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Methods Population-based epidemiological surveys performed from to , which estimated vaccine coverage by type of immunobiological product and full schedule valid and ministered doses , according to socioeconomic strata; and reasons for vaccination hesitancy.
Results Overall coverage with valid doses and vaccination hesitancy for at least one vaccine were, respectively, Fear of severe reactions was the main reason for vaccination hesitancy. Conclusion Coverage was identified as being below recommended levels for most vaccines.
Disinformation should be combated in order to avoid vaccination hesitancy. There is a pressing need to recover coverages, considering public health service access and socioeconomic disparities. Main results Vaccination coverage of children up to 4 years old was Fear of severe reactions and believing that vaccination against eradicated diseases is unnecessary were the main reasons for vaccination hesitancy.
Implications for services Recovery of high vaccination coverage among children, considering public health service access conditions and socioeconomic inequities. Acting on reasons for hesitancy that can assist in targeting actions. Perspectives The multifactorial context of vaccination hesitancy demands the development of health education strategies to raise awareness about child immunization. The impacts of vaccines on the quality of life and longevity of modern society, promoting general health well-being throughout the world, are undeniable.
This phenomenon is multifactorial and may be related to problems of underrecording doses administered, outdated population estimates, influence of fake news, anti-vaccine movements, lack of access to Brazilian National Health System SUS primary care services, shortage of immunobiological products, vulnerable socioeconomic conditions, vaccination hesitancy, among other factors. Routine vaccination undertaken by the PNI establishes a national schedule that should apply to each individual from birth, in order to guarantee specific prevention against certain vaccine-preventable diseases, aiming to induce mass or herd immunity, with the aim of interrupting transmission or maintaining levels that have low potential to generate epidemics of emerging and re-emerging diseases.