Modern problems of organizing vaccination of children in children's clinics

Abstract

Aim. To study the problems of organizing vaccination of children in children's clinics to develop measures aimed at increasing the coverage of children with vaccination.

Methods. On the basis of 7 children's polyclinics in Saint Petersburg, an anonymous survey of 1724 mothers who had children aged 1 year was carried out by random sampling according to a specially developed form “Questionnaire for a mother of a child aged one year”. The representativeness of this sample was tested by professor A.M. Merkova's method, the error did not exceed 2.2%.

Results. 15.7% of children had violations of the vaccination status, 4.9% of them were not completely vaccinated. The main reason for refusal from vaccination in 89.8% of cases with partial vaccination and in 82.5% of cases with complete refusal was medical contraindications related to the child’s state of health. The most common causes of vaccination against individual childhood infections (partial vaccination) were the belief that there is no danger of infection with childhood infectious diseases (81.3%) and the fear of possible post-vaccination complications (69.7%). Parents completely refused vaccinations most often because of doubts about the quality of vaccines (74.4%) and fear of possible post-vaccination complications (66.7%). 69.5% of parents whose children were vaccinated in the first year of life did not receive complete information from the doctor about the vaccine and the disease that the child will be vaccinated with, as well as the possible consequences of immunization. In 76.6% of partially and completely vaccinated children, immunization was not organized in accordance with the guidelines. At the same time, in 49.1% of them, the health worker specified the information about the state of health after vaccination by phone call the day after immunization, and 1.7% of children had no follow-up after vaccination.

Conclusion. The organization of vaccine prophylaxis in children's clinics has a significant number of unresolved problems, which can lead to a further decrease in the coverage of children with vaccination against vaccine-controlled infections.

Keywords

vaccination / children of the first year of life / pediatrician / mothers / national vaccination calendar

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Alekseeva A.V.