Temporal trend of the dropout rate and vaccination coverage of the triple viral vaccine in Brazil, 2014-2021

Tendencia temporal de tasa de abandono y cobertura de vacunación de la vacuna triple viral en Brasil, 2014-2021

Study contributions

Main results

Annual vaccination coverage was below 95% in Brazil. The second dose of the vaccine showed stationary and decreasing trends in the country’s Federative Units. The dropout rate varied greatly throughout the study period.

Implications for services

The results found regarding the trends serve to inform and point to the urgency of planning actions aimed at improving coverage of the triple viral vaccine nationally in Brazil.

Perspectives

Investments in enhanced training of epidemiological surveillance professionals and enhanced computerized systems are necessary, with a view to continuous monitoring, to support actions to promote better and timely vaccine coverage.

Abstract

Objective:

to analyze the temporal trend of coverage and dropout rate for triple viral vaccine in Brazil, according to the country’s Federative Units and Macro-Regions, between 2014 and 2021.

Methods:

this was an ecological time series study, using data from the National Immunization Program Information System and the Live Birth Information System; joinpoint regression models were used.

Results:

in Brazil as a whole annual vaccination coverage was below 95% and ranged from 92.3% (2015) to 54.4% (2021); the second dose of the vaccine showed a decreasing temporal trend in the period (average change over the period = -5.8; 95%CI -10.5;-0.8); the temporal trends were stationary and decreasing in the country’s Federative Units; the dropout rate ranged from 22.2% (2014) to 37.4% (2021).

Conclusion:

there was a downward trend in vaccination coverage and an increase in the dropout rate in Brazil as a whole and in the country’s Federative Units.

Keywords:
Child Vaccination; Vaccination Coverage; Immunization Schedule; Time Series Studies