Analysis Of Factors That Influence The Completeness Of The Status Of Basic Immunization In Infants In The Working Area Of the JEULINGKE Puskesmas, Banda Aceh City In 2014
Analysis of Factors that Influence the Completeness of the Status of Basic Immunization in Infants in the Working Area of the JEULINGKE Puskesmas, Banda Aceh City in 2014
Introduction
Diseases that can be prevented by immunization (PD3I) are one of the main causes of death in infants and toddlers. The low coverage of complete basic immunization is one of the factors that contribute to this problem. According to the Riskesdas 2013 data, complete basic immunization coverage in children aged 12-23 months in Indonesia only reached 59.2%. In the working area of the Jeulingke Puskesmas in Banda Aceh City, the complete basic immunization coverage in the last two years is also below the target set by the government, which is 67% in 2013 and 73.1% in 2014. This study aims to analyze the factors that influence the completeness of the status of basic immunization in infants in the working area of the JEULINGKE Puskesmas, Banda Aceh City in 2014.
Methodology
This study uses a control case method with a population of 507 children aged 12-23 months in the work area of the Jeulingke Health Center. A total of 92 children with incomplete basic immunization status were chosen as cases, and 92 children with a complete basic immunization status were chosen as controls. Data was collected through interviews using a questionnaire and analyzed using the Chi-Square test and multiple logistics regression analysis.
Results
The results of bivariate analysis show that there are 5 variables that have a significant effect on the completeness of basic immunization status in infants, namely knowledge, attitudes, perceptions, support of health workers, and family support. Multivariate analysis with logistics regression shows that 4 variables have a significant effect, namely:
*** Knowledge: OR = 2.3; 95% CI (1,12-4.88) *** Perception: OR = 2.52; 95% CI (1,18-5.37) *** Support of Health Workers: OR = 2,98; 95% CI (1.08-8.23) *** Family Support: OR = 5.86; 95% CI (2,69-12.76)
Of the four variables, Family Support has the most dominant influence on the completeness of basic immunization status in infants.
Discussion
The results of this study indicate that family support has a significant effect on the completeness of basic immunization status in infants. This is consistent with previous studies that have shown that family support is a critical factor in determining the completion of basic immunization. The study also found that knowledge, perception, and support of health workers have a significant effect on the completeness of basic immunization status in infants.
Conclusion
Based on the results of this study, it is recommended that the Jeulingke Puskesmas Banda Aceh City increases the coverage of immunization, especially measles, DPT-HB3, and Polio 4 by increasing family support. This can be done by:
Increasing the role of the family in advocating and reminding mothers to bring a complete basic immunization child according to schedule.
*Intensive counseling and socialization about the importance of complete basic immunization.
Increasing family support is the main key in increasing the coverage of complete basic immunization. By increasing family knowledge, attitudes, and perceptions of immunization, it is expected to encourage mothers to actively participate in providing complete basic immunization for their children.
Recommendations
Based on the results of this study, the following recommendations are made:
- Increase the role of the family in advocating and reminding mothers to bring a complete basic immunization child according to schedule.
- *Intensive counseling and socialization about the importance of complete basic immunization.
- Increase the support of health workers in providing information and counseling to mothers about the importance of complete basic immunization.
- Develop a program to increase the knowledge and attitudes of mothers towards complete basic immunization.
By implementing these recommendations, it is expected that the coverage of complete basic immunization in the working area of the Jeulingke Puskesmas, Banda Aceh City will increase, and the number of children who are not fully immunized will decrease.
Limitations
This study has several limitations. Firstly, the study only focused on the working area of the Jeulingke Puskesmas, Banda Aceh City, and may not be generalizable to other areas. Secondly, the study only used a control case method, which may not be able to capture the complexity of the factors that influence the completeness of basic immunization status in infants.
Future Research
Future research should aim to investigate the factors that influence the completeness of basic immunization status in infants in other areas, and to develop a program to increase the coverage of complete basic immunization. Additionally, research should be conducted to investigate the effectiveness of the recommendations made in this study.
Conclusion
In conclusion, this study found that family support has a significant effect on the completeness of basic immunization status in infants. The study also found that knowledge, perception, and support of health workers have a significant effect on the completeness of basic immunization status in infants. Based on the results of this study, it is recommended that the Jeulingke Puskesmas Banda Aceh City increases the coverage of immunization, especially measles, DPT-HB3, and Polio 4 by increasing family support.
Q&A: Factors that Influence the Completeness of Basic Immunization in Infants
Q: What is the main cause of death in infants and toddlers?
A: Diseases that can be prevented by immunization (PD3I) are one of the main causes of death in infants and toddlers.
Q: What is the current coverage of complete basic immunization in Indonesia?
A: According to the Riskesdas 2013 data, complete basic immunization coverage in children aged 12-23 months in Indonesia only reached 59.2%.
Q: What is the target set by the government for complete basic immunization coverage in Indonesia?
A: The target set by the government is 67% in 2013 and 73.1% in 2014.
Q: What is the study's methodology?
A: This study uses a control case method with a population of 507 children aged 12-23 months in the work area of the Jeulingke Health Center.
Q: What are the 5 variables that have a significant effect on the completeness of basic immunization status in infants?
A: The 5 variables are knowledge, attitudes, perceptions, support of health workers, and family support.
Q: What are the 4 variables that have a significant effect on the completeness of basic immunization status in infants, according to multivariate analysis with logistics regression?
A: The 4 variables are knowledge, perception, support of health workers, and family support.
Q: Which variable has the most dominant influence on the completeness of basic immunization status in infants?
A: Family support has the most dominant influence on the completeness of basic immunization status in infants.
Q: What is the recommendation for increasing the coverage of complete basic immunization in the working area of the Jeulingke Puskesmas, Banda Aceh City?
A: It is recommended to increase the coverage of immunization, especially measles, DPT-HB3, and Polio 4 by increasing family support.
Q: How can family support be increased?
A: Family support can be increased by increasing the role of the family in advocating and reminding mothers to bring a complete basic immunization child according to schedule, and by intensive counseling and socialization about the importance of complete basic immunization.
Q: What are the limitations of this study?
A: This study has several limitations, including the fact that it only focused on the working area of the Jeulingke Puskesmas, Banda Aceh City, and may not be generalizable to other areas. Additionally, the study only used a control case method, which may not be able to capture the complexity of the factors that influence the completeness of basic immunization status in infants.
Q: What are the recommendations for future research?
A: Future research should aim to investigate the factors that influence the completeness of basic immunization status in infants in other areas, and to develop a program to increase the coverage of complete basic immunization. Additionally, research should be conducted to investigate the effectiveness of the recommendations made in this study.
Q: What is the conclusion of this study?
A: In conclusion, this study found that family support has a significant effect on the completeness of basic immunization status in infants. The study also found that knowledge, perception, and support of health workers have a significant effect on the completeness of basic immunization status in infants. Based on the results of this study, it is recommended that the Jeulingke Puskesmas Banda Aceh City increases the coverage of immunization, especially measles, DPT-HB3, and Polio 4 by increasing family support.