Vaccination of Сhildren in the Kyrgyz Republic
https://doi.org/10.15690/pf.v15i1.1850
Abstract
Vaccination is concidered worldwide as the most effective preventive measure for many pediatric infectious diseases (vaccine-controlled).
Objective. The goal of the study was to assess the current state of immunization and parent awareness on the vaccination of children under the age of five.
Methods: Analysis of data reported by the National Reporting System on the state of vaccination of children under age of five as well as analysis of two representative multi-indicator cluster and medico-demographic studies were used in the study. Cluster study of mothers’ general awareness and their attitude towards vaccination of children under the age of five was conducted. Total of 30 clusters from 93 villages in the region were selected by random sampling.
Results: In the Kyrgyz Republic, the coverage rates of children with a full range of vaccinations in accordance with the National Vaccination Schedule based on reported official statistics and two representative household-level studies are contradictory and range from 72.5% to 97.5%. In the last 15 years, the proportion of children aged 18–29 months who received all main vaccines recommended by WHO decreased by 10% points. The status of vaccinating children was influenced by the level of mothers’ awareness on the importance of vaccination: 34.4% of respondents denied vaccinations due to disbelief of the possibility of preventing infectious diseases by vaccination, versus 4.2% of mothers who doubted the effectiveness of vaccinations. Meanwhile, the quality of counseling to mothers performed by health professionals does not contribute to a better understanding of the importance of vaccination for children’s health and survival.
Conclusion. The results of the study indicate the vaccination coverage reduction, unreliability of registered number of vaccinated children, and low level of informational awareness on the importance of vaccination for the prevention of a number of infectious diseases and improvement the survival rate in children under 5 years. This data should be considered when developing programs for the improvement of coverage levels for vaccinations in in the Kyrgyz Republic.
About the Authors
Gulzhan S. Kitarova
Kyrgyz-Russian Slavic University named after the first President of Russia BN Yeltsin
Kyrgyzstan
Kyrgyzstan
Bishkek
T. T. Mamyrbaeva
Kyrgyz-Russian Slavic University named after the first President of Russia BN Yeltsin
Kyrgyzstan
Kyrgyzstan
Bishkek
A. Suvanbekov
Ministry of Health of the Kyrgyz Republic
Kyrgyzstan
Kyrgyzstan
Bishkek
V. K. Shukurova
Kyrgyz State Medical Institute for Continuing Medical Education and Professional Development
Kyrgyzstan
Kyrgyzstan
Bishkek
References
1. Исполнительный комитет. ВОЗ. 128 сессия. Пункт 4.6 предварительной повестки дня 25 ноября 2010 г. [Ispolnitel’nyi komitet. VOZ. 128 sessiya. Punkt 4.6 predvaritel’noi povestki dnya 25 noyabrya 2010. (In Russ).] Доступно по: http://os.xpdf.ru/20raznoe/723308-1-koncepciya-strategiya-globalnoyimmunizacii-doklad-sekretariata-o.php. Ссылка активна на 12.12.2017.
2. cdc.gov [Internet]. Comparison of 20th Century Annual Morbidity and Current Morbidity: Vaccine-Preventable Diseases CDC [cited 2017 Oct 29]. Available from: https://www.cdc.gov/vaccines/ed/surv/downloads/VPD-morbidity-slide1-mmwr-508.pdf.
3. who.int [интернет]. Документ по позиции ВОЗ в отношении вакцин против гемофильной инфекции типа b. 2013. [Dokument po pozitsii VOZ v otnoshenii vaktsin protiv gemofil’noi infektsii tipa b.2013. (In Russ).] Доступно по: http://www.who.int/immunization/Hib_Rus.pdf?ua=1. Ссылка активна на 12.12.2017.
4. Centers for Disease Control and Prevention (CDC). Impact of vaccines universally recommended for children--United States, 1990-1998. MMWR Morb Mortal Wkly Rep. 1999;48(12):243–348.
5. who.int [интернет]. Охват иммунизацией. Информационный бюллетень ВОЗ. 2015. [Immunization coverage. Fact sheet. 2015. (In Russ).] Доступно по: http://www.who.int/mediacentre/factsheets/fs378/ru/# Ссылка активна на 12.12.2017.
6. Кригер Е.А., Самодова О.В., Рогушина Н.Л., Борисова Т.А. Отношение родителей к вакцинации детей и факторы, связанные с отказом от прививок // Педиатрия. Журнал им. Г.Н. Сперанского. — 2016. — Т.95. — №2 — С. 91–95. [Kriger EA, Samodova OV, Rogushina NL, Borisova TA. Parents’ attitudes to vaccination of children and factors of vaccinations refuse. Pediatriia. 2016;95(2):91–95. (In Russ).]
7. who.int [Internet]. State of inequality: childhood immunization. Geneva: World Health Organization; 2016 [cited 2017 Dec 17]. Available from: http://apps.who.int/iris/bitstream/10665/252541/1/9789241511735-eng.pdf.
8. Министерство здравоохранения Кыргызской Республики, Республиканский медико-информационный центр. Здоровье населения и деятельность организаций здравоохранения Кыргызской Республики в 2015 году. — Бишкек; 2016. — 379 с. [Ministerstvo zdravookhraneniya Kyrgyzskoi Respubliki, Respublikanskii mediko-informatsionnyi tsentr. Zdorov’e naseleniya i deyatel’nost’ organizatsii zdravookhraneniya Kyrgyzskoi Respubliki v 2015 godu. Bishkek; 2016. 379 p. (In Russ).]
9. Национальный статистический комитет Кыргызской Республики. Медико-демографическое исследование. — Бишкек; 2012. — 475 с. [Natsional’nyi statisticheskii komitet Kyrgyzskoi Respubliki. Mediko-demograficheskoe issledovanie. Bishkek; 2012. 475 p. (In Russ).]
10. Кыргызская Республика. Национальный статистический комитет Кыргызской Республики. Кластерное исследование по многим показателям. — Бишкек; 2014. — 24 с. [Kyrgyzskaya Respublika. Natsional’nyi statisticheskii komitet Kyrgyzskoi Respubliki. Klasternoe issledovanie po mnogim pokazatelyam. Bishkek; 2014. 24 p. (In Russ).]
11. Национальный статистический комитет Кыргызской Республики. Исследование исходного уровня здоровья и питания. — Бишкек; 2014. — 12 с. [Natsional’nyi statisticheskii komitet Kyrgyzskoi Respubliki. Issledovanie iskhodnogo urovnya zdorov’ya i pitaniya. Bishkek; 2014. 12 p. (In Russ).]
12. Мамырбаева Т.Т., Нажимидинова Г.Т., Самохлеб Г.Я., Киндякова О.Д. Отчет об оценке прогресса в достижении целей и задач ЦРТ по результатам мультииндикаторного кластерного обследования, проведенного в Кыргызской Республике в 2006 и 2014 гг. — Бишкек; 2016. — 54 с. [Mamyrbaeva TT, Nazhimidinova GT, Samokhleb GYa, Kindyakova OD. Otchet ob otsenke progressa v dostizhenii tselei i zadach TsRT po rezul’tatam mul’tiindikatornogo klasternogo obsledovaniya, provedennogo v Kyrgyzskoi Respublike v 2006 i 2014 gg. Bishkek; 2016. 54 p. (In Russ).]
Review
For citations:
Kitarova G.S., Mamyrbaeva T.T., Suvanbekov A., Shukurova V.K. Vaccination of Сhildren in the Kyrgyz Republic. Pediatric pharmacology. 2018;15(1):101-106. (In Russ.) https://doi.org/10.15690/pf.v15i1.1850
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