[Implementation of vaccinations in Chechen refugees' children in Poland].
Poland is a destination country or temporary living place for many refugees from Chechnya. Refugees are provided with full, free of charge, health care including the vaccination programme according to the present National Vaccination Programme (NVP).


OBJECTIVE
To assess the implementation of vaccinations in Chechen refugees' children in Poland.


METHODS
The group comprised 310 children from the Centre for Foreigners in Warsaw-Bielany. The mean age of the examined children was 7.5 years. The investigations were performed three times during the study--the first was conducted in a group of 220 children in June, the second one in 303 children in August and the third in 310 children in October 2008 (the differences in the numbers resulted from the changes in the size of the Chechen population living in the Centre).


METHODS
The vaccination records were assessed paying special attention to the implementation of vaccinations. During the consecutive two examinations the implementation of vaccination recommendations was analyzed as well as the availability of this information in the records. At every visit the history was obtained on the reasons for not having the vaccination programme implemented.


RESULTS
The information on vaccination programme implementation was available in 19, 30 and 45%, of analyzed records from the Centre at the first, second and third visit, respectively. The majority of the obtained data regarded the implementation of vaccinations in children in the first year of life (85%), while the least data was on vaccinations in children over 12 years of age (30%). Similar results were obtained when analyzing a group of 168 children at the all three visits (18, 32 and 48%, respectively). The reasons for non-implementation of vaccinations were as follows: (a) low parents' awareness of the necessity of vaccinations; (b) lack of self-discipline (every other child did not report for a scheduled appointment); (c) relocation of refugees to other Centres; (d) exceedingly frequent postponing of vaccinations (in every fourth child). Substantially better implementation of vaccinations was found in refugees' children born in Poland.


CONCLUSIONS
On account of the differences in the Polish and Chechen vaccination programmes and the low awareness among the Chechen parents' regarding the need of vaccinations, implementation of health care programmes and monitoring of the sanitary-epidemiologic situation in the Centres for Foreigners is necessary in order to prevent local outbreaks of an epidemic.
Hartmann
Piotr
P
Klinika Pediatrii, Centrum Medyczne Kształenia Podyplomowego w Warszawie. pediatria@hartmann.waw.pl
Jackowska
Teresa
T
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D016358:Contact Tracing / Q000379:methods* / Q000706:statistics & numerical data; D004196:Disease Outbreaks / Q000517:prevention & control*; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D007223:Infant; D011044:Poland; D012036:Refugees / Q000706:statistics & numerical data*; D012426:Russia / Q000208:ethnology; D014611:Vaccination / Q000706:statistics & numerical data*