Abstract
Reducing morbidity in the vaccinated childhood population can reduce the socioeconomic burden on the health system, increase access to health care, which in low- and middle-income countries can also help reduce poverty and inequality. Today, vaccinations are considered as profitable investments in the health care system and the comprehensive development of the state, and the consistently high coverage of the population with immunoprophylaxis is an important task of public health systems. The purpose of the work was to carry out medical and social substantiation and develop a model for optimizing vaccine prophylaxis among children at the primary level of providing medical care. The research was carried out by the method of interviewing respondents, the first group consisted of 280 children who were completely unvaccinated and the second group of 180 children who received a full course of vaccination or were partially vaccinated. Data were copied from the form of the primary accounting documentation No.112/o "History of the child's development". In the development and medical and social substantiation of the model for the optimization of vaccine prophylaxis among children, data obtained during the conduct of own research were used. During the implementation of this work, the determinants that affect the level of vaccination among children and the attitude of the population to the organization of vaccine prevention were determined. Urgent issues for Ukraine are the revision of legislative norms in the field of immunization and prevention to ensure the full coverage of the population with vaccinations and strengthening the responsibility of citizens for refusal and untimely receipt of vaccines.
Keywords: infectious diseases, vaccination, public health.
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