Abstract
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.
Keywords
Supporting Institution
yok
References
- 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
Abstract
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
References
- 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
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | July 7, 2022 |
| Submission Date | August 13, 2021 |
| Published in Issue | Year 2022 Volume: 16 Issue: 4 |
Cited By
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.