The Characteristics of Families who rejected Vaccination during the Mop-up Oral Polio Vaccination Campaign and Their Reasons of Rejection: A Family Health Center Experience

Year 2017, , 19 - 23, 23.03.2017

Özgür Erdem , İzzettin Toktaş , Tahsin Çelepkolu , Vasfiye Demir

https://doi.org/10.18521/ktd.291931

Abstract

Objective:
Mop-Up Polio Vaccination Campaign is a movement which aims to reach the target
of eliminating polio. Our aim in this study is to investigate the
characteristics of the families who have rejected oral polio vaccination (OPV)
of their children within the OPV Campaign in a family health center and to
examine the reasons of rejecting the vaccination.

Methods:
The data was obtained through a survey in face-to-face interviews which were
performed with the families who have rejected the vaccination of their children
within the Mop-Up Oral polio vaccination campaign. The survey form consisted of
14 questions about the socio-demographic features of the families and children,
and the reasons of rejecting oral polio.

Results:
1250 children were included in the vaccination program during the campaign. 38
of the children (3.04%) rejected vaccination during the campaign, the average
age of the children was 23.2±17.7 months. The youngest one was three days old
and the eldest one was 59 months old. Looking over the family members who took
the survey, it is seen that 71 % of those were the mothers (n=27), 8% of those
were the fathers (n=3) and 21% of those were the relatives (n=8). It was
discovered that 94.7 % of the children who rejected OPA vaccination got other
vaccinations according to the Ministry of Health National Vaccination Calendar
(n=36), whereas 5.3% of those children lacked of other vaccinations (n=2).
Though 81.6% of the children were given OPA beforehand (n=31), 18.4% were not
given at all (n=7).

Conclusion: Levels of educational and
awareness are important in reaching the targeted vaccination rates in the
conduction of vaccination works. We believe that informing the medical
personnel, especially those who work at the first step, on the vaccination
campaigns to be conducted and increasing their awareness will decrease the
vaccination rejections.

Keywords

Oral Poliovirus Vaccine, Family characteristics, Vaccination, Rejection

Mop-Up Oral Polio Aşı Kampanyasında Aşıyı Reddetme Nedenleri: Bir Aile Sağlığı Merkezi Deneyimi

Abstract

ÖZET

Amaç: Mop-Up Polio aşı kampanyası, çocuk felcinin ortadan kaldırılması için uygulanan aşılama çalışmalarıdır. Bu çalışmada amacımız, Diyarbakır’da bir aile sağlığı merkezi bölgesinde Mop-up oral polio aşı (OPA) kampanyası kapsamında çocuklarına OPA yapılmasını reddeden ailelerin özelliklerinin ve aşıyı reddetme nedenlerinin belirlenmesidir.

Yöntem: Veriler Mop-up OPA kampanyasında, çocuklarına aşı yapılmasını reddeden ailelerle yüz yüze görüşülerek elde edildi. Anket formu; aile ve çocukların sosyo-demografik özellikleri ve OPA’nın reddedilmesi ile ilgili 14 sorudan oluşturuldu. Bulgular: Kampanya boyunca 1250 çocuk aşı programına alındı. Bunlardan 38 tanesi (%3.04) aşıyı reddetti. Aşısı yaptırılmayan bu çocukların yaş ortalaması 23.2±17.7 ay idi. En küçüğü 3 günlük ve en büyüğü ise 59 aylık idi. Ankete cevap veren aile bireyleri incelendiğinde; %71’ini çocuğun annesi (n=27), %8’ini çocuğun babası (n=3) ve %21’ini ise çocuğun diğer yakınları (n=8) oluşturmaktaydı. Aşıyı reddeden ailelerin çocuklarının %94.7’sinin diğer aşıları; Sağlık Bakanlığı Ulusal aşı takvimine göre tam iken (n=36), %5.3’ünün ise diğer aşılarının eksik olduğu (n=2) tespit edilmiştir. Çocukların %81.6’sına daha önce OPA yapılmış iken (n=31) %18.4’üne ise hiç yapılmamıştır (n=7).

Sonuç: Aşılama faaliyetlerinin yürütülmesinde ebeveynlerin eğitim seviyeleri ve farkındalık düzeyleri hedeflenen aşılama oranlarına ulaşılması için önemlidir. Yapılacak aşı kampanyalarında ailelerin aşılama konusunda eğitilmesi ve farkındalıklarının arttırılmasının aşı retlerini azaltacağı kanaatindeyiz.

Keywords

Oral Polyovirüs Aşısı, Aile özellikleri, Aşılama, Reddetme

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