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农村聚居区开展人乳头瘤病毒疫苗接种的重要性:巴西马托格罗索州特雷诺斯案例

Importance of vaccination against human papillomavirus in a rural settlement in Terenos, Mato Grosso do Sul.

机构信息

Universidade Federal de Mato Grosso do Sul. Instituto Integrado de Saúde. Programa de Pós-graduação em Saúde da Família. Campo Grande, MS, Brasil.

Universidade Federal de Mato Grosso do Sul. Instituto de Biociências. Campo Grande, MS, Brasil.

出版信息

Rev Saude Publica. 2023 Apr 14;57:10. doi: 10.11606/s1518-8787.2023057004339. eCollection 2023.

Abstract

OBJECTIVE

To understand health professionals' perceptions about vaccination against human papillomavirus (HPV) in the Santa Mônica rural settlement in Terenos, Mato Grosso do Sul.

METHODS

Quantitative and qualitative methodologies, consultations on vaccination cards, records of community health agents and the focus group technique were used. The main factors of hesitation and vaccine refusal were analyzed, as well as the health team's strategies for the process of immunization against HPV, from June to August 2018.

RESULTS

Of 121 children and adolescents, 81 (66.94%) received the complete vaccination schedule. Complete vaccination coverage for women was 73.17% (60/82) and for men, 53.8% (21/39). It was observed that, although strategies are adopted for vaccine promotion, such as mobile actions, the public is resistant due to superficial knowledge about the vaccine and its use in an early age group, showing itself to be susceptible to the negative influence of the media and to society's taboos. In addition, difficulties regarding the use of the Unified Health System card and the shortage of professionals were also observed.

CONCLUSION

The results explain the immunization coverage below the target and reinforce the need to strengthen the family health strategy, as well as the permanent and continuing education of professionals, in order to increase parental confidence and adherence to vaccination.

摘要

目的

了解南托马尼奥卡农村聚居区(南托马尼奥卡)卫生专业人员对人乳头瘤病毒(HPV)疫苗接种的看法。

方法

采用定量和定性方法,查阅疫苗接种卡、社区卫生工作者记录,并使用焦点小组技术。分析了犹豫不决和拒绝接种的主要因素,以及 2018 年 6 月至 8 月期间,卫生团队针对 HPV 免疫接种过程所采取的策略。

结果

121 名儿童和青少年中,81 名(66.94%)完成了完整的疫苗接种计划。女性完全疫苗接种率为 73.17%(60/82),男性为 53.8%(21/39)。尽管采取了推广疫苗的策略,如流动行动,但由于公众对疫苗及其在低龄人群中使用的知识肤浅,对疫苗持抵制态度,表现出易受媒体和社会禁忌的负面影响。此外,还观察到使用统一卫生系统卡的困难和专业人员短缺。

结论

结果解释了目标覆盖率低的情况,强调了加强家庭卫生战略的必要性,以及专业人员的持续和持续教育,以增加家长对疫苗接种的信心和坚持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81aa/10118412/365c86e3d67f/1518-8787-rsp-57-10-gf01.jpg

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