Circulation of infant immunization record cards in view of legal regulations and recommendations in the scope of infant care on the example of a public and non-public healthcare entity

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Magdalena Gawałko, Magdalena Chudowolska-Kiełkowska, Bernadetta Gieroń-Kozina, Elżbieta Antos, Małgorzata Wojciechowska

2 (59) 2019 s. 157–163
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DOI: https://doi.org/10.20883/ppnoz.2019.26

Fraza do cytowania: Gawałko M., Chudowolska-Kiełkowska M., Gieroń-Kozina B., Antos E., Wojciechowska M. Circulation of infant immunization record cards in view of legal regulations and recommendations in the scope of infant care on the example of a public and non-public healthcare entity. Polski Przegląd Nauk o Zdrowiu. 2019;2(59):157–163. DOI: https://doi.org/10.20883/ppnoz.2019.26

Introduction. The Ordinance of the Minister of Health of 18th August 2011 § 11 Section 2 on obligatory preventive vaccination imposes an obligation of immunization record cards transfer between healthcare entities where vaccination is given. The abovementioned regulation excludes parents and child carers from record cards transfer. Unfortunately, in some cases neonatal units’ employees hand in immunization record cards directly to parents, which can later result in irregularities in the scope of timeliness of vaccinating children. Aim. Analyse the children immunization record cards transfer between health care units and the ways of transferring information on children vaccination – according to parents. Material and methods. Survey questionnaire included 101 children born in 2010–2015, remaining under medical supervision of public and non-public health centre units. Results. The survey shows that the clear majority of parents were interested in vaccination before their child’s birth (60.0%) or had some knowledge about it in connection with their own experience or care for their first child (13.4%). Information on obligatory vaccination of children is most often acquired from midwifes (24.6%), from family and friends (20.9%), doctors (17.9%) and primary health care nurses (7.5%), the Internet (14,9%) of the respondents. Majority of the parents (68.4%) received the child’s immunization record card during their discharge from the maternity and neonatal ward, with further instructions on continuation of their child’s immunization. Only 23.5% of the respondents were asked about the health care unit that will provide primary health service to their child and where further vaccination will be given. Conclusions. On the basis of the information provided by the parents of children up to the age of 5, most of healthcare entities providing perinatal care of the mother and the child do not send the information about children vaccination to appropriate primary health care units. Parents are handed in their child’s immunization record card and the decision on attending the vaccination in the right time depends solely on them. Inaccuracies in transferring the immunization record card may result in neglect of vaccination of the youngest children.

Key words: vaccines, immunization record card, primary health care.



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