113 p. Recurso Electr?nicoIntroducci?n: A pesar de todos los intentos del gobierno nacional por mantener
coberturas de vacunaci?n por encima del 95% en cada uno de los biol?gicos aplicados
a la poblaci?n menor de 6 a?os, se ha observado que parte de la poblaci?n aun no
accede a este programa, de acuerdo a los monitoreo de vacunaci?n realizados por la
Secretaria de Salud Municipal en la ciudad de Ibagu?, durante el a?o 2016, se evidencio
que a?n existen ni?os con esquemas de vacunaci?n incompletos para edad, por tal raz?n
nuestro objetivo general es establecer la asociaci?n entre los factores
sociodemogr?ficos, econ?micos, culturales, psicol?gicos del cuidador y los factores
cl?nicos propios del usuario en el no cumplimiento del Esquema Nacional de Vacunaci?n,
en ni?os menores de 6 a?os, en el municipio de Ibagu?, durante el a?o 2016.
Dise?o y m?todos: el presente estudio es de tipo Epidemiol?gico, observacional, anal?tico
de casos y controles, la informaci?n se obtuvo del tercer monitoreo de vacunaci?n del
municipio de Ibagu?, aplicando un instrumento a los cuidadores de los menores de 6
a?os.
Para la caracterizaci?n y asociaci?n de los factores se utiliz? un an?lisis univariado y
bivariado, y se controlaron los factores de confusi?n mediante un an?lisis multivariado.
Resultados: en los factores sociodemogr?ficos (el estado civil, la escolaridad, el tiempo
de traslado a los servicio de vacunaci?n), en los factores psicol?gicos (pensamiento
errado de enfermedad del menor de 6 a?os), en factores culturales (consideraci?n de no
estar afiliado es un impedimento para el acceso a los servicios de vacunaci?n, la
inasistencia a las citas de vacunaci?n, el desconocimiento de la importancia de las
vacunas), se evidencio asociaci?n significativa con los menores de 6 a?os con
esquemas de vacunaci?n incompletos. Se evidencio que los factores econ?micos no
mostraron asociaci?n, y en los factores propios de los ni?o se identific? que, si al menor se le contraindica una vacuna o se hospitaliza se asocia al incumplimiento de los
esquemas de vacunaci?n.
Al ajustar las variables por m?ltiples confusores se encontr? las siguientes asociaciones,
a medida que asciende la edad en los ni?os, cuando el cuidador tiene el pensamiento de
que el ni?o/a se encuentra enfermo y deja de llevarlo a vacunar, la no asistencia
cumplida a las citas de vacunaci?n y el temor a reacciones posteriores a la vacunaci?n
presentaron una asociaci?n con significaci?n estad?stica
Conclusiones: se hace necesario establecer acciones encaminadas a disminuir el temor
y falsos pensamientos sobre las vacunas, realizando campa?as individuales y colectivas
por medio de un programa educativo sobre vacunaci?n en los sitios donde se ofrezca el
servicio, de forma obligatoria, adem?s de ofrecer informaci?n por medio de flyers en las
salas de espera de los programas de vacunaci?n.
Palabras claves: Ni?o, vacunaci?n, factoresIntroduction: Despite all attempts by the national government to keep vaccination
coverage above 95% in each one of the biologicals applied to the population under 6
years old, it has been observed that part of the population does not access to the program
yet, According to the vaccination monitoring carried out by the Municipal Health Secretary
in the city of Ibague, during the year 2016, it is evident that there are still children with
incomplete vaccination schedules for the age, for that reason our general objective is to
establish the association among Socio-demographic, economic, cultural, psychological
factors of the caregiver and the clinical factors of the user in the non-compliance of the
National Vaccination Scheme, in children under 6 years of age, in the town of Ibague, in
2016.
Design and methods: this study is Epidemiological, observational, analytical case and
control type, the information was obtained from the third monitoring of vaccination in the
town of Ibague, applying an instrument to caregivers of children under 6 years.
For the characterization and association of factors a univariate and bivariate analysis is
used, and the confounding factors are controlled by a multivariate analysis.
Results: socio-demographic factors (marital status, schooling, transfer time to vaccination
service), psychological factors (misconception of the disease of children under 6 years),
cultural factors are an impediment to access to Vaccination services, non-attendance to
vaccination appointments, lack of knowledge of the importance of vaccines), is evident a
significant association with children under 6 years of age with incomplete vaccination
schemes. It was evidenced that the economic factors did not show association, and in the
own factors of the children it was identified that, if the child is contraindicated a vaccine
or hospitalized is associated to the noncompliance of the vaccination schemes. When adjusting the variables by multiple confounders the following associations were
found: as the age increases in the children, when the caregiver has the thought that the
child is sick and stops taking it to vaccinate, the non-attendance fulfilled The vaccination
appointments and the fear of reactions after vaccination presented an association with
statistical significance.
Conclusions: it is necessary to establish actions aimed at reducing fear and false thoughts
about vaccines, carrying out individual and collective campaigns through an educational
program on vaccination in the places where the service is offered, in a mandatory way,
besides offering information by Means of pamphlets in the waiting rooms of vaccination
programs.
Key words: Child, vaccination, factor