Services on Demand
Revista Panamericana de Salud Pública
On-line version ISSN 1680-5348Print version ISSN 1020-4989
SILVA, Ligia Maria Vieira da; FORMIGLI, Vera Lúcia; CERQUEIRA, Macius Pontes and KRUCHEVSKY, Leonardo. Overestimated vaccination coverage rates? New evidence from the Pau de Lima survey. Rev Panam Salud Publica [online]. 1997, vol.1, n.6, pp.444-450. ISSN 1680-5348. http://dx.doi.org/10.1590/S1020-49891997000600004.
To evaluate vaccination coverage in children 0 to 5 years of age, a cross-sectional study based on a household survey was carried out in 1992 in the Pau de Lima Health District, Salvador, Bahia, Brazil, using a cluster sampling technique. The district was subdivided into 30 small areas that were homogeneous with respect to socioeconomic characteristics. Information on the vaccination status of 385 children was obtained through verification of a vaccination card or campaign voucher, or, in the absence of these items, through verbal confirmation from the mother or other responsible person. Based on all the sources of information, the study found vaccination coverage rates in the entire age range of 69% for polio vaccine; 56% for DTP; 74% for measles vaccine; and 87% for BCG. These results suggest that rates obtained from routine records of the health services and vaccination campaigns may be overestimates. The authors discuss the implications of the low coverage rates found in the entire age group and especially among children under 1 year old.