The Differences in Maternal Compliance in Completing Basic Immunization between Two Groups

Ita Susanti, Dewi Marhaeni Diah Herawati, Eddy Fadlyana, Herry Herman, Kusnandi Rusmil, Firman Fuad Wirakusumah

Abstract


Immunization programs are implemented in Indonesia since 1956. Although the government has established a complete basic immunization program for infants aged 0–12 months, there are still more than 1.4 million child deaths in the world each year due to various infectious diseases. The diseases can be prevented by immunization. Low basic immunization coverage in infants is related to parental non-compliance in fulfilling primary immunization. The purpose of this study was to measure the differences in maternal compliance in completing basic immunization in two groups. Samples are a group of mothers provided with Maternal Child Health (MCH) book and special booklet, and another group provided with MCH book only. This study used a quasi-experiment design with quantitative methods with a sample of 76 respondents chosen by simple random sampling—this research conducted in August–October 2017 in Pir Batee Puteh Health Center, West Woyla district. The results indicate that there were differences in maternal compliance in completing basic immunization in mothers with MCH book and special booklet to mothers with only MCH book. Immunization health education interventions based on the MCH book and special booklet can improve the mother's compliance in completing the baby's basic immunization.

 

PERBEDAAN KEPATUHAN IBU DALAM MELENGKAPI IMUNISASI DASAR ANTARA DUA KELOMPOK

Program imunisasi mulai dilaksanakan di Indonesia sejak tahun 1956. Meskipun pemerintah telah menetapkan program imunisasi dasar lengkap pada bayi usia 0–12 bulan, masih terdapat lebih dari 1,4 juta kematian anak di dunia setiap tahun karena berbagai penyakit menular yang pada dasarnya dapat dicegah dengan imunisasi. Cakupan imunisasi dasar yang rendah pada bayi berkaitan dengan ketidakpatuhan orangtua dalam memenuhi kelengkapan imunisasi dasar. Tujuan penelitian ini adalah mengukur perbedaan kepatuhan ibu dalam memenuhi kelengkapan imunisasi dasar pada dua kelompok. Sampel adalah kelompok ibu yang diberikan buku Kesehatan Ibu dan Anak (KIA) dan booklet, serta kelompok ibu yang diberikan buku KIA saja. Penelitian ini menggunakan desain quasy-experiment dan metode kuantitatif dengan sampel 76 responden yang dipilih secara simple random sampling. Penelitian dilakukan pada Agustus–Oktober 2017 di wilayah kerja Puskesmas Pir Batee Puteh, Kecamatan Woyla Barat. Hasil penelitian menunjukkan bahwa terdapat perbedaan kepatuhan ibu dalam memenuhi kelengkapan imunisasi dasar pada ibu yang diberikan buku KIA dan booklet dengan ibu yang hanya diberikan buku KIA. Intervensi pendidikan kesehatan imunisasi berdasar atas buku KIA dan booklet dapat meningkatkan pengetahuan dan kesadaran ibu tentang pentingnya imunisasi pada bayi sehingga meningkatkan kepatuhan ibu dalam melengkapi imunisasi bayinya.


Keywords


Booklet; buku KIA; compliance; kepatuhan; MCH book

Full Text:

PDF

References


National Association of School Nurses. NASN position statement: immunizations. NASN Sch Nurse. 2011;26(2):121–2.

Hendriksz T, Malouf PJ, Sarmiento S, Foy JE. Overcoming patient barriers to immunization. AOA Health Watch. 2013;8(3):9–14.

Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2017 tentang Penyelenggaraan Imunisasi.

Kementerian Kesehatan Republik Indonesia. Profil kesehatan Indonesia tahun 2015. Jakarta: Kementerian Kesehatan Republik Indonesia; 2016.

Rannan-Eliya R. Review of the situation of equity in access to maternal and child health care in the Asia-Pacific region [Internet]. New York: UNICEF; 2008 [cited 2017 May 15]. Available from: http://www.unicef.org/eapro/Unicef_VN_MNCH_Review_04-22.pdf.

Rokx C, Giles J, Satriawan E, Marzoeki P, Harimurti P, Yavuz E. New insights into the provision of health services in Indonesia: a health workforce study. Washington DC: The International Bank for Reconstruction and Development/The World Bank; 2010.

Larson HJ, Jarrett C, Eckersberger E, Smith DM, Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: a systematic review of published literature, 2007– 2012. Vaccine. 2014;32(19):2150–9.

Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Riset kesehatan dasar (Riskesdas 2013) [Internet]. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia; 2013 [cited 2017 May 15]. Available from: https://pusdatin.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf.

Pusat Data dan Informasi, Kementerian Kesehatan Republik Indonesia. Situasi imunisasi di Indonesia [Internet]. Jakarta: Pusat Data dan Informasi, Kementerian Kesehatan Republik Indonesia; 2016 [cited 2017 May 15]. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/infodatin/InfoDatin-Imunisasi-2016.pdf.

Bhuiyan SU, Nakamura Y. Continuity of maternal, neonatal and child health care through MCH handbook for ensuring the quality of life. In: Proceedings of the 6th International Conference on Maternal and Child Health (MCH) Handbook; 2008 November 8–10; Tokyo, Japan. Osaka: Osaka University; 2009 January 1 [cited 2017 March 28]. p. 1–6. Available from: https://www.childresearch.net/RESOURCE/RESEARCH/2009/exfile/BHUIYAN_NAKAMURA.pdf.

Kawakatsu Y, Sugishita T, Oruenjo K, Wakhule S, Kibosia K, Were E, et al. Effectiveness of and factors related to possession of a mother and child health handbook: an analysis using propensity score matching. Health Educ Res. 2015;30(6):935–46.

Osaki K, Hattori T, Kosen S, Singgih B. Investment in home-based maternal, newborn and child health records improves immunization coverage in Indonesia. Trans R Soc Trop Med Hyg. 2009;103(8):846–8.

Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai VI. Determinants of vaccination coverage in rural Nigeria. BMC Public Health. 2008;8:381.

Usman HR, Akhtar S, Habib F, Jehan I. Redesigned immunization card and center-based education to reduce childhood immunization dropouts in urban Pakistan: a randomized controlled trial. Vaccine. 2009;27(3):467–72.

Moura DJM, Moura NDS, Menezes LCG, Barros AA, Guedes MVC. Development of a booklet on insulin therapy for children with diabetes mellitus type 1. Rev Bras Enferm. 2017;70(1):7–14.

Owais A, Hanif B, Siddiqui AR, Agha A, Zaidi AK. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan. BMC Public Health. 2011;11:239.

Nelson KN, Wallace AS, Sodha SV, Daniels D, Dietz V. Assessing strategies for increasing urban routine immunization coverage of childhood vaccines in low and middle-income countries: a systematic review of peer-reviewed literature. Vaccine. 2016;34(46):5495–503.

Uddin MJ, Larson CP, Oliveras E, Khan A, Quaiyum M, Saha NC. Child immunization coverage in urban slums of Bangladesh: impact of an intervention package. Health Policy Plan. 2010;25(1):50–60.

Yu M, Chair SY, Chan CWH, Choi KC. A health education booklet and telephone follow-ups can improve medication adherence, health-related quality of life, and psychological status of patients with heart failure. Heart Lung. 2015;44(5):400–7.

Henrotin YE, Cedraschi C, Duplan B, Bazin T, Duquesnoy B. Information and low back pain management: a systematic review. Spine. 2016;31(11):E326–34.

Claus D, Coudeyre E, Chazal J, Irthum B, Mulliez A, Givron P. An evidence-based information booklet helps reduce fear-avoidance beliefs after first-time discectomy for disc prolapse. Ann Phys Rehabil Med. 2017;60(2):68–73.




DOI: https://doi.org/10.29313/gmhc.v8i3.3280

pISSN 2301-9123 | eISSN 2460-5441


Visitor since 19 October 2016: 


Free counters!


Global Medical and Health Communication is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.