Analysis Of The Implementation Of The National Children's Immunization Month (BIAN) At The Helvetia Health Center, Medan Helvetia District
Introduction
The National Children's Immunization Month (BIAN) is a crucial program implemented by the Indonesian government to ensure that children receive the necessary vaccinations to protect them from various diseases. In 2022, the Helvetia Health Center in Medan Helvetia District became the location of research that focused on the implementation of BIAN. This research was conducted in the context of the impact of the COVID-19 pandemic, which disrupted the child's immunization program in Indonesia. Many parents were worried that they would bring their children to health facilities due to the risk of COVID-19 transmission, as well as concerns related to medical staff compliance with immunization regulations. Therefore, this research aims to analyze the extent to which the implementation of the BIAN program at the Helvetia Health Center is running according to plan.
Research Methodology
This research is qualitative, where data is obtained through in-depth interviews and direct observations in the field. The data collection process was carried out from June to February 2023 using purposive sampling techniques. This aims to get more in-depth information related to the implementation of BIAN at the Helvetia Health Center. The research methodology used in this study is a crucial aspect, as it allows for a deeper understanding of the implementation of BIAN at the Helvetia Health Center.
Implementation of the BIAN Program
Based on the results of the research, preparation and implementation of the BIAN program at the Helvetia Puskesmas has been carried out in accordance with the BIAN implementation guidelines. However, there are some problems that need to be noted. One of them is not on time in recording and reporting immunization data. In addition, changes that occur in the Indonesian Healthy Application (Asik) are also a challenge for health workers in recording. The implementation of BIAN at the Helvetia Health Center is a complex process that involves various stakeholders, including health workers, parents, and children.
Challenges in Recording and Reporting Immunization Data
The recording and reporting of immunization data are crucial aspects of the BIAN program. However, the results of the research show that there are challenges in this process. The health workers at the Helvetia Health Center reported that they face difficulties in recording and reporting immunization data due to the lack of time and resources. This is a significant challenge, as it can lead to inaccurate data and undermine the effectiveness of the BIAN program.
Changes in the Indonesian Healthy Application (Asik)
The Indonesian Healthy Application (Asik) is a digital platform that is used to record and report immunization data. However, the results of the research show that there are changes in the Asik platform that are causing challenges for health workers. The changes in the Asik platform are making it difficult for health workers to record and report immunization data, which is a significant challenge for the implementation of BIAN at the Helvetia Health Center.
Monitoring and Handling of Post-Immunization (AEFI) Follow-Up Events
The monitoring and handling of post-immunization (AEFI) follow-up events are crucial aspects of the BIAN program. However, the results of the research show that the Helvetia Health Center has not carried out this activity optimally. This includes the not carried out the AEFI monitoring and reporting mechanism that occurs in children who participate in the BIAN program, as well as the absence of reported problems related to AEFI. This is a significant challenge, as it can lead to complications after immunization.
Evaluation and Recommendations
Monitoring and evaluation of the BIAN program at the Helvetia Puskesmas shows that immunization coverage has not reached the set targets. Therefore, there needs to be innovation from the Medan Health Office to facilitate health workers in recording and reporting. One of the innovations that can be applied is to improve the Indonesian Healthy Application (Asik) to be more user-friendly. In addition, the Helvetia Puskesmas must increase the amount and quality of immunization equipment, including cold chain devices to maintain the suitability of the vaccine temperature. The planned procurement of injecting equipment and safe boxes must also be considered to improve service efficiency.
Improving the Indonesian Healthy Application (Asik)
The Indonesian Healthy Application (Asik) is a digital platform that is used to record and report immunization data. However, the results of the research show that there are challenges in using the Asik platform. Therefore, it is recommended that the Medan Health Office improves the Asik platform to make it more user-friendly. This can be done by simplifying the user interface and reducing the number of steps required to record and report immunization data.
Increasing the Amount and Quality of Immunization Equipment
The Helvetia Puskesmas must increase the amount and quality of immunization equipment, including cold chain devices to maintain the suitability of the vaccine temperature. This is a crucial aspect of the BIAN program, as it ensures that the vaccines are stored and handled properly. The planned procurement of injecting equipment and safe boxes must also be considered to improve service efficiency.
Increasing Supervision Activities
For this reason, the Head of the Puskesmas needs to be committed to increasing supervision activities carried out routinely every month. This will ensure that all aspects of the implementation of BIAN can be monitored properly, and problems that arise can be overcome quickly.
Conclusion
The implementation of the National Child Immunization Month at the Helvetia Health Center shows a number of challenges that need to be overcome to achieve the optimal immunization scope target. Through innovation in recording and reporting, as well as increasing resources and supervision, the BIAN program is expected to run more effectively and efficiently, so that children in Medan Helvetia District will get maximum protection through timely immunization. The research findings of this study provide valuable insights into the implementation of BIAN at the Helvetia Health Center, and highlight the need for innovation and improvement in the recording and reporting of immunization data, as well as the need for increased resources and supervision.
Q: What is the National Children's Immunization Month (BIAN)?
A: The National Children's Immunization Month (BIAN) is a program implemented by the Indonesian government to ensure that children receive the necessary vaccinations to protect them from various diseases.
Q: What is the purpose of the BIAN program at the Helvetia Health Center?
A: The purpose of the BIAN program at the Helvetia Health Center is to provide immunization services to children in the Medan Helvetia District, with the goal of achieving optimal immunization coverage.
Q: What are the challenges faced by the Helvetia Health Center in implementing the BIAN program?
A: The Helvetia Health Center faces several challenges in implementing the BIAN program, including difficulties in recording and reporting immunization data, changes in the Indonesian Healthy Application (Asik) platform, and inadequate supervision.
Q: How can the challenges faced by the Helvetia Health Center be overcome?
A: The challenges faced by the Helvetia Health Center can be overcome through innovation in recording and reporting, increasing resources and supervision, and improving the Indonesian Healthy Application (Asik) platform.
Q: What is the role of the Medan Health Office in implementing the BIAN program?
A: The Medan Health Office plays a crucial role in implementing the BIAN program by providing guidance and support to the Helvetia Health Center, as well as ensuring that the necessary resources and equipment are available.
Q: How can parents and caregivers contribute to the success of the BIAN program?
A: Parents and caregivers can contribute to the success of the BIAN program by ensuring that their children receive all the necessary vaccinations, attending immunization sessions, and reporting any adverse events or concerns to the health center.
Q: What are the benefits of the BIAN program for children in the Medan Helvetia District?
A: The BIAN program provides children in the Medan Helvetia District with protection against various diseases, including measles, rubella, and diphtheria, among others.
Q: How can the community get involved in supporting the BIAN program?
A: The community can get involved in supporting the BIAN program by volunteering at the health center, spreading awareness about the importance of immunization, and providing financial support to the program.
Q: What is the next step for the Helvetia Health Center in implementing the BIAN program?
A: The next step for the Helvetia Health Center is to continue to improve the recording and reporting of immunization data, increase supervision, and improve the Indonesian Healthy Application (Asik) platform, with the goal of achieving optimal immunization coverage.
Q: How can the community stay updated on the progress of the BIAN program?
A: The community can stay updated on the progress of the BIAN program by attending community meetings, following the health center's social media accounts, and contacting the health center directly.
Q: What is the expected outcome of the BIAN program at the Helvetia Health Center?
A: The expected outcome of the BIAN program at the Helvetia Health Center is to achieve optimal immunization coverage, with a significant reduction in the incidence of vaccine-preventable diseases among children in the Medan Helvetia District.