Zahide YALAKİ

COVİD-19 Pandemisi Çocuk Sağlığı İzlemlerini Nasıl Etkiledi?

Objective: It is aimed to detect the disruptions experienced in Healthy Child Follow-ups in the COVID-19 Pandemic. Material and Methods: The files of the patients who applied to the Healthy-Child Outpatient Clinic of our hospital from March 14, 2020, when the curfews began in Turkey, until March 31, 2021, were reviewed retrospectively. Results: During this period, 5036 patients applied for healthy-child follow-ups. It was found that 1.44% (n=73) of these patients missed some of their follow-ups. Of these patients, 35.6% were citizens of the Republic of Turkey, 32.9% were Syrian, and 31.5% were Iraqi refugees. 78.1% of the patients were not taking iron prophylaxis. Hip ultrasonography was not performed in 72.6% of the patients. It was found that 80.8% of the patients were missing vaccination and other follow-ups, while 31.5% were only missing vaccination while other follow-ups were complete. It was determined that 38.3% of the patients did not have more than one vaccination, and 12.3% did not have any vaccination since birth due to vaccine rejection. There was no difference between Turkish citizens and Syrian or Iraqi citizens in terms of missing follow-ups (p=0.213). In terms of missing vaccinations, it was determined that Syrian and Iraqi refugees missed more vaccinations (p<0.001). Conclusion: In order to raise healthy children, it is thought that public should be informed about the importance of follow-ups, and patients should be guided without delay in every case of missing follow-ups.

Anahtar Kelimeler:

COVİD 19, Sağlıklı Çocuk, Takip, aşı

How Has The COVID-19 Pandemic Affected Child Health Tracks?

Aim: The aim of this study was to identify patients who missed healthy-child follow-ups due to COVID-19. Materials and Methods: The files of the patients who applied to the healthy-child outpatient clinic of our hospital from March 14, 2020, when the curfews began in Turkey, until March 31, 2021, were reviewed retrospectively. Results: During this period, 5036 patients applied for healthy-child follow-ups. It was found that 1.44% (n=73) of these patients missed some of their follow-ups. Of these patients, 35.6% were citizens of the Republic of Turkey, 32.9% were Syrian, and 31.5% were Iraqi refugees. 78.1% of the patients were not taking iron prophylaxis. Hip ultrasonography was not performed in 72.6% of the patients. It was found that 80.8% of the patients were missing vaccination and other follow-ups, while 31.5% were only missing vaccination while other follow-ups were complete. It was determined that 38.3% of the patients did not have more than one vaccination, and 12.3% did not have any vaccination since birth due to vaccine rejection. There was no difference between Turkish citizens and Syrian or Iraqi citizens in terms of missing follow-ups (p=0.213). In terms of missing vaccinations, it was determined that Syrian and Iraqi refugees missed more vaccinations (p=0.000). Conclusion: In order to raise healthy children for future generations, it is thought that public should be informed about the importance of follow-ups, and patients should be guided without delay in every case of missing follow-ups.

Keywords:

heathy child follow up, vaccine, COVID 19,

PDF

___

1. Gökçay G, Tuğrul Aksakal M. Çocuk sağlığı izlem ilkeleri. İçinde: Gökçay G (edt), Beyazova U (edt). İlk beş yaşta çocuk sağlığı izlemi. 2.baskı. İstanbul: Nobel Tıp Kitabevleri, 2020: 3-15.
2. https://hsgm.saglik.gov.tr/depo/birimler/cocuk_ergen_db/dokumanlar/yayinlar/Kitaplar/Bebek_Cocuk_Ergen_Izlem_Protokolleri_2018.pdf
3. Sağlık İstatistikleri Yıllığı 2019, Erişim Adresi; https://dosyamerkez. saglik.gov.tr/Eklenti/39024,haber-bulteni-2019pdf.pdf?0 Erişim Tarihi: 3.8.2021
4. Sağlık Göstergeleri; Erişim Adresi, https://khgmozellikli.saglik.gov.tr/svg/inc/saglik_gostergeleri.pdf. Erişim Tarihi; 31.7.2021
5. WHO Director-General's opening remarks at the media briefing on COVID-19, 11 March 2020, https://www.who.int/dg/speeches/detail/ who-director-general-s-opening-remarks-atthe-media-briefing-on-covid-19---11-march-2020 Erişim tarihi: 31.7.2021
6. Yalaki Z. SARS-CoV-2 (COVID-19) pandemisinde çocuk ve aşılama. Bostancı İ, editör. Çocuk Sağlığında SARS-CoV-2 (COVID-19). 1. Baskı. Ankara: Türkiye Klinikleri; 2020.p.103-7.
7. Ulusoy E, Yılmaz TE, Çiftçi A, Yılmaz T, Kasım İ, Özkara A. Sağlam çocuk takibinde ebeveynlerin rolü ve sağlık okuryazarlığı. Ankara Med J 2020; 3: 588-604.
8. Gökçay G. Çocuk sağlığı izlemi. İçinde: Yurdakök M (edt). Yurdakök pediatri. 1.baskı. İstanbul: Güneş Tıp Kitabevleri, 2017: 111-126.
9. Öztürk O, Demir B, İğde M, Öksüz BG, Koçyiğit A, Turan Akyol Ş. Sosyal pediatri polikliniğinde izlenen çocukların ve ailelerinin değerlendirilmesi. Euras J Fam Med 2015; 4: 23-28.
10. https://asi.saglik.gov.tr/genel-bilgiler.html.Erişim Tarihi:3.8.2021
11. Topal Y, Topal H, Battaloğlu İnanç B, Özkoç HH. Türkiye’de sağlam çocuk izlemi verilerinin değerlendirilmesi. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi 2017; 4: 6-10.
12. Perry CD, Kenney GM. Preventive care for children in low-income families: How will do medicaid and state children’s health insurance programs do? Pediatrics 2007; 120: 1393–401.
13. Goedken AM, Urmie JM, Polgreen LA. Factors related to receipt of well-child visits in insured children. Matern Child Health J 2014; 18: 744–54.
14. Singhal T. A Review of Coronavirus Disease-2019 (COVID- 19). Indian J Pediatrics. 2020; 87: 281-6.
15. Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19) How to Protect Yourself. (Erişim Tarihi:25.4.2021) Erişim adresi: https://www.cdc.gov/ coronavirus/2019ncov/prepare/prevention.html
16. Kolcu G, Özceylan G. COVID-19’un birinci basamak sağlık hizmetlerine etkileri. İzmir,2020.
17. https://www.who.int/news/item/15-07-2020-who-and-unicef-warn-of-a-decline-in-vaccinations-during-covid-19. Erişim Tarihi:25.4.2021
18. Vaccine rates drop dangerously as parents avoid doctor’s visits. Erişim adresi:https://www.nytimes.com/2020/04/23/health/coronavirus-measles-vaccines.html (Erişim Tarihi: 3.8.2021).
19. Nelson R. COVID-19 disrupts vaccine delivery. Lancet Infect Dis 2020; 20: 546.
20. https://www.who.int/news-room/detail/ 22-05-2020-at-least-80-million-children-under-one-at-risk-ofdiseases-such-as-diphtheria-measles-and-polio-as-covid-19-disrupts-routine-vaccination-efforts-warn-gavi-who-and-unicef. Erişim Tarihi:25.4.2021
21. Dinleyici EC, Borrow R, Safadi MAP, Damme P, Munoz FM. Vaccines and routine immunization strategies during the COVID-19 pandemic. Human Vaccınes Immunotherapeutıcs. 2021; 17: 400–7.
22. Guidance on providing pediatric Well-care during covid-19. American Academy of Pediatrics.https://services.aap.org/en/pages/2019- novel-coronavirus-covid-19-infections. (Erişim Tarihi: 31.7.2021).
23. Şahinli S. Suriyeli mülteci krizine yönelik türkiye’nin sağlık politikaları. J Academic Perspective on Social Studies (JAPSS) 2021; 1: 32-44.
24. Cloeter G, Osseiran S. “Healthcare Access For Syrian Refugess In Istanbul: A Gender-Sensitive Perspective”. Workshop Report, 2019.
25. World Health Organization. Health topics, vaccines. https://www.WHO.int/topics/vaccines/en/(ErişimTarihi: 31.7.2021).
26. Kader Ç. Aşı karşıtlığı:aşı kararsızlığı ve aşı reddi. ESTÜDAM Halk Sağlığı Dergisi 2019; 4: 377-88.
27. Hasar M, Özer Z.Y, Bozdemir N. Aşı reddi nedenleri ve aşılar hakkındaki görüşler. Cukurova Med J 2021; 46: 166-176.
28. World Health Organization. Ten threats to global health in 2019. URL: https://www.who.int/emergencies/tenthreats-to-global-health-in-2019.
29. T.C. Sağlık Bakanlığı Sağlık Bilgi Sistemleri Genel Müdürlüğü. Sağlık İstatistikleri Yıllığı 2017 Haber Bülteni,2018. URL:https://dosyamerkez.saglik.gov.tr/Eklenti/27344,saglik-istatistikleri-yilligi-2017-haberbultenipdf.pdf?0