Vaccination Coverage of People Living with HIV: Before and after Interventional Action.
Larissa Gerin, Elucir Gir, Lis Aparecida de Souza Neves, Luzia M��rcia Romanholi Passos, Renato de ��vila Kfouri, Bruno Spire, Renata Karina Reis
Author Information
Larissa Gerin: Epidemiological Surveillance Division, Ribeir��o Preto Municipal Health Department, Ribeir��o Preto 14015100, S��o Paulo, Brazil. ORCID
Elucir Gir: Ribeir��o Preto School of Nursing, University of S��o Paulo, Ribeir��o Preto 14040902, S��o Paulo, Brazil.
Lis Aparecida de Souza Neves: Epidemiological Surveillance Division, Ribeir��o Preto Municipal Health Department, Ribeir��o Preto 14015100, S��o Paulo, Brazil.
Luzia M��rcia Romanholi Passos: Epidemiological Surveillance Division, Ribeir��o Preto Municipal Health Department, Ribeir��o Preto 14015100, S��o Paulo, Brazil.
Renato de ��vila Kfouri: Brazilian Society of Immunization, S��o Paulo 01309902, S��o Paulo, Brazil. ORCID
Bruno Spire: Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Sant�� & Traitement de l'Information M��dicale, ISSPAM, Aix Marseille University, 13385 Marseille, France. ORCID
Renata Karina Reis: Ribeir��o Preto School of Nursing, University of S��o Paulo, Ribeir��o Preto 14040902, S��o Paulo, Brazil.
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.
