Türkiye’de çocukluk çağı ulusal aşı takviminde yeni hedefler

Öz

Amaç: Türkiye’de Çocukluk Çağı Ulusal Bağışıklama Programının kapsayıcılığı yüksektir; bu programda yer almayan rotavirüs, human papilloma virüs, meningokok, influenza ve erişkin tip boğmaca aşılarının uygulaması bağışıklama ile ilgili uzmanlar tarafından önerilmesine rağmen yaygın değildir. Bu çalışmada bu aşıların uygulanma oranının ve nedenlerinin belirlenmesi hedeflendi.
Yöntemler: Ankete dayalı kesitsel bir çalışma olarak planlanan bu çalışma Orta Kuzey Anadolu’da küçük bir il merkezinde aile hekimleri ile yürütüldü. Katılımcılar tarafından elektronik posta veya telefon görüşmeleri ile sosyodemografik ve mesleki özelliklerini, Çocukluk Çağı Ulusal Aşı Programı dışındaki aşılar konusunda tutumlarının sorulduğu anket formları dolduruldu.
Bulgular: Çalışmaya 108 aile hekiminin 78’i (%72) katıldı. Rotavirus aşısı hem günlük çalışma hayatında, hem de Ulusal Aşı Takvimi’ne dahil edilme önerisi konusunda en yaygın aşı idi. Tdab her iki durumda da en az önerilen aşı idi. Takvimde olmayan aşıların uygulanmaması konusunda en sık neden olarak hekimlerin konuyla ilgili bilgi ve deneyimlerinin yetersiz olması saptandı.
Sonuç: Aşılar enfeksiyon hastalıklarından korunmanın en güvenilir ve ucuz yoludur, bu hizmetlerin sahada yürütülmesini sağlayan kaptanlar aile hekimleridir. Onların bağışıklama ile ilgili güncel bilgi ve gelişmelere ulaşmasını sağlamak için eğitim programları düzenlenmelidir. Çocuk sağlığı izlemelerinde Sosyal Pediatri hekimleri bağışıklama konusunda danışmanlık verebilir. Ek olarak, bu aşılar sosyal güvenlik sisteminin geri ödeme kapsamına alınmalıdır.

Anahtar Kelimeler

• Bağışıklama,Aile hekimi,Tutum

New targets for Turkish childhood national immunization schedule

Abstract

Aim: The National Immunization Schedule (NIS) of Childhood has high coverage, but the administration of non-NIS vaccines (rotavirus, human papilloma virus, meningococcal, influenza, adult type pertussis vaccines [Tdap]) is not widespread in Turkey, despite recommendations by immunization experts. This report intended to explore the administration rates of these vaccines and their reasons in this province.
Methods: This questionnaire based cross-sectional study was conducted in a small city in middle northern Turkey. The target population was the family physicians of this city. The participants filled a survey containing questions about their sociodemographic and professional features and attitudes about non-NIS vaccines via email or telephone interviews.
Results: Seventy-eight (72%) of 108 physicians were enrolled in the study. The most and least recommended vaccines in daily practice and for addition to NIS were rotavirus and Tdap vaccines, respectively. The main reason of not administrating non-NIS vaccines was lack of knowledge and experience.
Conclusion: Vaccination is the safest and cheapest way of protecting from infectious diseases. Family physicians are the leaders of these procedures in the field. Education should be provided to help them reach current knowledge regarding immunizations. Community pediatricians can provide expert consultation. These vaccines should be covered by social security.

Keywords

• Immunization,Family physician,Attitude

Kaynakça

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