Browsing by Author "Torres León Juan Pablo"

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    Factores asociados al incumplimiento del esquema nacional de vacunación en niños menores de 5 años, una revisión sistemática
    (Instituto Superior Tecnológico Particular Sudamericano, 2026) Torres León Juan Pablo
    Childhood immunization represents a fundamental public health strategy aimed at reducing morbidity and mortality associated with vaccine-preventable diseases. Despite the availability of a national vaccination schedule in Ecuador, delayed or incomplete compliance among children under five years of age remains a significant concern, increasing vulnerability to preventable infections. This study aimed to analyze the factors associated with non-compliance with the national vaccination schedule through a systematic review of scientific literature. The review was conducted following PRISMA 2020 guidelines, with searches performed in scientific databases including Scielo, PubMed, Google Scholar, and Redalyc using keywords related to vaccination, associated factors, and non-compliance. A total of 50 potentially relevant studies were identified, of which 40 met the established inclusion criteria and were selected for final analysis. The findings indicate that non-compliance is influenced by a combination of determinants rather than a single cause. The most frequently reported factors included limited caregiver knowledge, sociocultural influences, economic constraints, misinformation, time limitations, geographic barriers to healthcare access, and institutional challenges such as vaccine shortages and organizational deficiencies in health services. Non-compliance with the vaccination schedule is influenced by the interaction of social, economic, and institutional determinants. Addressing this issue requires comprehensive interventions aimed at improving health literacy, minimizing barriers to healthcare access, and strengthening the active involvement of nursing professionals in family guidance and follow-up. Such measures are essential to increase immunization coverage and ensure the protection of child health.