyses, coverage for Conclusion: The strategy increased coverage in the poorest districts initially and, as national coverage grew, regional disparities were eliminated. However, socioeconomic differences persisted, with wealthier children maintaining higher vaccination rates throughout the study. To eliminate these disparities, geographic targeting should be complemented with household-level targeting.

Indexed as

Immunization ProgramsVaccination CoverageChild, PreschoolFemaleHealth SurveysHumansInfantMalePeruPovertyRotavirus VaccinesSocioeconomic FactorsRotavirus Vaccines

Identifiers

PMID40207242
PMCPMC11978405

What OpenQuestion holds

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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.